冰凍肩係指肩關節囊發炎同變厚，令關節「黏住」，肩膊變得又痛又硬，好多方向都舉唔起。

常見原因
– 常見於 40–60 歲人士，女性較多
– 糖尿病、甲狀腺問題、心臟病等慢性疾病患者
– 手術或受傷後，肩膊長期唔郁、包石膏
– 無明顯原因逐漸出現

症狀
– 早期：夜間痛、休息都痛
– 中期：痛楚稍減，但活動範圍明顯受限（穿衣、扣內衣、梳頭都好難）
– 後期：僵硬慢慢改善，但未必完全回復
– 多見肩膊外展、旋轉動作受限制

物理治療重點

急性期：止痛、維持基本活動
• 儀器鎮痛配合溫和關節鬆動，減少夜痛。
• 教你做輕量擺動運動，避免完全唔郁而進一步黏連。

凝固／恢復期：逐步拉鬆、重建功能
• 逐級加強關節鬆動及伸展，增加各方向活動度。
• 設計針對性肌力訓練，改善肩胛及肩袖控制，協助回復日常及運動功能。

English

Frozen shoulder (adhesive capsulitis) is a condition where the shoulder capsule becomes inflamed, thickened, and tight, causing pain and a global loss of movement in many directions.

Common causes
– Most common between ages 40–60, more frequent in women
– Associated with diabetes, thyroid disorders, and some heart conditions
– Prolonged immobilisation after injury or surgery (sling, casting)
– Sometimes gradual onset with no clear trigger

Symptoms
– Early stage: severe night pain and pain even at rest
– Middle stage: pain gradually lessens but stiffness becomes prominent; difficulty dressing, fastening bra, or reaching overhead/behind
– Late stage: stiffness slowly improves but may not fully normalise
– Limitation especially in lifting arm sideways and rotation movements

Physiotherapy focus

Painful phase – pain control and gentle movement
• Modalities and gentle joint mobilisation to ease pain, especially at night.
• Guided pendulum and light exercises to keep the joint moving and reduce further adhesion.

Stiff / recovery phase – regain range and function
• Progressive joint mobilisations and stretching to open the capsule and increase motion.
• Strengthening and control exercises for rotator cuff and scapular muscles to restore daily and sports function.