Abstract
Shoulder adhesive capsulitis is a common condition with favourable outcome but very long. Although full resolution of symptoms does not always occur, persistent symptoms are commonly mild with stiffness and/or minimal pain with possible persistent sequelae. Therapeutic interventions aim to reduce pain, which are important at the initial stage, and improve joint mobility thus shorten disability. There are no official guidelines for optimum therapeutic management. Conservative interventions including pain-killers, NSAIDs, corticosteroid infiltration and physical therapy are recommended at first. Shoulder capsular distension plus mobilisation is second line. Indications of arthroscopic capsular release or mobilisation under anesthesia are sparse. Physical therapy (techniques, duration and frequency of sessions, modality of management) need to be adapted to patient abilities and symptoms and must consider and treat the full shoulder complex dysfunction. Patient's involvement in rehabilitation and education to repeated home exercises is of paramount importance.
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