Abstract
Background: Adhesive capsulitis (frozen shoulder) is a common cause of shoulder
pain and stiffness that can significantly limit daily activities. Physiotherapy remains
the mainstay of conservative management.
Case Presentation: A 52-year-old female presented with severe pain and
progressive restriction of motion in her right shoulder for 4 months. The patient
was diagnosed with adhesive capsulitis (Stage II—frozen stage).
Intervention: The physiotherapy program included a combination of joint
mobilization techniques (Maitland and Mulligan), muscle energy technique (MET),
and adjunctive ultrasound therapy for pain relief and tissue extensibility. Sessions
were conducted five times per week for six weeks.
Outcome: Significant improvement was observed in pain (VAS score reduced
from 8/10 to 2/10) and range of motion (flexion from 80° to 160°, abduction from
70° to 150°, external rotation from 20° to 60°). The Shoulder Pain and Disability
Index (SPADI) improved from 78% to 18%.
Conclusion: A structured physiotherapy program combining mobilization
techniques, MET, and ultrasound therapy can effectively reduce pain and restore
function in patients with frozen shoulder.