Frozen Shoulder Repair Rehab Protocol | Physical Therapy | The Stone Clinic

You are here

Frozen shoulder repair rehab protocol

  • Sling allowed as needed for comfort only, first 5 - 7 days, taking arm out often 5 - 7 times a day for elbow ROM
  • Posture education and postural exercises
  • Ball or putty squeezing throughout the day
  • Icing every two hours for 15 - 20 minutes first 5 - 7 days, 3 times a day thereafter
  • CPM (continuous passive motion) machine 4 - 6 hours per day for 1 - 4 weeks
  • Soft tissue mobilization focused on periscapular musculature, cervical spine, and rotator cuff
  • Scapular mobilization
  • Passive and active assisted ROM manually and using pulley at home going for full motion as soon as able without increased irritability
  • Cardiovascular training program can include bike, treadmill, versa climber, UBE
  • Core stabilization program

 2 - 4 Weeks:

  • Full passive range of motion should be achieved by 2 - 4 weeks
  • Scapular and glenohumeral joint mobilization as indicated
  • Begin rotator cuff retraining and strengthening, focus on restoring proper biomechanics
  • Integration of involved shoulder through bilateral UE activity and total motion training (full body movements using both upper and lower extremities)
  • Continued cardiovascular and core strength training
  • Continued icing 3 times per day

4 - 8 Weeks:

  • Progressive strength training contingent upon perfect biomechanics
  • Development of independent home and gym program
  • Okay to return to swimming with good mechanics after 6 weeks

8 - 10 Weeks:

  • Progression into normal activity and exercise program
  • Patient discharged with life-long home maintenance program to include daily ROM exercises, rotator cuff program, and cardiovascular program


NOTE: All progressions are approximations and should be used as a guideline only. Progression will be based on individual patient presentation, which is assessed throughout the treatment process.

Avoid joint replacement
You are told you have knee arthritis. The advice the doctor gives you is to go home, rest your knee, take anti-inflammatory drugs, lose some weight, wait until you are older and then get an artificial knee replacement. This advice is awful. Here's why.
Pot. Almost 50% of the patients in my practice recently used marijuana to reduce their post-op pain. I didn’t prescribe it; the word just seems to be out.
Frozen Shoulder
Frozen shoulder. How quickly can it be thawed?
July 14th, 2015
In light of Wes Matthews and other NBA athletes suffering Achilles ruptures, Dr. Stone speaks to Mavs Moneyball, a...
July 11th, 2018
Dr. Stone gives the nation running tips on how to avoid pain while protecting your joints.
April 27th, 2016
Dr Stone talking about Steph Curry's injury and the Warrior's season.

Stone, K.R., A.W. Walgenbach, A. Freyer, T.J. Turek, and D.P. Speer. 2006.

Stone, K.R., A.W. Walgenbach, A. Freyer, T.J. Turek, and D.P. Speer. 2006.