{"id":4719,"date":"2025-07-26T10:00:29","date_gmt":"2025-07-26T14:00:29","guid":{"rendered":"https:\/\/www.physioplateau.com\/?p=4719"},"modified":"2025-07-26T10:01:03","modified_gmt":"2025-07-26T14:01:03","slug":"all-you-need-to-know-about-retractile-capsulitis","status":"publish","type":"post","link":"https:\/\/www.physioplateau.com\/en\/all-you-need-to-know-about-retractile-capsulitis\/","title":{"rendered":"All you need to know about retractile capsulitis"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221; _et_uniqid=&#8221;et_custom_uniqid_new_68434105195bf&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]<span style=\"color: #000000;\"><strong>Retractile capsulitis, also known as \u201c<\/strong><em>frozen shoulder<\/em><strong>\u201d, is a common but often misunderstood shoulder condition. It manifests itself as severe pain and loss of mobility in the shoulder, disrupting daily activities such as dressing, grooming, carrying objects or sleeping comfortably.<\/strong><\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row _et_uniqid=&#8221;et_custom_uniqid_new_686ee78db1f8b&#8221;][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>What is retractile capsulitis?<\/h3>\n<p>[\/vc_column_text][vc_row_inner][vc_column_inner][vc_column_text css=&#8221;&#8221;]Retractile capsulitis is an <strong>inflammation of the shoulder joint capsule<\/strong>. This capsule is an envelope that surrounds the glenohumeral joint (between the scapula and the humerus). When it becomes <strong>stiff<\/strong>, it restricts movement and causes pain.<\/p>\n<p>The condition <strong>generally develops gradually, and can last several months<\/strong> or even years. It affects around 2% to 5% of the general population, and is more common in women aged 40 to 60.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>What causes this ?<\/h3>\n<p>[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1752184701596{margin-bottom: 2% !important;}&#8221;]In most cases, the exact cause remains unknown. This is known as <em>idiopathic<\/em> retractile capsulitis. However, <strong>certain factors increase the risk <\/strong>:[\/vc_column_text][\/vc_column][\/vc_row][vc_row equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221; _et_uniqid=&#8221;et_custom_uniqid_new_686da5899d5d0&#8243; css=&#8221;.vc_custom_1752016419421{margin-bottom: 0px !important;}&#8221;][vc_column css=&#8221;.vc_custom_1751587091182{padding-top: 3% !important;padding-right: 3% !important;padding-bottom: 3% !important;padding-left: 3% !important;}&#8221; _et_uniqid=&#8221;et_custom_uniqid_new_686718f812200&#8243;][vc_column_text css_animation=&#8221;bottom-to-top&#8221; css=&#8221;.vc_custom_1752184760465{margin-bottom: 2% !important;padding-top: 5% !important;padding-right: 5% !important;padding-bottom: 5% !important;padding-left: 5% !important;background-color: #F5F5F5 !important;}&#8221;]<\/p>\n<ul>\n<li><span style=\"color: #4f4f4f;\"><strong>Prolonged posture or lack of physical activity<br \/>\n<\/strong><\/span><\/li>\n<li><span style=\"color: #4f4f4f;\"><strong>Prolonged immobilization of the shoulder (e.g. after humerus fracture or surgery)<br \/>\n<\/strong><\/span><\/li>\n<li><span style=\"color: #4f4f4f;\"><strong>Rotator cuff damage<br \/>\n<\/strong><\/span><\/li>\n<li><span style=\"color: #4f4f4f;\"><strong>Diabetes (type 1 or 2)<br \/>\n<\/strong><\/span><\/li>\n<li><span style=\"color: #4f4f4f;\"><strong>Thyroid disorders<\/strong><\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4><span style=\"color: #000000;\">Over the past twenty years, the number of people affected by this condition has increased.<\/span><\/h4>\n<p>This seems to be linked to the decline in physical activity, as our society becomes increasingly sedentary with advances in technology, modes of transport and office jobs.<\/p>\n<p>Capsulitis more often affects the <strong>non-dominant<\/strong> shoulder (e.g. the left shoulder in a right-handed person), which may seem paradoxical, but can be explained by different use in everyday tasks.[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>What are the symptoms ?<\/h3>\n<p>[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1752184874883{margin-bottom: 2% !important;}&#8221;]Capsulitis evolves slowly, in <strong>3 main clinical phases<\/strong> :[\/vc_column_text][vc_empty_space height=&#8221;20px&#8221;][vc_single_image image=&#8221;4731&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221; css=&#8221;&#8221;][vc_row_inner content_placement=&#8221;middle&#8221; _et_uniqid=&#8221;et_custom_uniqid_new_686ee2f5e8c6b&#8221;][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;4727&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text css=&#8221;&#8221;]In short, retractile capsulitis can have an impact on quality of life, making certain tasks more difficult for several years, sometimes up to 4 years.<\/p>\n<p><strong>However, with the right treatment, especially physiotherapy, this period can be limited and the symptoms better controlled !<\/strong>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>Why consult a physiotherapist ?<\/h3>\n<p>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]Physiotherapy is one of the pillars of treatment for retractile capsulitis. It aims to relieve pain, preserve or improve mobility, and promote a return to normal activities.<\/p>\n<p>Here are some of the interventions that can be offered :[\/vc_column_text][vc_column_text css_animation=&#8221;bottom-to-top&#8221; css=&#8221;.vc_custom_1752185454354{margin-bottom: 2% !important;padding-top: 5% !important;padding-right: 5% !important;padding-bottom: 5% !important;padding-left: 5% !important;background-color: #F5F5F5 !important;}&#8221;]<\/p>\n<ul>\n<li><span style=\"color: #4f4f4f;\"><strong>Active and passive exercises <\/strong>to improve flexibility and strength<strong><br \/>\n<\/strong><\/span><\/li>\n<li><span style=\"color: #4f4f4f;\"><strong>Gentle shoulder mobilization <\/strong>(e.g. Maitland or Mulligan techniques)<strong><br \/>\n<\/strong><\/span><\/li>\n<li><span style=\"color: #4f4f4f;\"><strong>Specific stretching <\/strong>to restore elasticity to the capsule<strong><br \/>\n<\/strong><\/span><\/li>\n<li><span style=\"color: #4f4f4f;\"><strong>Muscle strengthening<\/strong> to stabilize the joint<strong><br \/>\n<\/strong><\/span><\/li>\n<li><span style=\"color: #4f4f4f;\"><strong>Proprioceptive exercises <\/strong>to improve movement control<strong><br \/>\n<\/strong><\/span><\/li>\n<li><span style=\"color: #4f4f4f;\"><strong>Manual therapies and neuromuscular stimulation<\/strong><\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_row_inner equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221; _et_uniqid=&#8221;et_custom_uniqid_new_686ee39746ad0&#8243;][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text css=&#8221;&#8221;]Some approaches, such as <strong>functional exercises involving hand-eye coordination<\/strong> (e.g. throwing and catching a ball), have also been shown to have positive effects on recovery.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;4649&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column_inner][\/vc_row_inner][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>\ud83d\udc49\ufe0f Every patient is different, and a personalized treatment plan is the key to better results.<\/h4>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>What about medication ?<\/h3>\n<p>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]Medication can help temporarily relieve pain, especially in the early stages of the condition. Here are the most common options :[\/vc_column_text][vc_column_text css_animation=&#8221;bottom-to-top&#8221; css=&#8221;.vc_custom_1752707528012{margin-bottom: 2% !important;padding-top: 5% !important;padding-right: 5% !important;padding-bottom: 5% !important;padding-left: 5% !important;background-color: #F5F5F5 !important;}&#8221;]<\/p>\n<ul>\n<li><strong>Corticosteroids<\/strong> : Recommended especially in the early stages of the condition for rapid pain relief, calming inflammation, but their effects are temporary. Short-term effects are comparable to those of exercise, but with potential side effects.<\/li>\n<\/ul>\n<ul>\n<li><strong>Distensive arthrography<\/strong> : Indicated in the treatment of retractile capsulitis of the shoulder in the stiff and painful phase. It consists of a local anaesthetic, an intra-articular glenohumeral injection under air or liquid pressure, and often a corticosteroid. It must be combined with immediate mobilization by a physiotherapist to accelerate functional recovery.<\/li>\n<\/ul>\n<ul>\n<li><strong>Anti-inflammatories (NSAIDs)<\/strong> : Limited efficacy, especially in the long term.<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]In all cases, <strong>exercise remains the most sustainable and effective solution<\/strong> for improving mobility over the long term.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_text_separator title=&#8221;THE KEY ROLE OF EDUCATION&#8221; css=&#8221;.vc_custom_1752185753440{margin-bottom: 30px !important;}&#8221;][vc_row_inner equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221; _et_uniqid=&#8221;et_custom_uniqid_new_686eeabcf0cdd&#8221;][vc_column_inner width=&#8221;1\/4&#8243;][vc_single_image image=&#8221;4686&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221; style=&#8221;vc_box_circle_2&#8243; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;3\/4&#8243;][vc_column_text css=&#8221;&#8221;]Being well-informed about the natural course of capsulitis, about realistic expectations and about the active role you can play in your treatment, is <strong>a key factor in success.<\/strong> A trusting relationship with your physiotherapist will help you stay motivated and better manage your condition.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>In brief<\/h3>\n<p>[\/vc_column_text][vc_column_text css_animation=&#8221;bottom-to-top&#8221; css=&#8221;.vc_custom_1752185875319{margin-bottom: 2% !important;padding-top: 5% !important;padding-right: 5% !important;padding-bottom: 5% !important;padding-left: 5% !important;background-color: #F5F5F5 !important;}&#8221;]<\/p>\n<ul>\n<li>Retractile capsulitis is a common cause of shoulder pain and stiffness.<\/li>\n<li>It evolves in several phases and can last for several months or even years<\/li>\n<li>Physiotherapy plays a central role in relieving pain and restoring mobility<\/li>\n<li>Patient involvement and a personalized approach are essential for successful recovery<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;25px&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>If you think you&#8217;re suffering from retractile capsulitis, don&#8217;t wait: <a href=\"https:\/\/www.physioplateau.com\/en\/physiotherapist-appointement-montreal\/\"><span style=\"color: #c02127;\">consult a healthcare professional<\/span><\/a>. The earlier the condition is treated, the better the chances of a rapid and complete recovery.<\/h4>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<hr \/>\n<h6><span style=\"color: #999999;\"><strong>RESOURCES<\/strong><\/span><\/h6>\n<h6><em><span style=\"color: #999999;\">Mertens MG, Meert L, Struyf F, Schwank A, Meeus M. Exercise Therapy Is Effective for Improvement in Range of Motion, Function, and Pain in Patients With Frozen Shoulder: A Systematic Review and Meta-analysis. Archives of Physical Medicine and Rehabilitation. 1 mai 2022;103(5):998-1012.e14.<\/span><\/em><\/h6>\n<h6><em><span style=\"color: #999999;\">Wang L, Yu G, Zhang R, Wu G, He L, Chen Y. Positive effects of neuromuscular exercises on pain and active range of motion in idiopathic frozen shoulder: a randomized controlled trial. BMC Musculoskelet Disord. 20 janv 2023;24(1):50.<\/span><\/em><\/h6>\n<h6><em><span style=\"color: #999999;\">De\u00a0Sire A, Agostini F, Bernetti A, Mangone M, Ruggiero M, Dinatale S, et al. Non-Surgical and Rehabilitative Interventions in Patients with Frozen Shoulder: Umbrella Review of Systematic Reviews. J Pain Res. 2022;15:2449\u201164.<\/span><\/em><\/h6>\n<h6><em><span style=\"color: #999999;\">Nakandala P, Nanayakkara I, Wadugodapitiya S, Gawarammana I. The efficacy of physiotherapy interventions in the treatment of adhesive capsulitis: A systematic review. J Back Musculoskelet Rehabil. 2021;34(2):195\u2011205.<\/span><\/em><\/h6>\n<h6><em><span style=\"color: #999999;\">Kelley, MJ, Shaffer, MA, Kuhn, JE, Michener, LA, Seitz, AL, Uhl, TL, &#8230; &amp; Wilk, K. (2013). Shoulder pain and mobility deficits: retractile capsulitis: clinical practice recommendations linked to the International Classification of Functioning, Disability and Health of the Orthopaedic Section of American Physical Therapy Association. Journal of orthopaedic &amp; sports physical therapy , 43 (5), A1-A31<\/span><\/em><\/h6>\n<h6><em><span style=\"color: #999999;\">Ferenczi, A., &amp; Beaudreuil, J. (2020). Arthro-distension for retractile capsulitis of the shoulder. Example of a procedure associated with rehabilitation. Revue du Rhumatisme Monographies, 87(3), 222-224<\/span><\/em><\/h6>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>All you need to know about this shoulder condition and how you can prevent or treat it with physiotherapy.<\/p>\n","protected":false},"author":3,"featured_media":4718,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4719","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>All you need to know about retractile capsulitis - Physio Plateau<\/title>\n<meta name=\"description\" content=\"Retractile capsulitis, also known as \u201cfrozen shoulder\u201d, is a common but often misunderstood shoulder condition.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.physioplateau.com\/en\/all-you-need-to-know-about-retractile-capsulitis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"All you need to know about retractile capsulitis\" \/>\n<meta property=\"og:description\" content=\"La Clinique de physioth\u00e9rapie Physio Plateau. 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