In most of the cases, non-steroidal anti-inflammatory drugs (NSAIDs) are ineffective. Surgery is not recommended here. But integrated pain management (IPM) is very effective here.
IPM includes proper diagnosis. There are number of muscles in shoulder girdle. A specialist must diagnose the exact muscle which is tight and posing threat to the movement. Dry needling could release trigger fascia. Electrotherapy has great effect in pain relief but doctor should choose appropriate one for different cases.
Additionally, manipulation and therapeutic exercise can mitigate pain and increase shoulder movement. It might take several weeks or even months to eradicate pain and get full swing of shoulder joint movement. Intra-articular infiltration might be very helpful in the case of non-diabetic patients. But in the case of diabetic patient, doctor should take care before infiltration of the joint. Sometimes infiltration is ineffective in frozen shoulder caused by diabetes.
