Jeremy Swisher, MD
Evidence-based home exercise program
Adhesive Capsulitis Home Exercise Program
Name: __________________________________
Affected side: ______________
Start date: __________________
Review date: _________________
Clinician or PT: ______________________________
This program may fit
Gradual, often atraumatic shoulder pain followed by loss of motion both when you move the shoulder yourself and when someone else moves it. Turning the arm outward is often especially limited, with night pain and difficulty dressing, grooming, or reaching.
Get assessed first
Sudden weakness after trauma, passive motion that is relatively preserved, prior shoulder surgery, substantial shoulder arthritis, cervical or neurologic symptoms, recurrent instability, or a pattern that does not include progressive loss of passive motion.
Stop signs
Call 911 for chest pain, trouble breathing, fainting, or another medical emergency. Seek same-day urgent assessment after trauma with deformity or inability to raise the arm, rapidly progressive weakness, new or worsening numbness, fever, or a hot, red, swollen shoulder. Arrange a prompt evaluation for unexplained weight loss or known cancer with new persistent pain.
Use the next morning
Gentle pulling or mild discomfort can be acceptable when it settles promptly and does not meaningfully increase rest pain, night pain, or next-morning stiffness.
Fit and safety
Confirm this is the right diagnosis.
This starter program is intended for adults who have already been evaluated and told adhesive capsulitis or frozen shoulder is the likely diagnosis. It is not a postoperative protocol and should not be used to explain every painful or stiff shoulder.
This program may fit
Gradual, often atraumatic shoulder pain followed by loss of motion both when you move the shoulder yourself and when someone else moves it. Turning the arm outward is often especially limited, with night pain and difficulty dressing, grooming, or reaching.
Get assessed first
Sudden weakness after trauma, passive motion that is relatively preserved, prior shoulder surgery, substantial shoulder arthritis, cervical or neurologic symptoms, recurrent instability, or a pattern that does not include progressive loss of passive motion.
Do not self-start with these warning signs
Call 911 for chest pain, trouble breathing, fainting, or another medical emergency. Seek same-day urgent assessment after trauma with deformity or inability to raise the arm, rapidly progressive weakness, new or worsening numbness, fever, or a hot, red, swollen shoulder. Arrange a prompt evaluation for unexplained weight loss or known cancer with new persistent pain.
This is a diagnosis-specific home program, not a substitute for an examination. A clinician may change the exercise, dose, range, or timeline based on your history.
Your home program
Match the exercises to how painful and sensitive the shoulder is.
Use only the first two exercises when rest pain and night pain are high. Aggressive stretching beyond the pain threshold can be counterproductive during a more painful phase. Add longer holds, active motion, and strength as pain settles and stiffness becomes the dominant limitation.
- Frequency
- Short mobility sessions 1 to 2 times daily; strength 2 to 3 days per week when tolerated
- Equipment
- Table, wall, cane or broom handle, optional light band
- First checkpoint
- Reassess pain, sleep, function, and motion after 4 to 6 weeks
- Primary goal
- Easier sleep, dressing, grooming, reaching, and lifting
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Exercise 1Daily
Supported table slide
Dose1 to 2 sets of 5 to 10 repetitions
Sit facing a table with the hand supported on a towel. Slide the hand forward as the trunk inclines, then return before the muscles tense or pain increases.
Make it easierUse a shorter range and pause only 1 to 5 seconds in a comfortable position.
Progress itGradually hold 10 to 30 seconds near a tolerable end range before adding force.
My starting dose or notes
-
Exercise 2Daily
Cane-assisted external rotation
Dose1 to 2 sets of 5 to 10 repetitions
Lie on the back or sit supported with both elbows near the sides. Use the unaffected arm and cane to rotate the involved forearm outward without letting the elbow drift away.
Make it easierUse a smaller range with the arm fully supported and only a brief pause.
Progress itIncrease the hold toward 10 to 30 seconds, then increase range without forcing the arm.
My starting dose or notes
-
Exercise 3Daily when tolerated
Supine assisted elevation
Dose1 to 2 sets of 5 to 10 repetitions
Lie on the back, clasp the hands or hold a cane, and let the unaffected arm assist the involved arm overhead through a comfortable range.
Make it easierStop well before pain or support the arm on a pillow.
Progress itIncrease elevation gradually, then use less help from the other arm.
My starting dose or notes
-
Exercise 4Daily when rest pain is settling
Active wall slide
Dose2 sets of 6 to 10 repetitions
Place the hand or forearm on a wall and slide upward while keeping the neck relaxed. Lower slowly without shrugging or twisting the trunk.
Make it easierUse the other hand to assist or shorten the range.
Progress itReach higher or add a brief comfortable end-range pause.
My starting dose or notes
-
Exercise 52 to 3 days per week
Light band row
Dose2 sets of 8 to 12 repetitions
Use a comfortable range and light resistance. Draw the shoulder blades gently back while keeping the neck relaxed and avoiding trunk compensation.
Make it easierUse a 5 to 10 second isometric hold or a lighter band.
Progress itAdd repetitions, then resistance, only when the shoulder returns to its usual baseline by the next day.
My starting dose or notes
Symptom response
Let the next day guide the dose.
Gentle pulling or mild discomfort can be acceptable when it settles promptly and does not meaningfully increase rest pain, night pain, or next-morning stiffness.
Green light
The mobility dose settles promptly, sleep is not worse, and the shoulder is no stiffer the next morning.
Yellow light
Pain stays elevated later that day, sleep worsens, or motion is worse the next morning. Reduce range, hold time, repetitions, or session frequency.
Red light
Stop. Call 911 for chest pain, trouble breathing, fainting, or another medical emergency. Seek same-day urgent assessment for sudden weakness, new numbness, traumatic loss of function, fever, or a hot, red, swollen shoulder.
Change one variable at a time
When symptoms are too reactive, first reduce range, resistance, repetitions, or frequency. When the current dose feels controlled for several sessions, progress only one of those variables.
Progression
Build capacity in stages.
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Stage 1: when rest and night pain are high
Use brief, comfortable table slides and assisted outward rotation. Avoid prolonged or forceful stretching.
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Stage 2: as pain becomes less constant
Increase hold duration gradually and add assisted elevation and active wall slides.
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Stage 3: when stiffness is the main limitation
Build total time near the end of your comfortable range, active motion, light resistance, and task-specific reaching while the shoulder returns to its usual baseline by the next day.
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Stage 4: restore function
Progress lifting, overhead work, dressing, grooming, and sport demands rather than measuring success by motion alone.
Signs you are ready for the next stage
- Night pain is stable or improving.
- The current mobility dose settles without a prolonged flare.
- Range or daily function is improving.
- One variable can increase without worse next-day stiffness.
When to schedule an evaluation
Schedule a review if the diagnosis is uncertain, symptoms escalate, or pain, sleep, function, and motion have not improved after four to six weeks. When early pain prevents meaningful exercise, discuss whether a shoulder-joint corticosteroid injection is appropriate for your health history.
Call UCLA Orthopedics at 310-319-1234Six-week check-in
Mark up to three key program sessions each week. Use the notes column for symptoms, resistance, exercise duration, or an activity that became easier.
| Week | 1 | 2 | 3 | Notes |
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Common questions
Questions about this program
Should I force the shoulder to regain motion?
No. Stretch intensity should match how painful and sensitive the shoulder is. Brief pain-limited motion is safer early, while longer stretching near the end of your comfortable range is more appropriate once pain settles.
How long does frozen shoulder last?
Recovery commonly takes many months. Some people retain mild pain or motion loss at twelve to eighteen months even when disability is much better.
Do I need an MRI?
Usually not for a typical clinical pattern. Imaging is an adjunct when the presentation is atypical, trauma occurred, or another condition must be excluded.
Can an injection help?
A shoulder-joint corticosteroid injection can improve short-term pain and function, particularly earlier in the course, but it does not replace a staged mobility plan.
Evidence
Guidelines and primary sources
This plan translates current clinical guidance into a practical home program. The cited sources support the treatment principles, but they do not establish one universal exercise recipe for every patient.
- Clinical Practice Guidelines for Diagnosis and Non-Surgical Treatment of Primary Frozen Shoulder, 2025
- JOSPT Clinical Practice Guideline: Adhesive Capsulitis
- Manual Therapy and Exercise for Adhesive Capsulitis, Systematic Review and Meta-analysis, 2023
- UK FROST Randomized Trial for Primary Frozen Shoulder
Evidence and recommendations can change. Last clinical review: July 17, 2026.