What's changed in the management of the frozen shoulder?

Frozen shoulder is a painful condition in which movement of the shoulder becomes restricted. It can interfere with domestic and social activities and affect the ability to work. The condition can vary from mild to severe in terms of pain and/or restricted movement. We last reviewed the management of frozen shoulder 15 years ago. We concluded then that there was no clear evidence that any treatment could shorten the natural history of the condition and found little evidence as to the best management option. Here, we review the evidence on treatment approaches published in the meantime.