Frozen Shoulder Manual Therapy: Less Pain More Mobility
Live Event

Frozen Shoulder Manual Therapy: Less Pain More Mobility

Wed, Nov 19th, 2025
7:00pm – 10:00pm US Eastern Time
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About the Event

Are you a therapist looking to stay up-to-date on the latest clinical practice guidelines for shoulder pain management? Don't miss our upcoming live interactive webinar! Between 2.4% and 26% of the population experience shoulder pain and stiffness, causing significant financial burden and loss of quality of life. Mobilization and exercise are important components of shoulder pain management, but too often clinicians neglect the soft tissue component of the stiff shoulder and rely solely on joint manipulation/mobilization. Myofascial restrictions can limit shoulder mobility and function and must be addressed as part of an effective treatment plan.

During this live interactive webinar, we’ll identify mobility impairments using provocative tests and specific motion testing. You'll learn how to apply effective manual and movement interventions to address mobility deficits, improve circulation, and decrease pain in patients with shoulder pain and mobility deficits. We will also cover the use of manual therapy, including soft tissue and joint mobilization, muscle energy, and PNF interventions, as an adjunct to exercise to remodel restricted tissue, ease pain, and boost physical performance. Join us to improve your skills and achieve improved functional outcomes that your clients will rave about.

Live Event
This live online event will be held as a Zoom Webinar. Attendees will have the option to interact through features such as the Chat and Q&A, but cameras and microphones will not be enabled.

Live Event Instructor

Janina Scarlet

Janina Scarlet

Clinical Psychologist

Dr. Janina Scarlet is a Licensed Clinical Psychologist, author, and a full-time geek. A Ukrainian-born refugee, she survived Chernobyl radiation and persecution. She immigrated to the United States at the age of 12 with her family and later, inspired by the X-Men, developed Superhero Therapy to help patients with anxiety, depression, and PTSD. Dr. Scarlet is the recipient of the Eleanor Roosevelt Human Rights Award by the United Nations Association for her work on Superhero Therapy. Her work has been featured on Yahoo, BBC, NPR, Sunday Times, CNN, CW, ABC, Huffington Post, The New York Times, Forbes, the Nerdist, BuzzFeed, and many other outlets. She currently works at the Center for Stress and Anxiety Management in San Diego. She authored Superhero Therapy, Harry Potter Therapy, Therapy Quest, Dark Agents, Super-Women, Supernatural Therapy, as well as numerous contributions to Star Wars Psychology, Star Trek Psychology, Wonder Woman Psychology, Supernatural Psychology and many other books.

Target Audience

This live interactive webinar is intended for Physical Therapists, Physical Therapy Assistants, Occupational Therapists, Occupational Therapy Assistants, and Athletic Trainers. (PT, PTA, OT, COTA, ATC)

Learning Objectives

After taking this activity, you should be able to:

  1. 1 Describe etiology, incidence, clinical presentation and classification of the stiff shoulder/adhesive capsulitis (AC).
  2. 2 Identify assesment and exam techniques to identify shoulder impingement and AC.
  3. 3 Demonstrate at least 2 manual and movement therapy interventions to improve mobility and function for AC.
  4. 4 Discuss current clinical practice guidelines (CPG) for management of AC using current evidence and case studies.

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American Academy of Orthopaedic Surgeons. (n.d.). Frozen Shoulder. OrthoInfo. Retrieved from https://orthoinfo.aaos.org/en/diseases--conditions/frozen-shoulder/

American Academy of Orthopaedic Surgeons. (n.d.). Frozen shoulder. OrthoInfo. https://orthoinfo.aaos.org/en/diseases--conditions/frozen-shoulder/

American Academy of Orthopaedic Surgeons. (n.d.). Shoulder pain and common shoulder problems. OrthoInfo. https://orthoinfo.aaos.org/en/diseases--conditions/shoulder-pain-and-common-shoulder-problems/

American Academy of Orthopaedic Surgeons. (2001). Clinical guidelines on shoulder pain. The Journal of Bone and Joint Surgery, 83(6), 916–927. https://doi.org/10.2106/00004623-200106000-00023

American Physical Therapy Association. (2012). Shoulder pain & mobility deficits: Adhesive capsulitis clinical practice guideline. https://www.orthopt.org/uploads/content_files/ICF/Updated_Guidelines/Shoulder_Pain__Mobility_Deficits_Adhesive_Capsulitis_Clinical_Practice_Guideline___2012_06_22_version.pdf

American Shoulder and Elbow Surgeons. (n.d.). Standardized Shoulder Assessment Form. Retrieved from https://www.sralab.org/rehabilitation-measures/american-shoulder-and-elbow-surgeons-standardized-shoulder-assessment-form

Barrett, E., O'Leary, H., O'Sullivan, C., MacDermid, J. C., & Cleland, J. A. (2021). Physical Therapy Management of Nontraumatic Shoulder Problems Lacks High-Quality Clinical Practice Guidelines: A Systematic Review With Quality Assessment Using the AGREE II Checklist. Journal of Orthopaedic & Sports Physical Therapy, 51(2), 63–71. https://doi.org/10.2519/jospt.2021.9397

Brett, P., Dyer, B., Holton, K., Johnson, L., & Wright, A. (2021). Diabetes as a Prognostic Factor in Frozen Shoulder: A Systematic Review. Archives of Rehabilitation Research and Clinical Translation, 100141. https://doi.org/10.1016/j.arrct.2021.100141

Cheatham, S. W., Kolber, M. J., Cain, M., & Lee, M. (2017). Concurrent validity of pain scales in individuals with myofascial pain and fibromyalgia. Journal of Bodywork and Movement Therapies, 21(2), 307-312. https://doi.org/10.1016/j.jbmt.2017.04.009

Das, M. (2017). Effectiveness of subscapularis soft tissue mobilization versus proprioceptive neuromuscular facilitation on glenohumeral external rotation in periarthritis of the shoulder. International Journal of Current Research, 9(12), 63484-63489. http://www.ijmrps.com/Issues%20PDF/Vol.4/February-2017/1.pdf

Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH). (n.d.). Shirley Ryan AbilityLab. https://www.sralab.org/rehabilitation-measures/disabilities-arm-shoulder-and-hand-questionnaire

Green, H. D., Jones, A., Evans, J. P., Wood, A. R., Beaumont, R. N., Frayling, T. M., ... & Timpson, N. J. (2021). A genome-wide association study identifies 5 loci associated with frozen shoulder and implicates diabetes as a causal risk factor. PLOS Genetics, 17(6), e1009577. https://doi.org/10.1371/journal.pgen.1009577

Health Outcomes Group, University of Oxford. (n.d.). Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire. Retrieved from https://www.sralab.org/rehabilitation-measures/disabilities-arm-shoulder-and-hand-questionnaire

Hussey, M. J., Boron-Magulick, A. E., & Hanney, W. J. (2016). The Comparison of Instrument-Assisted Soft Tissue Mobilization and Self-Stretch Measures to Increase Shoulder Range of Motion in Overhead Athletes: A Critically Appraised Topic. Journal of Sports Rehabilitation, 25(4), 1-5. https://doi.org/10.1123/jsr.2016-0213

ICD10Data. (n.d.). ICD-10-CM Diagnosis Code M75.02 [Database]. https://www.icd10data.com/ICD10CM/Codes/M00-M99/M70-M79/M75-/M75.02

Kaya, D., & Atan, T. (2018). Current concepts in adhesive capsulitis of shoulder joint: Review of literature. Bone & Muscle, 1(2), 9-16. https://doi.org/10.5606/bm.2018.12

Kelley, M. J., Shaffer, M. A., Kuhn, J. E., Michener, L. A., Seitz, A. L., & Uhl, T. L. (2013). Shoulder Pain and Mobility Deficits: Adhesive Capsulitis Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health. Journal of Orthopaedic & Sports Physical Therapy, 42(4), A1-A31. https://doi.org/10.2519/jospt.2013.0302

Koh, K. H., & Corticosteroid injection for adhesive capsulitis in primary care: a systematic review of randomised clinical trial. (2016). Singapore Medical Journal, 57(12), 646-657. https://doi.org/10.11622/smedj.2016146

Laimi, K., Mäkilä, A., Bärlund, E., Katajapuu, N., & Oksanen, A. (2017). Effectiveness of myofascial release in treatment of chronic musculoskeletal pain: a systematic review. Clinical Rehabilitation, 32(4), 440-450. https://doi.org/10.1177/0269215517732820

Liu, M., Zhang, J., Wu, W., Huang, W., & Zhang, Y. (2021). Effects of massage and acupuncture on the range of motion and daily living ability of patients with frozen shoulder complicated with cervical spondylosis. American Journal of Translational Research, 13(4), 2804–2812.

Michener, L. A., McClure, P. W., Sennett, B. J., & Karduna, A. R. (2006). American shoulder and elbow surgeons standardized shoulder assessment form, patient self-report section: reliability, validity, and responsiveness. Journal of Orthopaedic & Sports Physical Therapy, 36(3), 138–151. https://doi.org/10.2519/jospt.2006.36.3.138

Nichol, L., Battey, G., Mitchell, S., Shibata, T., & Witzke, FACSM, K. (2017). Effects on dynamic and static stretching and self-myofascial release on muscle power and flexibility. International Journal of Exercise Science: Conference Proceedings, 8(5), Article 51. http://digitalcommons.wku.edu/ijesab/vol8/iss5/51

OrthoGuidelines. (n.d.). Shoulder and elbow pain. https://www.orthoguidelines.org/topic?id=1007

OrthoScore. (n.d.). Patient-Completed Score. Retrieved from http://www.orthopaedicscore.com/scorepages/patient_completed_score.html

Pandey, V., & Madi, S. (2021). Clinical Guidelines in the Management of Frozen Shoulder: An Update! Journal of Orthopaedics, Traumatology and Rehabilitation, 55, 299-309. https://doi.org/10.1007/s43465-021-00351-3

Physiopedia. (n.d.). Shoulder examination. https://www.physio-pedia.com/Shoulder_Examination

Physiopedia. (n.d.). Painful Arc Syndrome. Retrieved from https://www.physio-pedia.com/Painful_Arc

QuickDASH Outcome Measure. (n.d.). Shirley Ryan AbilityLab. https://www.sralab.org/rehabilitation-measures/quick-disabilities-arm-shoulder-hand

Reinold, M. (n.d.). Shoulder impingement: 3 keys to consistent and successful rehabilitation. Mike Reinold. https://mikereinold.com/shoulder-impingement-3-keys-to/

Reinold, M. M. (2015, September 14). Shoulder Impingement: 3 Keys to Diagnosis and Treatment. Retrieved from https://mikereinold.com/shoulder-impingement-3-keys-to/

Rodriguez-Huguet, M., Gil-Salu, J., et al. (2018). Effects of myofascial release on pressure pain thresholds in patients with neck pain: A single-blind randomized controlled trial. American Journal of Physical Medicine & Rehabilitation, 97(1), 16-22. doi: 10.1097/PHM.0000000000000790.

Sackett, D. L., & Haynes, R. B. (1995). The architecture of diagnostic research. British Medical Journal, 310(6987), 1206–1209. https://doi.org/10.1136/bmj.310.6987.1206

Sales do Nascimento, J. D., Albuquerque-Sendin, F., Oliveira, L. M. F., Vieira, E. R., & Nicolau, R. A. (2017). Inter and intraexaminer reliability in identifying and classifying myofascial trigger points in shoulder muscles. Archives of Physical Medicine and Rehabilitation. https://doi.org/10.1016/j.apmr.2017.06.020

Satpute, K., Khedekar, G., et al. (2021). Efficacy of mobilization with movement (MWM) for shoulder conditions: a systematic review and meta-analysis. Journal of Manual & Manipulative Therapy. Advance online publication. https://doi.org/10.1080/10669817.2021.1955181

Thomas, S. J., McDougall, C., & Brown, I. D. (2018). Development of an evidence-based physiotherapy guideline for patients undergoing surgery for adhesive capsulitis of the shoulder. Musculoskeletal Science and Practice, 34, 15-22. https://doi.org/10.1016/j.msksp.2018.02.003

The Effects of Myofascial Release on the Latency of Delayed Onset Muscle Soreness. (2017). Journal of Orthopaedic & Sports Physical Therapy, 47(1), A82. doi: 10.2519/jospt.2017.0403

The Student Physical Therapist. (n.d.). Hawkins-Kennedy Impingement Test. Retrieved from https://www.thestudentphysicaltherapist.com/hawkins-kennedy-impingement-sign.html

University of Washington. (n.d.). Simple Shoulder Test. Retrieved from http://www.orthop.washington.edu/?q=patient-care/articles/shoulder/simple-shoulder-test.html

Wong, K., Chai, H. M., et al. (2016). Mechanical deformation of posterior thoracolumbar fascia after myofascial release in healthy men: A study of dynamic ultrasound imaging. Manual Therapy, 26, 134-139. https://doi.org/10.1016/j.math.2016.10.011

Zuckerman, J. D., & Rokito, A. (2011). Frozen shoulder: A consensus definition. Journal of Shoulder and Elbow Surgery, 20, 322. https://doi.org/10.1016/j.jse.2010.08.053

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Janina Scarlet, PhD – She receives royalties as a published author, and receives recording royalties for this presentation.

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Event Agenda

Agenda times are listed in US Eastern Time. That is 3 hours later than US Pacific Time. The event starts at 4:00pm US Pacific Time.

7:00pm - 7:30pm ET: Introduction and discussion of clinical characteristics, diagnosis, and classification of Adhesive Capsulitis (AC).
7:30pm - 8:00pm ET: Description of orthopedic exam tools and provocative tests to identify impairments associated with AC.
8:00pm - 8:45pm ET: Video demonstration of selected manual therapy interventions, including myofascial and soft tissue mobilization, cupping therapy, muscle energy/PNF, and scapular stabilization to address shoulder stiffness and functional impairmen.
8:45pm - 9:15pm ET: Review of APTA’s Clinical Practice Guidelines (CPG) for frozen shoulder, research review of interventions for AC.
9:15pm - 10:00pm ET: Case studies, Q&A. Wrap-up and conclusion of course.

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