During the first stage of adhesive capsulitis, what is an expected symptom?

• A. Limited range of motion
• B. Pain-free range of motion
• C. Pain with full range of motion
• D. Severe stiffness

Answer: (C)

In the first stage of adhesive capsulitis, also known as the freezing stage, individuals typically experience significant pain, especially when attempting to move the shoulder. This pain can lead to a painful range of motion, particularly during specific movements, causing limitations. Although the range of motion might not be severely limited at this early stage, the hallmark of this phase is the presence of pain with movement, even if the range of motion is not yet grossly limited.

Students should note that while limited range of motion often becomes apparent in the later stages of adhesive capsulitis, the defining characteristic of the initial stage is the pain during motion, which can be exacerbated with any attempted shoulder activities. This nuanced understanding is critical in recognizing the symptoms associated with adhesive capsulitis and guiding appropriate intervention strategies.