Which of the following symptoms is characteristic of stage 3 adhesive capsulitis?

• A. Decreased pain
• B. Increased pain with significant loss of ROM
• C. Pain at rest
• D. Painful sleep

Answer: (B)

Stage 3 adhesive capsulitis, also known as the "frozen stage," is marked by significant loss of range of motion (ROM) alongside an increase in pain levels. At this stage, patients typically experience a considerable reduction in both active and passive motion due to the thickening and fibrosis of the shoulder capsule. Unlike the earlier stages, which may present with pain but less severe limitations in motion, stage 3 is characterized by a pronounced loss of function and increased discomfort during shoulder movement.

The increase in pain can manifest in various activities of daily living and is often exacerbated by trying to use the affected shoulder. This combination of heightened pain and significant restriction in motion defines stage 3, differentiating it from the earlier stages, and underscores the importance of understanding the progression of adhesive capsulitis in clinical practice.

Understanding these characteristics helps in the diagnosis and management of adhesive capsulitis, guiding treatment decisions and setting appropriate expectations for recovery. Recognizing the symptoms common to this stage ultimately aids in developing a more effective treatment plan for patients facing this condition.