Frozen shoulder, medically known as adhesive capsulitis, is a condition characterized by pain and a marked reduction in the range of motion of the shoulder joint. This stiffness arises when the joint capsule, the connective tissue surrounding the shoulder, thickens, stiffens, and becomes inflamed. Symptoms typically develop gradually, often worsening over time before eventually improving, a process that can span one to three years. Understanding its impact on daily activities, particularly work, involves exploring the challenges and strategies for managing its effects on professional life.
How Frozen Shoulder Affects Work
Frozen shoulder can significantly disrupt job duties due to persistent pain, stiffness, and restricted movement. It makes actions like lifting, reaching, pushing, or pulling challenging, especially those requiring arm elevation or extension. Activities such as reaching overhead, typing, or prolonged static positions can become difficult and painful. The severity of symptoms can fluctuate, with pain often worsening at night, which can interfere with sleep and affect daytime function and concentration.
The impact on work varies based on the physical demands of a job. Roles requiring repetitive arm movements, heavy lifting, or sustained overhead work, common in manufacturing or construction, are particularly affected. Even desk-based occupations, involving tasks like extensive typing or reaching for a mouse, can exacerbate shoulder pain and limit productivity. The reduced mobility can also lead to compensatory movements from the trunk or other body parts, potentially causing additional strain.
Working with Frozen Shoulder
Working with frozen shoulder often requires strategic adjustments and open communication. Ergonomic adjustments to the work environment can help reduce strain on the affected shoulder. This might involve setting up a workstation where the desk height allows elbows to be at a 90-degree angle, ensuring feet are flat on the floor, and positioning the monitor at eye level. Ergonomic equipment, such as supportive chairs with armrests or adjustable desks, can also provide better support and minimize discomfort.
Employers and healthcare providers should discuss options like modified duties, flexible hours, or even temporary remote work arrangements. Phased returns to work, gradually increasing duties, can be beneficial in managing the transition. Incorporating regular, short breaks for gentle stretches or movement can also alleviate stiffness and fatigue throughout the workday. Light physical therapy exercises or pain management techniques can be integrated into the daily routine to support continued work.
The Medical Certificate Process
A medical certificate, sometimes called a “sick note” or “fit note,” is official documentation from a healthcare professional regarding an individual’s fitness for work. This certificate provides evidence for an absence from work, particularly if the absence extends beyond seven days. Its purpose is to advise on an individual’s capacity for work, indicating whether they are “not fit for work” or “may be fit for work.”
Traditionally, general practitioners (GPs) issued these certificates, but as of July 2022, a wider range of healthcare professionals can certify and issue fit notes. This includes hospital doctors, registered nurses, occupational therapists, pharmacists working in a clinical setting, and physiotherapists. Obtaining a medical certificate involves a clinical assessment by one of these professionals, evaluating the condition’s impact on job tasks. The decision for time off is based on this assessment, and the certificate specifies a duration, often requiring follow-up for extensions or changes.
Returning to Work After Frozen Shoulder
Returning to work after frozen shoulder requires careful planning for a sustainable transition. A phased return to work is often recommended, gradually reintroducing duties to allow the shoulder to adapt and strengthen. This means starting with reduced hours, lighter tasks, or modified responsibilities before full duties. Employers should be kept informed about ongoing needs or limitations to facilitate accommodations.
Continued physical therapy and a home exercise program remain important during the return-to-work phase. These exercises help to regain and maintain range of motion, build strength, and improve overall shoulder function. Addressing residual pain or stiffness through appropriate management is also part of a successful return. Long-term management, including ongoing exercises and proper body mechanics, can help prevent recurrence or manage lingering symptoms, supporting a lasting ability to work comfortably.