(English) Episode 273-Frozen shoulder is a metabolic red flag

This 2025 international consensus study establishes updated guidelines for frozen shoulder, a debilitating condition marked by inflammation and joint stiffness. Utilizing a Delphi method with a panel of global experts, the research clarifies the etiology and risk factors, highlighting that biophysical elements like diabetes and thyroid disease influence the condition more than psychosocial factors. The findings emphasize that diagnosis should be a process of exclusion based on specific clinical signs, such as a global loss of range of motion. Regarding management, the consensus suggests that treatment must be tailored to the clinical stage, favoring corticosteroid injections in early painful phases and manual therapy or surgery for later stiffness. Ultimately, the study concludes that frozen shoulder unlikely resolves fully without structured medical intervention, providing a modern framework for clinicians to improve patient outcomes.(Salamh P, Stoner B, Ruley N, Zhu H, Bateman M, Chester R, et al. An international consensus on the etiology, risk factors, diagnosis and Management for individuals with Frozen Shoulder: a Delphi study. J Man Manip Ther [Internet]. 2025;33(4):309–20. Available from: http://dx.doi.org/10.1080/10669817.2025.2470461)