If you’re over 40 and suddenly struggling to lift your arm, put on a shirt, or sleep on one side, you might be dealing with frozen shoulder — and you’re not alone. More expats in Spain are reporting this painful and stubborn condition in 2025, especially during post-COVID work-from-home years where movement patterns have changed. The good news? Surgery isn’t your only option. Here’s how to naturally ease frozen shoulder pain and get your mobility back.
What Is Frozen Shoulder?
Frozen shoulder, medically known as adhesive capsulitis, is a condition where the shoulder joint becomes stiff, painful, and gradually loses its full range of motion. It tends to affect adults aged 40 to 60 and is more common in women. Many expats in Spain are developing frozen shoulder due to reduced movement, long periods at desks, and insufficient rehabilitation after injuries or surgeries.
Early Signs You Shouldn’t Ignore
Frozen shoulder typically develops in three stages: the freezing stage (pain increases and motion decreases), the frozen stage (pain may lessen but stiffness worsens), and the thawing stage (mobility slowly returns). Early intervention in the freezing stage is key to preventing long-term disability. If you’re waking up with shoulder pain or struggling to reach above your head, don’t brush it off as aging — it could be the beginning of something more serious.
Why Surgery Isn’t Always Necessary
While severe cases may require surgical intervention or manipulation under anaesthesia, most people can avoid the scalpel with a consistent, natural treatment approach. In fact, surgery often comes with extended downtime and cost, especially for expats without comprehensive coverage.
1. Physiotherapy: The Gold Standard
Regular physiotherapy is one of the most effective treatments. A good physio will focus on stretching the capsule around the joint to slowly regain range of motion. Gentle exercises like pendulum swings, wall crawls, and passive stretching can make a big difference. In Spain, many private clinics offer English-speaking physios who specialise in musculoskeletal rehab.
2. Anti-Inflammatory Foods
Chronic inflammation can worsen symptoms. Incorporate foods like turmeric, ginger, omega-3 fatty acids (found in oily fish like sardines and salmon), berries, and leafy greens. Avoid sugar, processed foods, and excessive alcohol — all of which contribute to inflammation.
3. Acupuncture and Dry Needling
These treatments are increasingly popular in Spain for chronic pain conditions. Acupuncture targets energy meridians to reduce pain and stiffness, while dry needling goes straight into the muscle trigger points. Always use a certified practitioner.
4. Heat Therapy
Applying heat pads to the shoulder can help improve blood flow and reduce pain before stretching. Use a warm compress or heated wheat bag for 15–20 minutes before exercise. Avoid cold packs during the frozen phase, as they can reduce mobility further.
5. Magnesium and Vitamin D
Muscle stiffness is often linked to magnesium deficiency. Many expats unknowingly suffer from low magnesium due to diet or stress. A supplement or magnesium-rich foods (spinach, almonds, dark chocolate) can help. Explore how magnesium supports your muscles and joints. Vitamin D also supports musculoskeletal health and should be monitored, especially for those avoiding sun exposure. Learn the signs of vitamin D deficiency and how to correct it.
6. Posture Correction
Prolonged desk work, especially with poor ergonomics, is a major risk factor. Consider a standing desk or ergonomic chair and check that your monitor is at eye level. Postural braces or physio-taped shoulders can also assist during flare-ups.
7. Mobility Tools at Home
Resistance bands, shoulder pulleys, and foam rollers are inexpensive tools that allow you to do rehab exercises from home. Daily consistency is more important than intensity — short sessions done regularly yield better results than once-weekly workouts.
8. Sleep Position Hacks
Frozen shoulder pain often flares at night. Avoid sleeping on the affected side. Try placing a pillow under the arm to keep the shoulder in a more neutral position. A memory foam body pillow can be a game-changer for comfort and spinal alignment.
9. Know When to See a Specialist
If natural remedies aren’t helping after 6–8 weeks, it’s time to consult a specialist. In Spain, private healthcare gives you fast access to orthopaedic assessments, X-rays, and MRIs — often within 48 hours. This early clarity helps you avoid unnecessary suffering or progression into a frozen joint stage. Understand how diabetes may increase your risk of frozen shoulder.
Bonus: Gentle Movement Options
Practices like tai chi can help you stay mobile without straining the shoulder joint. Discover how tai chi can improve flexibility and reduce pain.
Frozen Shoulder and Stress
Stress and chronic tension may contribute to shoulder stiffness and poor healing. Recognise the signs of burnout and how it affects your body — and explore ways to reduce daily strain on your health.
Get the Care You Deserve — Without the Wait
Frozen shoulder can last 6 months to 2 years if left untreated. If you want fast access to quality care, English-speaking physiotherapists, and shoulder specialists without months of waiting, private health insurance in Spain can make all the difference.
Looking for a plan that fits your lifestyle? Check out the Sanitas Más Salud Family plan — ideal for expats who want full access to private care, specialists, and diagnostics without delay.