The clinical evolution of adhesive capsulitis may be outlined into three phases: the first is an inflammatory (pain exacerbation and limited mobility), the second is adhesive, and the third is the resolution stage, during which a progressive reestablishment of the joint functionality takes place, but this process is likely to be slow and may not be full. Diagnostic acumen requires a thorough examination to include clinical assessment along with advanced imaging techniques including magnetic resonance arthrography to clarify the level of capsular thickening, and rule out different diagnoses. The management models usually involve a multidisciplinary strategy, which incorporates pharmacological treatment, physical treatment, and in cases of refractory cases, surgical arthroscopic capsular release to address the overall sequelae of this debilitating disease.

Therefore, adhesive capsulitis requires a very delicate insight into its complex pathophysiological processes, correct diagnostic differentiation, and a personalized course of treatment aimed at maximizing the results in patients and recovering functional abilities. The further development of research clarifies the molecular processes that underlie the fibrotic response and inflammatory cascade, which can be improved in the future through specific interventions and help to mitigate the sinister progression of the disease.

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