BACKGROUND: Although there is no proof to favour one type of manual therapy over another, it has been shown to help patients with frozen shoulder contracture syndrome (FSCS) by reducing pain and improving function. This case series details the immediate and long-term effects of a manual therapy programme and at-home stretching exercises tailored to the individual shoulder mobility limitations and tissue irritability levels of FSCS patients. CASE DESCRIPTION: A personalized, multimodal manual therapy approach was used to treat eleven patients with primary FSCS. once a week for twelve visits, in addition to one daily, five days a week at-home stretching routines. At baseline, posttreatment, six months, and nine months, the afflicted shoulder's pain, disability, range of motion (ROM), and muscle strength were evaluated. OUTCOMES: After treatment, patients reported significantly better shoulder range of motion, strength, and self-reported pain and disability. Furthermore, 4 out of 11 patients exhibited pain. Improvements on the visual analog scale following the intervention that were greater than the minimal clinically important difference (MCID), and eight out of eleven reported reduced pain at six and nine months. Furthermore, Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire scores improved for 7 out of 11 patients, surpassing the MCID both postintervention and at 6 months, and 8 out of 11 patients exceeded the MCID at 9 months. DISCUSSION: Eleven patients with primary FSCS who received individualized treatment that included stretching exercises and manual therapy techniques while taking tissue irritability into consideration showed clinically significant improvements in shoulder pain and disability, range of motion, or muscle strength.

manipulation, mobilization, pain, frozen shoulder, case series.