This is a common condition, especially in the shoulder, where the covering surrounding the joint becomes inflamed and shrinks in size, limiting the range of motion and causing pain. In the shoulder, this often interferes with simple activities of daily living (ADLs) such as dressing, brushing hair and reaching above your head. The pain often interferes with sleep. Fortunately, adhesive capsulitis can be effectively treated with physical therapeutics including joint mobilization and therapeutic exercises, along with a home exercise program. Oftentimes, anti-inflammatories, pain medication and occasionally sleeping medications are prescribed. In more difficult cases, intra-articular corticosteroid injection, usually guided fluoroscopically or by ultrasound, is safe and predictably effective.