What is the best and most effective treatment for shoulder periarthritis?

Periarthritis of the shoulder, also known as frozen shoulder, is a condition characterized by pain and restricted movement due to inflammation of the tissues surrounding the shoulder joint, such as the tendons, bursa, and rotator cuff. Below are some common and effective treatment options: 1. **Physical therapy**: Includes heat application, cold compresses, electrical stimulation therapy, and specific shoulder stretching and strengthening exercises to improve joint flexibility and strength. 2. **Medication**: Over-the-counter nonsteroidal anti-inflammatory drugs (e.g., ibuprofen) can relieve pain and reduce inflammation. If necessary, your doctor may prescribe stronger medications. 3. **Injections**: Corticosteroid injections can reduce inflammation and swelling in the shoulder, often combined with anesthetics to provide immediate pain relief. 4. **Surgery**: If conservative treatments are ineffective, surgery—such as arthroscopic surgery—may be required to release the tightened shoulder joint capsule. If you have any concerns, it is recommended to seek medical advice promptly.