Frozen shoulder, clinically known as Adhesive Capsulitis, is a complex musculoskeletal disorder characterized by progressive pain and severe restriction in shoulder range of motion. While it is often described in general orthopedic terms, two under-discussed but clinically significant contributors are scar tissue formation and menopause-related hormonal changes. Understanding how these factors intersect provides a more precise framework for both prevention and treatment—especially for women in midlife.