** 1. frozen shoulder [adhesive capsulitis] can occur independently or due to autoimmune disease [RA in your case], and since diagnosis is usually clinical and it is often self-limited, observation and reassurance may be considered, but because of the painful and debilitating nature of the disease, it may not be acceptable to some patients. 2. Since your specialist advised for surgery, it might be possible that your range of motion/movement might be/is compromised. 3. As problem of RA is chronic, thus seek opinion of Rheumatologist regarding specific examination and investigation to know the progress of disease, and if RA comes out to be provoking factor for frozen shoulder, alleviate it first. 4. . Because there is inflammation resulting in thickening of the capsule thus shotha har chikitsa [anti inflammatory measures] . Diabetic amyopathy although occurs in lower limb, however, when symptoms involve the shoulder girdle, it must be considered in the differential diagnosis of shoulder painful conditions [because it is a Predisposing factor. . In Ayurveda we treat frozen shoulder on the line of Avabahuka: . Initially dry heat. . successful and result oriented prescription is: I. vatakulantak ras, rasraj ras,panchamrit lauha guggulu. II. rason sura,dashmoola arishta. III. erand pak IV. Lehsun ksheer pak . avoid eating spicy, fried, pungent and oily foods. [The aim of the Ayurveda treatment is to bring the vitiated vata in equilibrium. The most popular kerala therapy is pizhichil, you may ask an experienced Panchkarma Doctor about the same]