"How come this shoulder hurts so much!" In the changing seasons of winter and spring, some middle-aged and elderly people always complain of sore shoulders, making them feel bad. Experts point out that this is the fault of frozen shoulder. It is more common for people around 50 years old, but office staff work at the desk for a long time, and the muscles and ligaments of the shoulder are in a state of tension. Therefore, frozen shoulder is also uncommon among people under 50 years old. Regarding the prevention and treatment of frozen shoulder, the reporter interviewed the director of Shandong Armed Police Hospital a few days ago.
Director Cong said that frozen shoulder is short for periarthritis of the shoulder, which is a chronic inflammation of soft tissues such as muscles, tendons, bursae and joint capsules around the shoulders. Traditional Chinese medicine believes that this syndrome belongs to the category of "Arthralgia". When a person is about 50 years old, the liver and kidney essence and qi begin to decline, the qi and blood are insufficient, the blood circulation is slow, and the muscles and bones cannot be nourished. Pain, disorder of the camp and the guard, the muscles and veins are anxious but not necessary. In addition, the occurrence of this disease is related to the invasion of the three evils of wind, cold and dampness. The evils of wind, cold and dampness are in the blood veins and muscles, and blood is condensed by cold. Because of the stiffness of the shoulder joint after the illness, the movement is restricted, and it seems to be frozen, so it is also called "frozen shoulder" and "shoulder coagulopathy." Winter and spring are the seasons for frozen shoulder.
Frozen shoulder can be divided into primary and secondary. The cause of primary frozen shoulder is mostly due to degenerative changes in the human body, bone hyperplasia around joints, decreased synovial fluid secretion, muscles, tendons, The friction between ligaments and joint capsules increases, causing aseptic inflammation, edema under the tissues, irritation of peripheral nerves and pain. Due to the pain, the movement of the shoulder joint is reduced. Over time, adhesions are formed between the tendons, ligaments and the joint capsule around the shoulder joint, resulting in impaired shoulder joint movement. Secondary periarthritis is mainly induced by long-term fixation of the shoulder and upper limbs after acute trauma, such as clavicle fracture, scapula fracture, humeral fracture, shoulder dislocation, rotator cuff rupture, etc.
The main symptoms of frozen shoulder are pain in the shoulder joint and limited joint function. The onset of this disease is slow. Most patients have severe shoulder pain, which seriously affects their sleep. Later, the hospital sees a doctor. At this time, shoulder joint adhesion has formed, which is relatively difficult to treat and the treatment course is relatively long. Therefore, I hope everyone should consult a doctor in time once they have shoulder pain, so as not to delay the disease, increase their own pain, and increase the difficulty of treatment.
The treatment of scapulohumeral periarthritis is mainly based on conservative treatment, and the treatment methods such as massage, physical therapy, and hot compress for external use of Chinese medicine are often used. In addition, I need to remind everyone that to treat frozen shoulder, you must go to a regular hospital and find a professional doctor, because the shoulder joint needs to be passively moved during the loosening process of frozen shoulder. If you cannot master anatomical knowledge, blindly and brutally exerting force will cause shoulder joints. Rupture or avulsion fracture of tendons and ligaments.
While actively treating frozen shoulder, it is also very important to carry out correct self-rehabilitation training, such as using a healthy hand to drive the affected limb to move upward, forward and backward, and hold the head in various directions; use the affected limb to climb the wall and touch the height, or grasp The horizontal bar uses its own body weight to traction; use the thumb of a strong hand to press the painful point, and then shake the affected shoulder joint in a circular motion and counterclockwise rotation for more than 30 times; pull the ring, play table tennis, play badminton, etc., all can be good for frozen shoulder The preventive and therapeutic effects of the drug.
For the prevention of frozen shoulder, Director Cong said, "Preventing the disease before it has become disease" has always been the quintessence of Chinese medicine, especially those with cervical spondylosis, diabetes and weak body should pay more attention to the protection of shoulder joints. In the prevention of frozen shoulder, first attention should be paid to avoid the invasion of wind, cold and dampness. In winter, the neck and shoulders should be kept warm, especially the shoulders should be covered at night. Avoid air conditioners and fans blowing directly on the neck and shoulders when it is hot in summer. Doing exercises such as gymnastics and moving the limbs and joints can prevent frozen shoulder. Swimming is the best way to prevent soft tissue damage. At present, there are many friends who like table tennis and badminton. Due to the lack of preparation activities before exercise, excessive force during exercise, and long exercise time, etc., shoulder joint injuries and other soft tissue injuries are not a minority. I hope everyone can be scientific Exercise, and seek medical advice in time if you are not used to it.