Frozen Shoulder-What is frozen shoulder?
Frozen shoulder is the shoulder pain and difficulty moving the main symptoms of common diseases.Full name of frozen shoulder periarthritis.Frozen shoulder is a chronic aseptic inflammation of the soft tissue around the shoulder muscles, tendons, bursa and joint capsule. The inflammation leads to joint inside and outside the adhesions, thus affecting the activities of the shoulder.Frozen shoulder lesion is characterized by a wide range, that is, the pain is extensive, wide range of functional limitations, extensive tenderness.Frozen shoulder occur in people around 50 years old. Later due to illness, the shoulder can not play sports, as if frozen or solidified, so called "frozen shoulder", "shoulder coagulation disorder.
Frozen shoulder - Introduction
Frozen shoulder is the shoulder pain and difficulty moving the main symptoms of common diseases. Of periarthritis the good age of 50-year-old, more common in manual workers. Such as lack of effective treatment, may seriously affect the functional activity of the shoulder joint and interfere with daily life. Shoulder periarthritis early paroxysmal pain, often due to weather changes and fatigue induced, and then gradually developed into a persistent pain, and gradually increased, day and night, light weight, sleepless nights, not to the ipsilateral side, shoulder joints in all directions of active and passive activities are limited. Shoulders by traction, can cause severe pain. Shoulder a wide range of tenderness to the neck and elbow radiation, but also different levels of the deltoid muscle atrophy. Treatment of frozen shoulder drug worship Hercules "for treatment.
Frozen shoulder - pathologyFrozen shoulder shoulder joint range of activities in the various joints of the human body. The joint capsule more relaxation, most of the stability of the joint by the muscles around the joint, tendons and ligaments to maintain. Poor due to the blood supply of the tendon itself, but also increase with age and degenerative changes, combined with the shoulder in life activities are relatively frequent, the soft tissue often been friction squeeze from all sides, and thus prone to chronic fatigue.
PathogenesisShoulder the reasons1, the disease tends to occur in the elderly over the age of 40 soft tissue degenerative change and diminish the capacity of various external forces is the basic factor;2, chronic injury arising from long-term over-activity, poor posture is the main due to the excitation;3, the upper limb post-traumatic shoulder fixed for too long, the shoulder tissues secondary to atrophy, adhesions.4, acute shoulder contusion, traction injury due to improper treatment and so on.
Shoulder external factorsCervical spondylosis, heart, lung, biliary tract disease, the shoulder involves pain, long-term healing of persistent shoulder muscle spasm due to primary disease, ischemia and the formation of inflammatory lesions, change into a true frozen shoulder.
Frozen shoulder - pathophysiology
Shoulder around the lesions occurred mainly around the glenohumeral joint, including:1, muscle and tendon. Can be divided into two layers. The outer layer of the deltoid muscle, the inner muscle on for the post, post muscle, subscapularis, and teres minor four short muscle and joint tendon. Joint tendon and joint capsule closely linked to, attached to the humerus cuff, known as the rotation of the rotator cuff or rotator cuff. The rotator cuff shoulder range of motion when the greatest force structure, easy damage. Biceps long tendon from the top of the glenoid and the fibrous tunnel of the groove between the humeral tubercle, the paragraph is the inflammation occurs at. Biceps short head from coracoid process by the glenohumeral joint in front of the upper arm by the inflammatory effect of muscle spasm, affecting the shoulder abduction, extension.
2, the bursa. Deltoid bursa, subacromial capsule and coracoid bursa. The inflammation adjacent to the deltoid post on the tendon, the short tendon of the biceps interaction.
3, the joint capsule. Glenohumeral joint capsule and relaxation, shoulder range of activities, therefore vulnerable to injury. Chronic injury of the above structure is mainly manifested as hyperplasia, rough and intra-articular adhesions outside, resulting in pain and functional limitations. Late adhesion became very close, even with the periosteum adhesion, the pain disappeared, but dysfunction is difficult to restore.
Frozen shoulder - the performance of diagnosticFrozen shoulder disease, more women than men, the left than the right, may also have the disease on both sides. Mostly in the elderly sick. The gradual emergence of a shoulder at the pain, significant relationship with body movements, gestures. With the extended duration of pain extend the scope of, and relates to the upper arm the middle, at the same time with limited shoulder mobility. To increase the range of activities, severe acute pain. Severe limb hair, wash and buckle belt. Night due to turn over the mobile shoulder pain while awake. Patients with early still that pain point, and later expand the scope, I feel pain in the humerus. Frozen shoulder in patients with the following performance:
Shoulder pain (1): Initially, when the shoulder was paroxysmal pain, the majority of chronic seizures, after the pain gradually intensified Dayton pain, or knife-like pain, and was sustained, climate change or fatigue, often makes the pain aggravated pain to the neck and upper limbs (especially elbows) the proliferation of shoulder accidentally subjected to collision or traction can often cause tearing pain, shoulder pain day and night, light weight-based disease a major feature of the majority of patients often tell the rest of the night the pain woke up, not into sleep soundly, and especially not to the ipsilateral side, such a situation is more obvious due to blood deficiency Erzhi; Ruoyin catch cold the Erzhi pain, is particularly sensitive to climate change.
(2) shoulder mobility: the shoulder in all directions, activities may be limited, outreach, on the move, and external rotation is more evident, as the disease progresses, long-term waste caused by the joint capsule shoulder-length soft tissue adhesion muscle strength gradually decline, coupled with The coracobrachialis ligament is fixed at the shortened pronation spaces, the direction of the shoulder active and passive activities are limited to carry shoulder abduction, hair, dress, face, hips, and other actions are difficult to complete, serious elbow function can also be affected elbow when the hand can not touch the ipsilateral shoulder, especially when the extension of the arm can not be completed elbow action .
(3) cold: suffering from shoulder cold, many patients throughout the year with a pad shoulder bag, even in hot summer day, the shoulder did not dare to hair.
(4) tenderness: the majority of patients around the shoulder joint can be touched a tender point, tender point more than in the long head of biceps tendon groove. Subacromial bursa and the coracoid process, the supraspinatus muscle attachment points, etc..
(5) muscle spasm and atrophy: the deltoid, supraspinatus and other shoulder muscles around the early cramps, may occur late disuse muscle atrophy, appear acromion protuberance on the move inconvenience bend adverse typical symptoms, this time the contrary, mitigate pain. Mild atrophy in the deltoid, trapezius spasm. Post on the tendon, biceps long and short head tendon and deltoid muscle before the trailing edge can be marked tenderness. Exhibition outside of the shoulder, external rotation, extension limited by the most obvious, few people adduction, internal rotation is also limited, but flexion less restrictive.
(6) X-ray and laboratory check: conventional radiography, mostly normal, later seen in some patients of osteoporosis, but no bone destruction, calcification shadows can be seen in the subacromial The laboratory tests were normal. Older or a longer course of X-ray film can be seen shoulder osteoporosis, or post on the tendon, subacromial bursa calcification levy.
Frozen shoulder - complicationsThe shoulder is easily complicated by extensive inflammation, its etiology is currently no definitive conclusions, according to the most basic research and clinical observation that the following factors
The periarthritis off.
(1) and the structural characteristics of bone and joint shoulder is a multi-joint complex, these bones and joints to maintain its stability depends mainly on the surrounding ligaments, tendons, muscles and other soft tissue, to overcome the gravity of the upper extremity, bone and joint structure is unstable by super external force, soft tissue can easily be strained. Such as the glenohumeral joint, the humeral head area than the glenoid area, multi-directional movement and sliding humeral head in the joint domestic demand, its stability depends mainly on the relaxation of the joint capsule to maintain and when to pull or move, lift weights, The joint capsule force, it is easy to be pulled or long-term fatigue stimulation degeneration, eventually leading to chronic aseptic inflammation.
(2) distribution characteristics and bursa around the shoulder joint distribution of a large number of the bursa, such as the subacromial bursa, the deltoid bursa and the coracoid bursa and the subscapularis, pectoralis major, latissimus dorsi, teres major In the humerus is large, small nodules between the ditch on both sides of the bursa, these bursa in the shoulder range of motion, are vulnerable to external forces extrusion, collision, and its slip when the shoulder frequent activity, its tendon capsule to a stimulus, the cumulative wear and tear and stimulate its lubrication mechanism affected, and eventually develop into a chronic aseptic inflammation.
Distribution (3) and muscle distribution of the shoulder huge muscles, more muscle and concentrated stress points around the shoulder joint to form a cap sleeve, such as the coracoid process for the short head of biceps, coracobrachialis muscle. point of attachment of the pectoralis minor muscle, humeral greater tuberosity for subscapularis, supraspinatus, infraspinatus and teres minor muscle, the only point, these areas are vulnerable to super external force, tearing or cumulative fatigue damage degeneration, eventually leading to aseptic inflammation.
(4) and the joint functional nature of the activity related to shoulder movement flexibility, range of activities and frequently in daily life and work times in the coordination of movement. Such as brushing your teeth, wash your face, hair, writing, lifting and moving heavy lifting, etc., and shoulder soft tissue under the weight. When writing, on the surface, shoulder and arm activity is not obvious, but the actual shoulder muscles still bear the different flexion and extension rotation, and coordinated movement. Frequent movement of endless, will inevitably lead to the shoulder soft tissue injury or strain variability will ultimately produce aseptic inflammation.
In addition, in the daily life and work shoulder by the invasion of wind cold dampness is also up. Such as rain, shoulder first drenching; to sleep at night, the shoulder is often exposed in the quilt outside is cold to stimulate. Stimulation of the wind cold dampness, make local soft tissue vasoconstriction, blood circulation disorders, metabolism slow down, so the long-term stimulation, the formation of cumulative trauma, soft tissue Accelerated degeneration, and ultimately aseptic inflammation.
Frozen shoulder - checkRoutine examination
1, cervical spondylosis of nerve root type cervical spondylosis cervical nerve roots may be stimulated shoulder pain, and long pain, muscle spasms can also cause inflammation of the chronic injury
Frozen shoulder syndrome. Therefore, cervical spondylosis may have shoulder symptoms, can also be secondary frozen shoulder. The two main distinguishing point is the single nerve damage, cervical spondylosis, tend to have radicular pain of the forearm and hand, and signs of nerve localization. In addition, the signs of head and neck more than the frozen shoulder.
2, the shoulder tumor shoulder tumor compared with other diseases, rare, but serious consequences. Clinical, sometimes the elderly back pain have long treated to frozen shoulder or cervical disease, thus delaying diagnosis. Where pain, therefore, increase the fixed limb can not be used for pain relief, and the emergence of axial percussion pain, should be the ray examination, to exclude bone disease.
DistinguishFrozen shoulder degeneration and chronic aseptic inflammation in the shoulder joint capsule and its surrounding muscles, tendons, ligaments, synovial, performance is characterized by pain and limited mobility of the shoulder joint and its surrounding, very stiff tonic . Due to the anatomical and functional characteristics of the shoulder joint, both inside and outside in the joints also often occurs in some other nature of shoulder pain syndrome, and periarthritis mutual authentication in order to avoid loss of governance and the mistreatment, lead to undesirable consequences.
Clinical common diseases associated with shoulder pain syndrome: cervical spondylosis, shoulder dislocation, septic shoulder arthritis, shoulder joint tuberculosis, shoulder tumor, rheumatic, rheumatoid arthritis and simple supraspinatus tendon injury torn rotator cuff, long head of biceps tendinitis and tenosynovitis. These symptoms may be manifested as a disease limited mainly to shoulder pain and shoulder function. However, due to the nature of the disease vary, the site of the lesion is not the same, so, with complications for identification. The different characteristics of the combination of the different nature of their pain and functional limitation of activity, as well as reference assistant examination, differential diagnosis is not difficult.
Identification of the shoulder joint tuberculosisThe shoulder joint tuberculosis is divided into synovial and bone-tuberculosis, simply type synovial tuberculosis is very rare. Tuberculosis of the right shoulder than the left common. Bone and joint tuberculosis, can be divided into two kinds of bacteria and dry, according to disease type, symptoms vary. Slow the progression of symptoms gradually emerged. Often in pain, dysfunction, as early symptoms. The pain often occurs in the deltoid below, Tong Shen, outreach and external rotation. Swelling of the deltoid muscle is the most obvious. Sinus formation for late performance, often the weakest parts of the joint capsule perforation, axillary or deltoid muscle near the leading edge that is easy to puncture. Bone atrophy signs for the early X-ray of shoulder joint tuberculosis, especially in synovial tuberculosis of bone atrophy sustainable for quite some time. The most common of shoulder joint tuberculosis in full joint tuberculosis. Bone tuberculosis alone rarely cause bone and joint movement disorders or only slightly limited.
Frozen shoulder, also known as shoulder periarthritis, occurs after the age of 50, the main clinical features of shoulder and arm pain, limited mobility, chronic aseptic inflammation of the soft tissue around the shoulder muscles, tendons, ligaments and bursa. X-ray performance is: shoulder osteoporosis, the greater tuberosity or the relative part of the acromial end of cystic degeneration, sclerosis, soft tissue calcification. Early shoulder joint tuberculosis and frozen shoulder in terms of clinical manifestations or X-ray findings were not characteristic, confusing.
Identification with the shoulder around the tumorShoulder around the tumor growth to a certain stage will cause the dysfunction of shoulder pain or associated with shoulder and arm. The difference is that with frozen shoulder: the affected area back pain gradually worsened, and of the pain due to tumor growth, local gradual enlargement. Benign shape rules, the soft activity is good; malignant multiple shape irregular, hard, fixed and unwavering. Functional limitations due to the oppression of the masses, and some patients with shoulder and arm and numbness of the fingers. X-ray film due to the nature of the tumor growth area and duration of disease are not the same. Soft tissue tumor in the X-ray film does not develop or only see the outline, if the tumor has eroded the bone tissue, X-ray film shows different degrees of bone destruction can be seen even pathologic fractures.
Assistant examinationAuxiliary examination, the disease can be used X-ray examination and shoulder imaging:
X-ray examinationOne of the aims of the X-ray films, the diagnosis of frozen shoulder as a shoulder fracture, dislocation, tumors, tuberculosis, osteoarthritis, rheumatic, rheumatoid arthritis and other diseases means of differential diagnosis. However, the clinical findings that about 1/3 of patients with different characteristic changes in the X-ray films of the different course of frozen shoulder.
An early characteristic changes of the subacromial fat line of fuzzy distortion and even disappear. The so-called subacromial fat line is the linear projection of a thin layer of adipose tissue in the fascia of the deltoid on the X-ray film. When the shoulder over-pronation, the adipose tissue exactly in tangential position, and display linear. Frozen shoulder early, when the shoulder soft tissue congestion and edema, soft tissue contrast X-ray film drop subacromial fat line fuzzy distortion and even disappear.
In late shoulder soft tissue calcification, X-ray visible joint capsule synoviae, the supraspinatus tendon, long head of biceps tendon, etc. density light without all shadow of calcified plaque. Late in the course of the disease, the X-ray film shows dense calcification sharp, seen in some cases greater tuberosity bone hyperplasia and osteophyte formation. In addition, osteoporosis, joint-side hyperplasia or the formation of osteophytes or joint space narrowing, etc. can be seen in the acromioclavicular joint.
Shoulder imagingShoulder imaging contrast agent is injected into the shoulder joint cavity X-ray films, diagnosis of shoulder disease examination methods to locate. Generally is 60% diatrizoate meglumine 10 ml, add 2% lidocaine 10 ml of diluted, and then adding 0.5 ml of 1:1000 epinephrine hydrochloride, injected into the joint cavity, the intake centerline to the first end tilted 20 degrees front and rear stand shoulder internal rotation, external rotation, each piece a camera centerline to the fixed side tilt to 10 degrees of external rotation, outreach piece of each one. Contrast radiography may be displayed:A joint capsule narrow, performance is as follows:① Joint reduce the capacity of.② axillary recess narrowing or occlusion.③ subacromial sac or the long head of biceps tendon sheath does not develop.2, the joint capsule rupture, the contrast agent rupture showing irregular flakes or pocket shadow overflow, in the armpit of the articular.3, subscapular Synoviae the rupture, the overflow contrast agent accumulation in the subscapular fossa, no more than the edge of the outside of the glenoid.Four, subacromial liquid capsule form, capacity, sliding wall and the surface morphology of the supraspinatus muscle, as well as rotator cuff injury. Reliably reflect the rotator cuff rupture, as well as stump retraction situation.Imaging of frozen shoulder, in order to understand the location and severity of lesions before surgery. Sometimes particular conservative therapy, shoulder imaging needs to be done so that an accurate understanding of illness and disease location.
Frozen shoulder treatmentThe principles of treatment for frozen shoulder different times or different severity of symptoms to take appropriate therapeutic measures. Frozen shoulder treatment should be based on conservative therapy. In general, if timely diagnosis and appropriate treatment enable the course of shortening, early restoration of motor function.
In periarthritis 1, early in the frozen shoulder pain of the patient's pain heavier. Dysfunction is often due to pain caused by muscle spasms caused by, so the treatment is to relieve pain, prevent joint dysfunction for the purpose to ease the pain can be harness to brake the shoulder to rest fully; or off with blocking therapy, most obvious in the local tenderness at the injection of prednisolone; mobile therapy, temperature hot packs, cold compresses, physical therapy to relieve pain. If necessary, oral topical anti-inflammatory and analgesic drugs coated with antispasmodic and analgesic tincture. It is premature in the acute phase, generally using massage, massage methods, to prevent pain symptoms get worse, so that extension of the course. Generally self to take some active movement exercises to keep the shoulder joint activity, after the acute period before the massage, massage to improve blood circulation in order to achieve the purpose to promote local inflammation subsided.
Freeze of joint dysfunction, frozen shoulder is the main problem, pain is often caused by joint movement disorders. Treatment for the purpose of the focus in order to restore joint movement function. The treatment can be used physiotherapy and Western techniques, massage, massage, exercise therapy and other measures to achieve the lifting of adhesion, to expand the shoulder range of motion and restore normal joint function, purpose. Symptoms of dysfunction, severe frozen shoulder patients when necessary, can be used under anesthesia large massage torn adhesions. At this stage, we should uphold the exercise of the shoulder joint function. In addition to passive movement, the patient should be proactive with to carry out the function of the active movement training, active exercise is extremely important throughout the course of treatment.
3, the recovery period in the frozen shoulder to eliminate the residual symptoms mainly to continue to strengthen the functional exercise, enhance muscle strength, recovery advance has occurred the waste atrophy of the scapular belt muscles to restore the normal flexibility of the deltoid and other muscles and systolic function, in order to achieve the purpose of a comprehensive rehabilitation and relapse prevention.
4, in addition to take a different treatment for different course, should be considered against the the periarthritis disease severity treatment. At this point, the foreign point of view, passive exercise test due to pain caused by movement limitations and the end did not feel to determine its severity and guide therapy. Passive movement, the patient's pain before the end did not feel frozen shoulder is often acute, not take the initiative to sports physical therapy, the patient's pain in the end did not feel at the same time, may be appropriate to use the active body movement therapy, when reaching the terminal feeling no pain, active sports physical therapy.
How effective early frozen shoulder treatment?A full shoulder movement is mainly done by the four joint, glenohumeral joint, acromioclavicular joint, sternoclavicular joint, and shoulder chest wall joints, frozen shoulder occurs in the glenohumeral joint. Which is characterized by the gradual emergence of pain and joint movement restrictions, the performance of a special clinical course of shoulder pain and activity limitations achieve a certain degree, no longer continue to develop, and the pain gradually reduce the resulting disappearance of joint active function is gradually restored, but there are a small number of patients can not be completely restored. Such a clinical process may last for several weeks to several years.
Frozen shoulder is a common disease, patients mostly in middle-aged, and unbearable pain in the shoulder joint and soft tissue of aseptic inflammation leading to soft tissue adhesions caused pain up, and has been increasing, and ultimately seriously affect the functioning of the shoulder reduce the quality of life, some patients seek medical attention four, recurrent, painful, and even psychological cast a shadow over that frozen shoulder is an incurable disease. Frozen shoulder the initial pain symptoms are often mild, often due to changes in the weather or fatigue caused by the gradual development of persistent pain, especially in the shoulder internal rotation, extension, and on the move, such as outreach movement is more obvious, and even drama pain unbearable. Pain at rest also put pressure on, especially when you sleep at night, severe cases can not sleep, can not shoulder lateral pressure to the ipsilateral shoulder mobility generally occurs in obvious pain after 3-4 weeks, followed by joint capsule, ligaments and other soft tissue adhesions, contracture, shoulder apparent stiffness. So if a similar situation should be timely treatment, a clear diagnosis, the exclusion of other factors may be carefully checked, to prevent misdiagnosis, avoid delay treatment.
Thanks to Lux shaped ion pain posted
Some patients in the absence of a correct diagnosis, the blind treatment, the loss of the best timing of treatment. Regular and timely and effective treatment after the diagnosis is critical in this regard, the use of "worship Lux shaped ion pain paste" is a very good choice, it only does not cause the disorder of the magnetic field of the human body itself, but more importantly is the promotion of human biological electromagnetic enhance and promote the human body through air run so as to achieve an effective analgesic effect through the meridians. , While capillary permeability to reduce the role of bio-magnetic field, improve local blood circulation, accelerate the inflammatory exudate absorption and dissipation, resulting in pain relief, elimination of inflammation, increased shoulder ligaments around the deltoid muscle tissue muscle oxygen saturation of the exchange, thereby strengthening around the shoulder joint ligaments, muscles, the effect of the protection of the shoulder joint. And in the periarthritis late functional training and rehabilitation care.
Timely functional exercise and rehabilitation care is also very important, frozen shoulder in the course of treatment and subsequent rehabilitation, physical activity is an effective method of prevention and treatment of frozen shoulder, the purpose is to strengthen the protection of the shoulder surrounding tissue the strength of the shoulder, eliminate shoulder muscle fatigue, but this functional exercise does not increase the pain on the patient as a precondition, the general idea of therapy and functional exercise at the same time, to avoid complications after healing, with the correct functional activities, rehabilitation of health care to crucial to achieve the above aspects, frozen shoulder can be an effective treatment.
Chinese medicine treatment
TCM integrated approach(1) traditional Chinese medicine in relieving rheumatism and cold, antispasmodic meridians, promoting blood circulation for the purpose.
Cupping Cupping treatment of frozen shoulder is often used in the points: shoulder wells, shoulder corner, shoulder, shoulder Chen, day cases and other points. Each time you pick two points are used interchangeably.
Gua Sha Gua Sha treatment of frozen shoulder is often used in the meridian: the arm outside of the lung and large intestine meridians. A week scraping 1 or 2 times.
Acupuncture Acupuncture treatment of frozen shoulder is often used in the points: shoulder wells, shoulder corner, shoulder, shoulder Chen, Ojo, Qu pool, foreign relations, carpal and other points. Choose a 1.5-inch acupuncture needles, skin disinfection with 75% alcohol cotton balls, piercing points, leaving the needle 20 to 30 minutes. Day 1. Two weeks for a course of treatment.
5 physiotherapy selection of ultra-short wave high frequency electromagnetic therapy, 1 day, 10 days for a course of treatment. Can play an anti-inflammatory, analgesic, antispasmodic, improves blood circulation, muscle relaxation, the role of
A. Health Hawthorn licorice soup
50 g of frozen shoulder Health Hawthorn Mulberry 50 grams, 25 grams of mulberry twig, 25 g of dark plum, peony root 20 g, 20 g lycopodii, Yuan Hu, vinegar, 20 g, 15 g turmeric, cassia twig 15 g, Clematis 15 grams of vinegar Cyperus rotundus 15 grams, 10 grams of licorice. Decoction warm clothes, 3 2 a month for a course of treatment. During the medication in addition to with the practice to disable the other drugs or therapies. Shujin network Stasis line paralysis pain, slip joint profits. Indications frozen shoulder.
Two. Peony root soup
400 grams of white peony, sand dragon, Strychnos, safflower, peach, Clematis 350 grams, frankincense, myrrh, Drynaria, gracilistylus, Menispermaceae, arrowroot, raw licorice 150 g. A total of inquiry on the drug for a very fine, into the capsule, the capsule contains 0.2 g crude drug, oral 3 per adult, 3 times a day with warm boiled water. Two weeks for a course of treatment, rest for three days, and then the next one treatment. Indications frozen shoulder.
3. Astragalus and Angelica soup
60 grams of astragalus, angelica 20 grams, 12 grams of cassia twig, white peony root 20 g, 16 g Zhigancao jujube 10 grams, Clematis 120 g, pangolin 6 g, 12 g wind centipede 2, ginger 10 grams , Notopterygium 12 g. 1 day, decoction. Complement Wei Qi, the meridian, and cold wet. Indications around the shoulder joint inflammation. Leng Tong, plus system Sichuan grass, black grass 10 g; of phlegm by the addition Pinellia 12 grams, 10 grams of bile Southern Star; disease long deltoid atrophy, plus Strychnos 0.3 g. Local can meet to acupuncture treatment.
Diet TherapyTaken to recover the bone wind 30 grams, 60 grams of wine. Soak for 5 days to recover bone wind into the wine. Fractional orally.1000 g (2) old ginger, onion sub-500 grams, 250 grams of liqueur. Two herb smashed sizzling dressing the sore spot.Take 500 grams of ginger, green onions 50 grams of the root, pepper, 250 grams, 100 grams of cumin, white wine 150 g. The first ginger and chopped onion root, pounded mud, cumin and pepper pounded surface, and then four flavor mix, stir, placed in a wok using a slow fire sizzling, add the white wine mix, and then into gauze bags , spreads in the affected area. Temperature can be tolerated for the degree of superstructure towel and then covered with blankets, so that sweat. The next day medicine bag continues using Guochao heat, without dressing, Irazu can add the wine. 1 night, to adhere to treatment, will be curative. And even served an effective, normally takes 81 days.
Snake broth: black snake, pepper, ginger, the amount of salt, soup, broth with food, 2 times. Tonic, expelling wind, cold effect. Frozen shoulder late and physically weak, rheumatoid resistance network.
Radix porridge: Health Aconitum about 5g, rice 50g, ginger about 10 drops of the amount of honey. Aconitum broken, and research as a fine powder. Boil the rice, porridge fast as Jiaruchuanwu the end, low heat slowly fry until cooked with ginger and honey, stir well, Shaozhu can. Has cured rheumatism and cold wet, Tom Lee joints, warm the analgesic effect. Apply to the the periarthritis rheumatoid cold invasion caused by.
AcupuncturePeriarthritis of shoulder, the shoulder section capsule and articular soft tissue of a degenerative, inflammatory lesions. The clinical manifestations: more common in the elderly over the age of 45, early pain, on the night light weight; later with dysfunction to the Lord, abduction, external rotation and extension, etc. The most obvious action is limited.
In medicine, the disease known as "leakage shoulder wind, shoulder condensate", a arthralgia areas. Mostly due to old age physically weak, the wind cold dampness evil take advantage of induced Blockage of the meridians; or servant damage, blood stasis is to stay within the blood not the tendons dysfunctional Road caused by the disease.
The acupuncture treatment of back pain acupuncture and B by emergency preparedness one thousand full-side "," the acupuncture Zisheng by "and acupuncture Great," and other works, are recorded. Modern explicitly mentioned the periarthritis acupuncture treatment first appeared in 1954. Reported in the 1960s, a lot, but mainly in the traditional acupuncture. Past two decades, almost all kinds of acupoint stimulation therapy is used for treatment of this disease, such as pricking blood, acupuncture, moxibustion, cupping, Laser acupuncture, hot needles, acupuncture point microwave, electro-acupuncture and acupoint injection for the improve efficacy, often two or three ways to combine the use of At present, the efficacy of acupuncture and acupoint stimulation is broadly similar efficiency in more than 95%.
Body Acupuncture
AcupointsThe main point: the shoulder Yu through very spring, the days were through Bingfeng shoulder Chen, Article mouth through Chengshan.Acupoints: Qu pool, foot Ze shoulder Ling, shoulder well, gu, Yang Ling Quan.Shoulder acupoint location: Yin Ling Izumishita 8 to 9 points.
Governing LawThe main point, the main acupoints Zhuojia. Instruct patient to toggle vertical. Should be to the pin on the 28th, 3 to 4 inches long, the line pierces the deep thorn, so that the local strong sense of tingling swelling. Article mouth through the the Chengshan shoulder-length acupoint the Yanglingquan should be against the side of the hole, to improve efficacy, the first needle such points to be obvious gas, so that patients with active shoulder internal and external rotation, flexion Protrusion ; and then pin the local hole. Daily or every other day, 10 times for one course. Treatment interval of 5 days.
EA plus acupoint injectionAcupointsThe main point: the shoulder Yu, day cases, Qu pool, shoulder well.Distribution Point: Article mouth through Chengshan, arm (bone required), A is the point.
Governing LawMainly to the main points. Acupoints, disease duration <30 days, plus articles mouth through the Order of the mountain;> 30 days, the election I hole. Take the shoulder Yu, quickly penetrate an inch, after the gas then the direction of the polar spring penetrate 3 to 4 inch, row pin 2 to 3 minutes more than the main point with conventional needling, and then connected to the electro-acupuncture device, with the density wave or density waves, the needle for 30 minutes. The current strength can be tolerated by patients for the degree. Such as disease duration <30 days, the first to take the port through the ipsilateral Article Chengshan needle 2.5 inch deep, after the gas powered needle instrument of the cathode; hand the negative electrode, electro-acupuncture method as above. > 30 days, the needle the rest of acupoints, as above. Selected two-hole line injection, drugs with Dinggong vine injection or 5% angelica injection 1 ml per hole. EA daily or every other day, point injection, 2 times a week. Electro-acupuncture, point injection.
Gymnastics therapyDo shoulder three axial activity, healthy leg to drive the limb to a variety of exercises.
Equipment Gymnastics: gymnastics bars, dumbbells, rings, pulleys, and climb the ladder of shoulder, chest, shoulder Exercises such as exercise.
Note: in the painless range of activities, because the pain can be caused by reflex or exacerbated by muscle spasm, thus affecting the functional recovery. Each event does not cause the pain aggravated appropriate. On the contrary you are prompted to hyperactivity or a new injury, should be ready to adjust the amount of exercise.
Sagging swing exercises: body flexion, the shoulder around the tendon to relax, then do the inside and outside, around, around the arm swing practice, the amplitude can be gradually increased, until the fingers swollen or numb up. Records swing, then Zhiyao slightly relax, do discreet (2 kg), sagging swing to do before and after the same time, both inside and outside, around the swing (30 to 50), does not produce pain or did not induce appropriate muscle spasm. In the prone position, about to suffer from the shoulder down in the bed, and then doing relaxed swing or lifting heavy loads to swing practice.
Massage and passive movement: shoulder massage to improve blood circulation, relieve muscle spasm and release joint adhesions. Massage and passive activities, to increase the scope of activities of the shoulder joint. Practices must be gentle, so as not to aggravate the symptoms. Generally will be imposed in the shoulder pushing, kneading, rolling and other practices in order to relax muscles, relieve spasms. Or a chance to press the shoulder well, Jian Gu Yu, shoulder Chen, House, day cases and other points. Push reasonably tendon plucked biceps tendon, long head of triceps and pectoralis major stop point. Jitter in the shoulder, while doing the passive movement of light in all directions in the shoulder, and gradually expand the scope of activities, and finally the end of the rub, wipe, and other practices massage.
Frozen shoulder care:And psychological care to their patients sometimes showed anxiety, tension, worries for the disease prognosis. Respond to patient health knowledge propaganda, and improve patient understanding of disease, from the psychological with the treatment and care. To assist patients in cases of successful treatment to eliminate the psychological tension caused by fear of pain therapy.
Life care to assist patients with dressing, hair, and a belt. Care, patient and considerate to assist patients to resolve the difficulties of life. Encourage patients to take the initiative to exercise, and recovery of daily living as soon as possible.
3, muscle atrophy, joint adhesion of care on a regular basis for the patient massage the upper limb and shoulder muscles, the joint initiative to strengthen the upper limb. Encourage patients to do the various activities of the joints of the fingers, pinch the rubber ball or fitness ball, and do a shoulder exercise of initiative, and to prevent muscle atrophy and joint adhesions.
Exercise of the shoulder: the patient standing, before and after, outside the swing circle method and fingers Climbing France. Several times a day, each event 50 -100. The activities range from small to big, to adhere to the exercise or suffer from mild pain, but avoid strong passive activities, so as not to damage or tear the organization. Shoulder ring transfer activities (ie, the circle method), the patient is bending forward so that the upper arm drooping naturally, perpendicular to the ground, then the activities of the upper limb, shoulder to do the ring of clockwise or counterclockwise to turn the movement (circle), or do a pendulum-like front and rear, left and right movement. Pulley exercises, the shoulder on the move, abduction, internal rotation activities. Finger Climbing law practice shoulder.
Frozen shoulder prevention:Control measuresAttention to warm coldDue to the nature of climate change, cold and moisture continued to haunt the body, allows the muscle tissue and small blood vessels, muscle contraction of the longer period of time, can produce more metabolites, such as lactic acid and pain caused by material gathered, so that muscle tissue stimulated spasm for a long time is caused by fibrous degeneration of the muscle cells, muscle contractile dysfunction caused by a variety of symptoms. Therefore, pay attention to weatherization in their daily lives, especially to avoid shoulder cold, frozen shoulder is very important for prevention.
To enhance functional exerciseOn frozen shoulder, with particular emphasis on the movement of the joint can often tai chi, Chi sword, croquet, or at home suspension arms, chest, dumbbell, and hands swing movement, but bearing in mind the amount of exercise, so as to avoid shoulder joint and soft tissue damage.
To correct bad postureTo correct bad posture. Often at his desk, the shoulders often in outreach work, should pay attention to adjust the position, to avoid long-term poor posture caused by chronic fatigue and the accumulation of damage.
Attention to the relevant diseaseShould pay close attention to easily lead to a secondary frozen shoulder related diseases such as diabetes, cervical spondylosis, shoulder and upper limb disorders, chest surgery, and nervous system disease, suffering from these diseases to observe whether to produce shoulder pain, shoulder The range of motion decreases, and the active movement and passive movement of the shoulder should be carried out in order to maintain the activity of the shoulder joint.
Active prevention of contralateral shoulderPatients with frozen shoulder, in addition to aggressive treatment of the affected side, but also deal with the healthy side for prevention. Studies have shown that the prevalence of 40% of the frozen shoulder patients 5 to 7 years after the contralateral side also to frozen shoulder; about 12% of patients with bilateral frozen shoulder. So, on the contralateral targeted prevention measures should be taken.
Functional exerciseClimbing exerciseFacing the wall, bradycardia to move to climb along the wall with both hands, or suffering from hand, so that the upper limb to try to hold high and then slow down to return to that area, repeatedly.Exercise Fig.
Body after the handleHands back against the back, pulled limb Kin-hand wrist, gradually pulling up to pick up, repeatedly.
External rotation exerciseExternal rotation against the wall standing, his hands make a fist, elbow, and do arm movements, as far as possible, back near the wall, repeatedly.Exercise Fig.
Shaking armLunge, one hand on his hips, close to the waist, the other holding a fist to do before and after the ring turn shake, small to large amplitude, action from slow to fast.
Simple rehabilitation therapyAn acute phase or early is best for the patients shoulder fixed and analgesic measures to relieve the pain of patients, such as the sling suspension, and disease shoulders to do the treatment of heat, physical therapy or closed.
The main manifestations of the chronic phase of shoulder dysfunction. Then the functional exercise and massage mainly with the physical therapy treatment. Frozen shoulder rehabilitation, medical gymnastics.
(L) Gymnastics: gymnastics stick with both hands, in front of body, arm straight, and then repeatedly forced upward lift, try to extend to the back of the head; the body, holding a stick, forced upward lift.
(2) finger Climbing Exercise: the side or standing in front, raised the risk of inflammation side of the forearm, the index finger and middle finger against the wall, and then along the wall up slowly for Climbing style movement.
(3) ipsilateral arm on the move, repeatedly touching the back of the head; disease cartwheel in the body, elevation touch back. If the affected arm with limited mobility, free contralateral hand to help the affected side of the hands to lift.
Frozen shoulder - NoteDo upper extremity lifting or after the spin, you should Rouan shoulder and small-angle swing, the shoulder muscle relaxation after the action, so as not to strain the shoulder organizations.
2, the upper limb should not be excessive lifting heavy objects, pay attention to local warm to prevent recurrence.
Usually selected for a number of auxiliary upper limb (shoulder) exercise activities, but the strength should not be too large, should be gradual to avoid muscle strain
