I. What is frozen shoulder?
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Periarthritis of Shoulder . The incidence of this disease is about 50 years old, the incidence rate of women is slightly higher than that of men, and it is more common in manual workers. If there is no effective treatment, it may seriously affect the functional activities of the shoulder joint.
In the early stage, the shoulder joint presents with paroxysmal pain, often due to weather changes and Induced by fatigue, it gradually developed into persistent pain and gradually increased, day light and night heavy, and the active and passive movements of the shoulder joint in all directions were limited. When the shoulder is stretched, it can cause severe pain. There may be extensive tenderness of the shoulder joint, radiating to the neck and elbow, and varying degrees of deltoid atrophy may also occur.
Second, the cause of frozen shoulder?
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Shoulder Causes:
1. This disease mostly occurs in middle-aged and elderly people over 40 years old, with degenerative soft tissue lesions, and can withstand various external forces Weakened capacity is the fundamental factor.
2. Chronic injury caused by long-term overactivity and poor posture is the main triggering factor.
3. If the shoulder is fixed for too long after upper extremity trauma, the tissue around the shoulder will atrophy and adhere.
4. Improper treatment of acute shoulder contusion and traction injury.
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External shoulder factors:
Cervical spondylosis, shoulder pain caused by heart, lung, and biliary tract disease, due to long-term unhealed primary disease, continuous spasm and ischemia of the shoulder muscles and the formation of inflammatory lesions, turning into real frozen shoulder.
Three, the performance of frozen shoulder1Shoulder pain
At first, the shoulder pain was paroxysmal, most of which were chronic attacks, and then the pain gradually intensified, or dull or knife-like pain, and was persistent.
Climate changes or exertion often aggravate the pain, which can spread to the neck and upper limbs (especially the elbow). When the shoulder is accidentally bumped or pulled, it often causes severe tearing pain. Shoulder pain is a major feature of the disease, which is light in the daytime and heavy in the night. Most patients often complain of waking up in pain in the second half of the night, unable to sleep soundly, especially not lying on the affected side. Those suffering from cold are particularly sensitive to climate change.
2limited shoulder movement span>
The movement of the shoulder joint in all directions can be limited, and the abduction, lift, and internal and external rotation are more obvious. With the development of the disease, the joint capsule and the soft tissue around the shoulder are caused by the adhesion of the joint capsule due to long-term disuse; the muscle strength gradually decreases, especially the actions such as combing the hair, dressing, washing the face, and akimbo are difficult to complete. In severe cases, the function of the elbow joint may also be affected. Influence, when the elbow is flexed, the hand cannot touch the shoulder on the same side, especially when the arm is stretched back, it cannot be regarded as the elbow flexion.
3afraid of cold
the shoulder is afraid of cold, and many patients use cotton pads all year round Shoulder bag; even in the summer, the shoulders do not dare to wind.
4tenderness
Most patients have obvious tenderness points around the shoulder joint , The tender points are mostly in the biceps long head tendon groove, subacromial bursa, coracoid process, supraspinatus muscle attachment points and so on.
5muscle spasm and atrophy
the deltoid, supraspinatus and other muscles around the shoulder Spasm may appear in the early stage, and disuse muscle atrophy may occur in the late stage.
Fourth, treatment of frozen shoulder
timely functional exercise and rehabilitation health care. In the course of treatment and subsequent rehabilitation, strengthening physical exercise is an effective method to prevent and treat frozen shoulder. The purpose is to strengthen the tissue around the shoulder joint, protect the strength of the shoulder joint, and eliminate shoulder joint muscle fatigue.
However, this kind of functional exercise is based on the premise of not aggravating the patient’s pain and disease. It is generally advocated that the treatment and functional exercise should be carried out at the same time.
Avoid complications and cooperate with correct functional activities;
5. Exercise methods for frozen shoulder
1. Swing back and forth.
2. The patient bends down and hangs his arms in a circular motion. Swing the affected arm, taking the shoulder as the center, and do a circular motion from the inside to the outside, or from the outside to the inside, and the range is from small to large.
3. Climb the wall with both hands. The patient stands facing the wall, with both hands raised, leaning against the wall.
6. Rehabilitation of frozen shoulder
Acute stageIt is better to take some immobilization and analgesic measures on the diseased shoulder in the early stage to relieve the pain of the patient, such as using a triangle bandage Suspended and treated with heat, physiotherapy, or sealing of the diseased shoulder.
Chronic Phase The main manifestation is shoulder joint dysfunction. At this time, functional exercise and joint mobilization are mainly used, combined with physical therapy. The main method of rehabilitation treatment for frozen shoulder is medical gymnastics. p>
(1) Gymnastics exercises: Hold the gymnastics stick with both hands, straighten the arms in front of the body, and then lift them up repeatedly, extending to the back of the head as far as possible; Then, hold the stick with both hands and lift it upwards with force.
(2) Climbing the wall with fingers: standing on the side or facing the wall, lift up the patient With your forearm on the side, place your index and middle fingers against the wall, and then slowly climb up the wall in a wall-climbing motion.
> (3) Raise the arm on the affected side and search the back repeatedly: put the hand on the affected side behind the body and lift it up to touch the back. If the arm on the affected side is inconvenient to move, the unaffected hand can be used to lift the hand on the affected side.
7. How to prevent frozen shoulder:
1. Strengthen physical activity exercise;
< span>2. Sufficient nutrition;
3. Keep warm;
4. Strengthen muscle exercise;
Image source: see watermark
p>VIII. How to treat frozen shoulder
1. Manual therapy: Please find a professional rehabilitation physiotherapist for manual therapy, which can relieve pain, relax De-adhesion and improve function.
2. Exercise therapy: in the morning and evening, do internal rotation, external rotation, abduction, and upper arm rotation of the shoulder joint by yourself, exercise repeatedly, pay attention to Slow and persistent, can not be hasty, otherwise it will be harmful and unhelpful. The exercise method can be wall climbing exercise, 2 to 3 times a day, 5 to 10 minutes each time, and gradually increase the height of the wall climbing, that is, the degree of upper arm abduction.
3. Physical therapy: suitable methods are medium frequency, short wave, magnetic therapy, medium frequency interference electricity, etc.
4. Drug treatment: Anti-inflammatory drugs can be taken when the pain is obvious.
5. ;
6. Arthroscopic minimally invasive surgery;
< span>7. To prevent frozen shoulder, the most ideal and simple method is to insist on physical exercise, such as Tai Chi. Always keep your shoulders warm.
Source: It’s Made Easy p>