Author: Shi Dongliang, Director of the First Department of Orthopedics, Henan Provincial Hospital of Traditional Chinese Medicine
Henan opened the "ice cellar" mode this winter, and the orthopedic outpatient clinic was openedShoulder painThere has also been a significant increase in the number of patients.
Some of them can't lift their upper arms, some can't stretch forward, and some of their entire shoulders seem to be frozen, unable to move, and the pain causes them to be unable to sleep, affecting their daily life and work.
Many people ask me: Is this frozen shoulder?
Not exactly. In fact, frozen shoulder is a relatively large concept, and there are many muscles around the shoulder jointEvery muscle injury can affect the movement of our arms.
Traditional Chinese medicine thinks:If it doesn't work, it hurts. If the shoulder hurts, it just hurts when doing a certain movement, or it hurts in a certain position, it is mostly a local obstruction, such as local inflammation, tissue adhesion, etc., resulting in unobstructed blood flow and causing pain.
Like our common onesBiceps longus tendonitis, which is usually due to acute onset after trauma or strain.
Patients present with pain in the front of the shoulder, which is relieved at rest and worsens with forward shoulder bending, lifting heavy objects, and pushing and pulling with the hands flat.
There is also a type of shoulder pain calledRotator cuff injury
The rotator cuff is wrapped around the humeral head like the sleeve of a T-shirt, and if the arm abduction movement is too much during work, the greater tuberosity of the humerus is overmobilized, which will continue to rub against the acromion and rococorocosiform ligaments, resulting in primary injury to the rotator cuff tendon, and if there is secondary bursitis, it can cause shoulder pain and mobility impairment.
Most of the pain points of patients are locatedAnterolateral aspect of the shoulder jointThe pain worsens when the arm is lifted forward or outward
It is more common if the patient has pain at the greater acromial tubercleSupraspinatus tendonitis
When the upper limb is abducted and lifted, the supraspinatus muscle is susceptible to friction, impact, and pinching, resulting in chronic strain of the supraspinatus tendon.
Patients often have limited mobility in the shoulder, especiallyWhen the shoulder is abducted to 60° to 120°, it can cause significant pain.
The above kinds of shoulder pain are tormenting, but they are not complicated.
In the early stage of the disease, which is also the acute phase, it can often be quickly relieved by manual massage, plasters, and oral medications**.
Required if it is more than 3 months, in the subacute phase, and becomes a chronic old injuryNeedle knife intervention
Identify the pain point, after local anesthesia, perform needle release, 5 to 10 minutes can be over.
** Over, pain is relieved immediatelyIt does not affect work and study, and is a common type of orthopedic outpatient clinic.
If you and your family are suffering from shoulder pain, don't wait, please come to the clinic as soon as possible, I have a solution.