Frozen shoulder, also known as frozen shoulder, commonly known as condensed shoulder, fifty shoulder, is very common in clinical practice. It is a chronic aseptic inflammation of the joint capsule and periarticular soft tissues caused by the injury and degeneration of soft tissues such as muscles, ligaments, tendons, bursae, and joint capsules around the shoulder joint.
Clinical signs of frozen shoulder.
1.Shoulder pain:
Patients typically present with a gradual pattern of diffuse shoulder pain, which is paroxysmal at first, mostly chronic, and then gradually intensifies or dull or knife-like pain and is persistent, often worsened by climate change or exertion, and may spread to the neck and upper extremities (especially the elbows).
When the shoulder is occasionally bumped or stretched, it can often cause tear-like severe pain, and shoulder pain is a major feature of the disease, and if the pain is caused by cold, it is particularly sensitive to climate change.
2.Joint stiffness
For three to four weeks after the pain becomes apparent, people with frozen shoulder have limited movement of their shoulder joints. Especially when doing some hand lifting and shoulder stretching, the shoulder joint is obviously stiff.
In the long run, the muscles of the shoulder joint will weaken, and it may be difficult to comb your hair, brush your teeth, wash your face, or get dressed.
3.Restricted activity
If you have frozen shoulder, the movement of the shoulder joint in the direction of up, down, left and right will be restricted, especially when lifting up and expanding outward.
With the continuous aggravation of the disease, long-term use will also lead to adhesions in the joint capsule and soft tissues around the shoulder, so that the muscle strength of the arm will gradually decrease, coupled with some other factors, resulting in the movement of the shoulder joint in a more directional direction will be restricted, and some actions in life will also be affected, such as dressing, combing hair and washing face, etc., which are more difficult to complete.
In addition, if the problem is severe, the function of the elbow joint will also be affected, especially if the arm is not able to fully flex the elbow.
Scapulohumeral periarthritis**.
1. Long-term overactivity, poor posture, etc. are the main triggering factors;
2. Acute contusion of the shoulder, improper due to traction injury, etc.;
3. Upper limb trauma, especially humeral fracture, also requires long-term fixation of the shoulder joint. Long-term fixation of the shoulder joint will cause shoulder capsule adhesions, contractures and frozen shoulder. In addition, cervical spondylosis and low back diseases can also affect the movement of the shoulder joint, leading to secondary frozen shoulder;
4.Due to the special position of the shoulders, it is difficult to stay warm all the time when sleeping. As a result, the evil of "wind and cold" is repeatedly felt, causing blood circulation disorders and abnormal tissue metabolism in local tissues, resulting in aseptic inflammation and tissue adhesion in the soft tissues around the shoulder joint, and eventually leading to pain and dysfunction in the shoulder. Therefore, frozen shoulder is also called frozen shoulder.
How can frozen shoulder and rotator cuff injuries be differentiated?
Rotator cuff injury is different from frozen shoulder, mainly manifested as weakened shoulder lifting strength, shoulder joint can not be abducted and lifted, shoulder joint movement to a specific angle will induce pain, or obvious feeling of abduction and lift weakness; Passive lifting with a simple rotator cuff injury can be lifted and can generally reach the normal range.
Many patients regard shoulder pain as frozen shoulder, blindly "climb the wall with their hands" or artificially force the shoulder joint to loosen the shoulder joint, which may cause the rotator cuff tear to continue to expand, or even become a huge rotator cuff tear, which eventually leads to shoulder joint mobility disorders and seriously affects life. Therefore, we must distinguish between "frozen shoulder" and "rotator cuff injury".
MRI can distinguish between the two.
To deal with frozen shoulder, there are many ways to deal with pain!
Anti-inflammatory painkillers:These include aspirin, non-steroidal anti-inflammatory drugs, pain relievers, adrenocorticosteroids, etc. Patients with frozen shoulder often have severe pain in the acute phase, and some sedative, analgesic, and muscle relaxant drugs can be used to take it internally, or corticosteroid suspension plus lidocaine can be injected locally. These drugs can quickly reduce the pain or mild inflammation of frozen shoulder, which is helpful for the disease.
Shoulder release: Shoulder joint adhesion release under general or nerve block anesthesia, after surgery, the patient is asked to strengthen functional exercises, and the adhesion of the shoulder joint, the tightness of the soft tissues of the shoulder, and the contracture will be greatly improved.
RF Thermocoagulation Target Technology:Through the precise guidance of ultrasound and CT equipment, it directly acts on the location of painful lesions, the data is accurate to less than 1mm, and the angle error is less than 1 degree, making it more accurate and effective; Motor or sensory nerves within 1 cm** can be identified to avoid nerve damage.
Shockwave**:Promotes dilation, increases blood circulation, promotes metabolism and tissue regeneration, and causes the shock wave acting on the painful area to produce a pain-relieving effect. It can also soften contracture tissues such as scars and improve joint mobility.
Nerve block and PRP**Precise ultrasound-guided injection of ozone and glucocorticoids into the joint cavity or periarticular soft tissues can quickly relieve pain and block the vicious cycle of pain-spasm-pain, thus providing the basis for further improvement of joint mobility.
PRP (platelet rich plasma) can produce good tendon and fascia regeneration and repair through its rich growth factors, and reduce **.
List of high-quality authors Dr. Yue teaches you how to prevent frozen shoulder!
Intensify your workouts
Exercises to strengthen the shoulder muscles can prevent and delay the onset and progression of frozen shoulder. Actively carry out functional exercises, such as circle stroke, wheel pulling, combing hair, back hand pulling, lying pull, etc.
Pay attention to the cold and warmth of the shoulders
In winter, keep your neck and shoulders warm, and don't let the air conditioner blow directly on your shoulders and neck in summer.
Enhance nutrition
Do more outdoor activities to enhance physical fitness, supplement foods rich in calcium and protein, and eat medicinal diets that nourish the kidney, which has a certain effect on the prevention of frozen shoulder.