Wang Da Ma is 60 years old, her children are filial, happy family, hard body, but half a year ago for some reason began to right shoulder pain, always bad. When it’s heavy, it hurts so much at night that you can’t sleep. It is very difficult to dress and undress every day, and combing hair is also a problem, and the pain is very serious. Even lifting the covers at night hurt. She heard people say that this is “frozen shoulder”, should try to exercise, active shoulder joints, even if the pain must be tolerated practice, practice will be good. The result is that Liu Da Ma practiced for most of the year not only not good, but more and more heavy. Finally, Wang came to the hospital. After a detailed examination, the doctor told her that what she had was not “frozen shoulder” but rotator cuff injury and subacromial impingement syndrome. Wang was puzzled as to why other people’s shoulder pain was “frozen shoulder”, but she was not. To answer this question, let’s first properly understand what “frozen shoulder” is. “Frozen shoulder”, also known as “fifty shoulders”, is short for “periarthritis of the shoulder joint”. In a broad sense, “frozen shoulder” refers to inflammation and pain around the shoulder joint caused by various reasons. Idiopathic “frozen shoulder” is a condition in which the shoulder joint “freezes” for no apparent reason and movement is limited. Frozen shoulder” is a common condition that is characterized by shoulder pain and motor dysfunction. It is a common condition characterized by shoulder pain and motor dysfunction. It is called “frozen shoulder” because the shoulder joint movement is restricted as if it is frozen together. Why do we have frozen shoulder? Modern research suggests that as middle-aged and elderly people age, the shoulder capsule atrophies and becomes smaller, and the synovial layer of the joint capsule and surrounding tissues become aseptically inflamed. This is called “frozen shoulder”. After the onset of frozen shoulder, the patient will initially experience shoulder joint pain, mainly when moving, and then the pain will gradually increase, mostly at night. In addition to pain, there is often a limitation of shoulder joint movement in all directions, with external rotation being the most common limitation. The main manifestations are the inability to raise and lift the shoulder, the inability to comb the hair, the inability to undress, and the difficulty in emptying the pockets of clothes and pants. What is the typical manifestation of “frozen shoulder”? The onset of “frozen shoulder” is slow, and the pain usually starts unconsciously and gradually worsens. The pain is mostly around the deltoid stop, which is the circle around the shoulder, and some patients may have pain in the elbow. In particular, many patients will have pain at night. In addition to the pain, the active range of motion of the shoulder joint is reduced in all directions, and the passive range of motion is also reduced, which means that the range of motion is limited across the board. Does all shoulder pain mean “frozen shoulder”? The answer is no. In many cases, “frozen shoulder” is like a wastepaper basket, and some doctors will diagnose all shoulder pains that do not have a clear cause as “frozen shoulder”. In fact, before diagnosing “frozen shoulder”, it is important to exclude other diseases that may cause shoulder pain. There are many diseases outside the shoulder joint that can cause shoulder pain. In middle age, angina pectoris, biliary colic, cervical spondylosis, and other diseases outside the shoulder joint can cause radiating pain to the shoulder. It is called radicular pain because during the onset of these disorders, the patient will feel pain in the shoulder joint, but there is no pain in the shoulder joint itself at this time and movement will not be limited. These shoulder pains will often have manifestations of the primary disease, so it is important to be alert and seek early treatment for the primary disease. Many other diseases of the shoulder joint itself can also manifest as shoulder pain, including osteoarthritis, rheumatoid arthritis, gouty arthritis, and so on. Among them, rotator cuff injury and subacromial impingement syndrome are the most easily confused with “frozen shoulder”. If you find that, in addition to shoulder pain, you have weakness in lifting your shoulder; or if you have pain when you lift your shoulder to about 60 degrees without pain at first, and then the pain decreases when you lift your shoulder more than 120 degrees, you may have more than “frozen shoulder”. At this point, you should go to the hospital promptly to get a clear diagnosis and guidance for treatment. Patients with “frozen shoulder” tend to have shoulder pain in all directions, and the range of motion is reduced in all directions. In many patients with rotator cuff injuries, the range of motion of the shoulder joint is approximately normal. Calcific tendonitis is a common disorder of the shoulder joint in middle-aged and elderly people, and is also easily confused with frozen shoulder. Calcific tendonitis often has an acute onset, with some patients experiencing fever, localized warmth of the shoulder joint skin, or localized elevation. When symptoms like these occur, it is important to think that this is not “frozen shoulder” and that you should go to the hospital, as surgery may be required. Some tumors, such as ligamentous fibroids, may have the same clinical presentation as frozen shoulder, but the pressure pain is sharp and hard. This can be distinguished by careful physical examination. Therefore, in general, the diagnosis of frozen shoulder cannot be made easily if one of the following conditions occurs: 1) the patient is very young; 2) the disease has lasted for more than two years; 3) there is abnormal pressure pain around the shoulder joint; 4) the shoulder joint rotates normally outward; 5) there is an abnormal shape; 6) the blood sedimentation is significantly accelerated in laboratory tests. Patients should go to the hospital even if the diagnosis is clear and treatment is guided. How to prevent “frozen shoulder”? Keeping the shoulder joint properly exercised, preventing shoulder sprains, and preventing the shoulder joint from getting cold can reduce the chance of “frozen shoulder”. Proper movement means slow, full range of motion of the shoulder joint, stretching of the upper extremity, but not long, strenuous upper extremity movements. Trauma is often the cause of frozen shoulder, so it is important to warm up during exercise to prevent sprain of the shoulder joint. Cold stimulation is also a trigger for frozen shoulder, so it is important to keep the shoulder joint warm. ”Frozen shoulder is a disease that can heal on its own. Usually, after six months to a year and a half, it will heal. During the period of illness, you can use anti-inflammatory painkillers such as Fotarine and Fenbuterol to reduce pain and eliminate inflammation. Rehabilitation exercises should be performed daily, mainly in all directions of movement. The method used is commonly known as “climbing the door frame”. The method is to stand by the door frame or wall every day, using the affected hand to climb upward on the door frame or wall, tugging the arm upward. Move slowly and gently, tolerate the pain, and lift as high as possible. Then there is the option of holding the door frame with the affected hand and turning the body in the opposite direction so that the affected shoulder joint is rotated outward as much as possible. You can also use ultrashort wave to assist in the treatment. If the pain is so severe that rehabilitation is not possible, you can also have the shoulder joint closed by a specialist. After the shoulder joint is closed, active rehabilitation exercises are performed. Once frozen shoulder is diagnosed, the most important thing to do is to rule out diabetes, because diabetics are 10 times more likely to get frozen shoulder than normal people, and the treatment is less effective. ”Frozen shoulder is not a scary condition in itself, and with reasonable rest and rehabilitation exercises, patients will heal successfully. However, a wrong diagnosis can delay the time of treatment and lead to bad consequences. Patients should know what is “frozen shoulder” and what is not “frozen shoulder”, so that they can make a correct judgment about their own body, consult a doctor in time and actively treat it.