Introduction to frozen shoulder in the broad sense

  Frozen shoulder in a broad sense includes: 1. “Falling pillow” Tendonitis of the upper inner corner of the scapula, which makes your neck painful and stiff, difficult to turn the neck, commonly known as “falling pillow”, the upper inner corner of the scapula is the lower fulcrum of the scapula, small rhomboid and trapezius muscles, etc. (above), and the pressure point is in the upper inner corner of the scapula. (stopping point in the occipital ridge), pressure pain point in the upper corner of the scapula, due to long hours of ambulation, easy to strain, tendon inflammation can cause stiffness of the neck muscles, pain when turning the neck difficult, commonly known as “pillow”, it is caused by the sterile inflammation of the muscles attached to it, not the pillow is not suitable to cause (do not waste (do not waste the silent pillow). The pain can radiate along the small rhomboid muscle of the scapula to the neck, so it causes pain and stiffness in the neck and is often misdiagnosed as cervical spondylosis. In its stop above the vertical it muscle fiber left and right dial massage one or two minutes later, the symptoms can immediately relieve a large part, and then eat some anti-inflammatory painkillers, Furtalin or ibuprofen, etc. on the good, local pressure pain point paste musk strong bone cream, and then do backward stretching chair exercises, you can treat and prevent.  2, triceps tendonitis, it makes the outside of your upper arm pain, writing on the blackboard, lifting your hand to comb your hair, taking off your clothes are very difficult . When checking the pressure point of the triceps stop, have the patient stand with his back to you, and feel a pressure point at the top of the “herringbone suture” in the armpit, which is the attachment point of the triceps at the outer edge of the scapula. When inflammation occurs, in addition to localized pain, it can also radiate down the outside of the upper arm, causing pain on the outside of the upper arm. Therefore, we put the plaster on the side of the upper arm. In fact, this muscle dominates the posterior extension and also cooperates with the fibers of the deltoid muscle to maintain the abduction of the upper arm, which makes it difficult for the patient to undress, write on the blackboard, lift the hand and comb the hair when it hurts. We should draw an “X” on top of the pressure point to apply the plaster. Do chair exercises to stretch the upper arm backward, while doing more rotational shoulder movements.  3, biceps tendonitis, it makes your shoulder joint pain and can not comb your hair. The pressure point is below the rostral process, the stopping point of the short head of the biceps muscle, in the “nest” of the shoulder joint as shown in the diagram, when inflammation occurs, the shoulder joint pain and shoulder abduction and external rotation is limited, the patient has difficulty in lifting the hand to do the combing action, take Fotalin 25mg 3 times a day before meals and do wall climbing exercises for biceps tendonitis. The patient faces the wall and stands close to it, puts the arm of the affected limb on the wall and slowly climbs upwards a little bit, stops when the patient’s body slowly leans forward and presses against the wall, driving downward pressure on the shoulder joint, must tell the patient that the exercise is effective only when the body presses down to the extent that the shoulder hurts a little bit but is tolerable.  The real culprit of common dizziness – occipital major neuralgia Dizziness and nausea are common in outpatient clinics, in the elderly, young and middle-aged people, and when reviewing the medical records they bring, most of the test results are normal, or mild cervical degeneration without clinical significance. However, they were put under the “hat” of various diseases and came to Beijing with anxiety. There is no such thing as “cerebral infarction”, “lack of blood supply to the brain”, “cervical spondylosis”… Some of them equate dizziness with cervical spondylosis just by the symptoms: dizziness. Some people equate dizziness with inadequate blood supply to the brain, and consider the combination of mild osteophytes (long bone spurs) and the so-called “straightening of the physiological curvature of the spine” as cervical spondylosis. Or, it may be mistaken for cervical spondylosis when the patient is afraid to turn his head because of dizziness and neck obstruction.  Here, I would like to remind you that another common cause of dizziness is occipital neuralgia, which is often combined with dizziness in the back of the head, migraine, dizziness in the eyes, like sleep, and in severe cases, nausea and spinning. Patients are afraid to turn their heads, etc.  What are the conditions that often trigger occipital neuralgia? After a long flight, after a financial or accounting task, or after a long period of time with the head down on the computer, the fatigue of the muscles in the occipital area brings about muscle strain, congestion, edema, and early degeneration of muscle fibers, and with a little wind, sterile inflammation occurs, triggering dizziness. degeneration, without proper physical examination, so I would like to remind you that large occipital neuralgia is more often a symptom of dizziness than cervical spondylosis.  Treatment: Relieving the compression in the stroke of the greater occipital nerve is the key to treating occipital neuralgia.  1, eliminate bruising and edema, relax spastic muscles, thus reducing symptoms: for obvious pain, use Fotarine 25mg 3 times daily, 15 minutes before meals orally, or add 0.2 of carbamazepine at night, orally. Topical Fasthone latex or anthralgia.  Mo massage the bone elevation place of the thick ridge outside the occipital area, after the massage, the head and neck will immediately feel very relaxed and the eyes immediately shine. The trapezius tendon and the capitellum muscle are attached to the inner upper corner of the scapula (at the x) and the ipsilateral triceps capitellum stop (at the x in the armpit), these two points are often affected at the same time.  2, closed treatment, such as 2% nufocaine or lidocaine 2ml plus Depo-Provera 1ml in the occipital ridge bone ridge closed, the symptoms can be immediately relieved. But it is easy to recur.  3, exercise medical gymnastics for occipital neuralgia, strengthening the neck muscles and improving the stability of the cervical spine are the fundamental measures to treat and prevent recurrent attacks. Through relaxing neck exercises, active blood circulation in the cervical spine area, eliminate bruising and edema, relax spastic muscles, thus reducing symptoms; and can enhance the neck muscles and their ability to tolerate fatigue and resist stimulation by factors such as weather changes, wet and cold, thus consolidating the treatment effect and preventing recurrent attacks. Doing chair exercises is a simple, feasible and effective prevention and treatment method.  Chair exercises – neck and lumbar spine stretching exercises.  1, sitting on a firm chair, hips against the back of the chair, open the upper arms to stretch the spine backward, head and neck back; 2, when the back of the shoulders against the back of the chair, the muscles of the head and neck continue to contract back. At the same time, forcefully expand the chest twice. The above action is mainly exercise to treat shoulder and back pain, head and neck back stretch very gently, slowly stretch (a minute to do 8D10), and then slowly bend forward to relax, so back and forth to do. Practice 2-3 times a day, 20-30 minutes each time. Tired can take a nap, white-collar work for 5 minutes after an hour, exercise.