Frozen shoulder is caused by soft tissue lesions around the shoulder joint, resulting in shoulder joint pain and dysfunction. It is a common disease after middle age, and is often called “fifty shoulder” because it occurs around the age of 50. During the course of the disease, the shoulder joint may become frozen shoulder (or shoulder coagulation) gradually due to the degree of limitation of the shoulder joint activities. We have learned in our clinical practice over the years that frozen shoulder can be considered a symptom of cervical spondylosis or another manifestation of cervical spondylosis. Clinical manifestations More women than men (about 3:1), more left shoulders than right shoulders. It has a slow onset, mostly without a history of trauma, and a few with only minor trauma. The main symptoms are gradually increasing shoulder pain and limitation of shoulder joint movement. The pain is usually located in the anterolateral shoulder, and sometimes it can radiate to the elbow, hand and scapular area, but there is no sensory impairment. The pain worsens at night, affecting sleep, and prevents the patient from lying on the affected side. There is widespread pressure pain around the shoulder joint, and the pressure pain is most obvious with the long head tendon of the biceps. In the early stage, the shoulder joint movement is only mildly affected by internal and external rotation, while in the late stage, the upper arm is in internal rotation and movement is limited in all directions. Patients cannot wear clothes, hats, or comb their hair. At this time, shoulder muscle atrophy is obvious, and sometimes blood circulation in the upper limbs is impaired due to concurrent vasospasm, resulting in swelling, coldness, and painful hand activity in the forearm and hand. Many patients have soreness and tiredness in the neck or pain and tiredness in the shoulder. The causes of frozen shoulder are still unclear, but it is generally believed to be related to the following factors: 1) reflexive shoulder pain caused by diseases outside the shoulder joint, such as coronary heart disease, pneumonia, cholecystitis, etc., which restrict the movement of the shoulder joint. 2) fracture of the upper limb, cervical spondylosis, etc., which causes the upper limb to be fixed beside the body for too long. 3) degeneration of the soft tissues surrounding the shoulder joint, such as subacromial bursitis, supraspinatus tendonitis, biceps longus tendonitis, etc. 3) Degeneration of soft tissues around the shoulder joint, such as subacromial bursitis, supraspinatus tendinitis, biceps longus tendinitis, etc. Therefore, neck injury (including chronic accumulative injury, such as long-term sleeping on a high pillow, long-term low head work, habitual head shaking, and direct and indirect trauma to the head and neck) or invasion of wind, cold, and dampness can cause the internal and external balance of the cervical spine to become imbalanced (making the lower cervical segment of the cervical spine This causes the internal and external balance of the cervical spine to become imbalanced (dislocation of the cervical vertebrae in the lower cervical segment, changes in the intervertebral foramina, changes in the hook vertebral joint, and stimulation of the cervical spinal nerve and sympathetic nerve), resulting in contraction and spasm of the muscles around the shoulder joint, resulting in painful atrophy and aseptic inflammation of the shoulder (frozen shoulder). Treatment According to the patient’s specific condition, we can combine Chinese and Western medicine to provide comprehensive treatment, and generally receive good results. 1.Manipulation therapy: pointing, tendon relaxation, tendon division and tendon shuffling can be used to relieve pain, relax tendons and blood, disperse wind and channels, harmonize qi and blood, relieve spasm, relax muscles, loosen shoulder joint adhesions and improve the range of motion of the joint. 2.Injections and nerve blocks at painful points: according to the specific condition, injections can be given to the subacromial, rostral process, scapularis elevator muscle stops, infraspinatus muscle and small garden muscle stops. 3, Chinese medicine treatment: a. local muscle spasm and swelling, pain is significant, the treatment is appropriate to dispel blood stasis, swelling and pain, the formula with peach red four things soup or An Piao Tang; b. muscle atrophy, joint stiffness, pain is reduced when warm, the treatment is appropriate to warm the meridian, liver and kidney, the formula with three paralysis soup or Huang Qi Gui Zhi Tang plus flavor, external hot rice vinegar; c. external washing to choose the agent to pass through the pain, such as the external washing treatment of Haitongpi Tang. 4.Western medicine treatment: anti-inflammatory and pain-relieving drugs can be used. 5.Acupuncture and moxibustion treatment: to dredge the qi and blood, relax the tendons and open the ligaments. Shoulder Yu, shoulder s, shoulder well, Tian Ding, shoulder three needles, Qu Ji, Wai Guan, Hegu, Qu Ji, Hou Xi, contralateral pension, etc. 6.Physiotherapy: polarized light irradiation, infrared irradiation, ion introduction, etc. 7.Joint adhesion release under anesthesia: the shoulder joint adhesion release maneuver can be implemented after the brachial plexus nerve anesthesia (in the anterior and middle oblique intermuscular sulcus, with 1:200,000 U epinephrine in 15-20 ml of 1% lidocaine). 8.Suspension therapy: During the acute inflammation period, the shoulder can be suspended by a triangular scarf for 5-10 days. 9.Functional exercise: During the treatment period, exercise should be strengthened to consolidate the therapeutic effect. Such as wall climbing exercise, the method is: the patient facing the wall, so that the tip of the nose, abdomen, toes and wall, the affected side of the hand with the chest high against the wall, slowly climb up until you can not go up, and pencil to write down the height, so that the next time to do for comparison, once a day. 10. Treatment of cervical spondylosis: Since the cause of frozen shoulder is caused by cervical spondylosis, treatment of cervical spondylosis should be carried out at the same time as treatment of frozen shoulder see “Cervical spondylosis – the most complex disease with symptoms”. In this way, both the symptoms and the root cause can be treated, and the effect of rapid healing and less likely to recur can be achieved.