Rheumatic frozen shoulder is characterized by shoulder joint pain and limited mobility. Rheumatic frozen shoulder usually develops around the age of 50, is more common in women than men, and is more common in manual laborers. Without timely and effective treatment, it may seriously affect the functional activities of the shoulder joint.
What are the symptoms of rheumatoid frozen shoulder?
In the early stages of rheumatoid frozen shoulder, the shoulder joint has paroxysmal shoulder pain, which is often triggered by weather changes and exertion, and then gradually develops into persistent pain, which gradually worsens, with lighter days and heavier nights. It is often characterized by soreness or heavy pain and swelling, and may be accompanied by difficulty in lifting the shoulder.
Rheumatic frozen shoulder is characterized by wandering joint swelling and pain, and is unstable in location, often moving from one joint to other joints. The affected joints are symmetrical, with large joint lesions predominating, and acute inflammatory manifestations of joint redness, swelling, heat and pain may occur in acute cases. In rheumatoid frozen shoulder, the blood test “0” and blood sedimentation may be positive.
The onset of rheumatoid frozen shoulder is characterized by a symmetrical polyarticular disease that starts in the small joints of the hands and feet and involves the large joints. Rheumatoid frozen shoulder has varying degrees of pain and functional impairment in the joints. In addition, proneural swelling or atrophy of the surrounding muscles may occur in the diseased joint.
How to treat rheumatic frozen shoulder?
I. Physical therapy
Choose high frequency electromagnetic therapy such as ultra-short wave, once a day for 10 days as a course of treatment. It can play the role of anti-inflammatory, analgesic, antispasmodic, improve blood circulation and relax muscles.
Second, functional exercise
1.Shoulder Ending
Shoulder end exercise is the key therapy for frozen shoulder, which can help to relieve shoulder pain. First do the end shoulder movement (shrug upward) of the left shoulder, then do the end shoulder movement of the right shoulder, alternating between left and right, doing more than 20 strokes each time.
2.Rub your back
The affected arm touches the back from the lower side of the back, and the good arm pulls the affected arm from the upper side of the back. Often the two arms are difficult to touch each other, then you can use a towel to connect the two arms, as rubbing the back.
3, climbing the wall
Lie face down on an empty wall, arms close to the wall, fingers drive the arms gradually upward to do the action of climbing the wall. Keep the body stable and immobile, try to make the arms climb higher and higher, until the pain can not go up. As long as you can strive to make your arms climb upwards every day, you can gradually relieve shoulder pain over time.
4.Circle
Every hour or two, do some arm circles. You can make circles in the up and down direction or in the front and back direction, alternating clockwise and counterclockwise. One hand can be forked in the waist, the other arm circles, but also two arms at the same time. The movement must be slow and deep when rowing.
5, comb your hair
Alternate hands from the forehead, the top of the head to the back of the pillow, behind the ears around the head in a circle, just like doing hair combing action. Do more than 20 times each time. You can also do head-hugging action: stand with two feet shoulder-width apart, crossed hands clutching the back of the head. Two elbows pulled apart, parallel to the body. Two elbows together, like holding the head, repeatedly alternating at least 20 times.
6.Flying bird
Stand normally, legs slightly bent, chest up and head up to keep the upper torso upright. Arms close on both sides of the body, elbow off machine bent to 90 °, hands holding dumbbells or fists. Exhale with your arms raised flat upward and stay there for 2-3 seconds, feel your shoulder muscles tighten, then slowly lower them.
Keep the elbow joint body in the same plane, finish the action must tighten the back muscles, so that the torso in a stable situation, can not swing back and forth. 20 times for a group, each exercise to do 3-5 groups, to be gradual, if the first time to do a lot of words, will cause muscle soreness, exercise effect is not good.
7, shake hands
Stand with both feet apart, two arms straight, while making front and back swing, and gradually increase the swing amplitude. Each time you can do 30-60 times, 1-3 times a day.
8.Spread your wings
Cross the fingers of both hands and place them behind the head on the occipital neck, bend the elbow joints first to do inward, and then do outward, chest, to expand the range of motion of the two shoulder joints. Repeat the activity 20-30 times, 1-3 times a day.
9.Tui Na
Use the palm of the healthy hand to rub and press the acupuncture points such as the large vertebrae, shoulder well and Hegu, and use the rubbing method on the inner and outer side of the upper limb, and operate up and down, inside and out 3-5 times. Combine with the front and back rotation of the shoulder joint 10-20 times each.
Western medicine treatment
1.Non-steroidal anti-inflammatory drugs
In case of severe joint pain, they can be applied in small amounts to relieve the pain, and then discontinued after relief.
2.Adrenocorticosteroids
These drugs can inhibit metabolic reactions, control the development of inflammation and reduce inflammatory exudation, but generally try not to use. Drugs such as prednisone, 10-20mg per day, divided into 2-3 times to take. Or dexamethasone 1.5mg per day, divided into 2 doses.
Fourth, the drug bath method
1. 30g of Fangji, 30g of Weilingxian, 30g of Wujiapi, 30g of Qiangwu, 30g of Doklam, 30g of Chuanxiong, 30g of Red Peony, 30g of Safflower, 30g of Papaya, 30g of Chrysanthemum, 30g of Qianxianjian, 30g of Haifengvine, 30g of Qingfengvine, 30g of Mulberry, 30g of Strychnine, 30g of Stretching Herb, 30g of Turbinicarpus.
2. 15g each of Radix Rehmanniae Sinensis, Radix Rehmanniae, Radix Rehmanniae Sinensis, Ephedra, Osmanthus, Radix Gui, 12g each of Radix Angelicae Sinensis, Safflower, Chuan Wu, Cao Wu, Mucuna Pruriens, Boswellia, Myrrh, Rhizoma Chuanxiong.
Soak the medicine in cold water in an iron porcelain basin for 2 hours, then decoct for 20 minutes on a gentle fire without removing the slag, and after placing at a suitable temperature, use a towel dipped in the liquid to apply a hot compress to the affected area, or directly bathe the affected area with the liquid, and add warmth when using again, and renew the water before adding warmth. 1 to 2 times a day, 30 minutes each time, each dose of medicine available for 1 week.
Five, medicine compress therapy
The medicine should be coarsely chopped, and the raw salt should be stir-fried in a pot, and then added to the Chinese medicine and stir-fried until it changes color, then poured into a cloth bag and applied to the affected shoulder. Re-fry and reapply at intervals, 3 times a day.