Frozen shoulder is also known as periarthritis of the shoulder joint, commonly known as frozen shoulder, fifty shoulder, and frozen shoulder. It is a chronic and specific inflammation of the shoulder capsule and its surrounding ligaments, tendons and bursa. Frozen shoulder is a common condition characterized by shoulder joint pain and inconvenience. It is characterized by a gradual development of shoulder pain, especially at night, and a gradual increase in shoulder joint function. The prevalence of this disease is around 50 years old, with a slightly higher incidence in women than in men, and it is mostly seen in manual workers. If not effectively treated, it may seriously affect the functional activities of the shoulder joint. There may be widespread pressure pain in the shoulder joint that radiates to the neck and elbow, and there may be varying degrees of atrophy of the deltoid muscle.
I. Treatment of periarthritis in various parts of the shoulder.
1. “Falling pillow”: tendonitis of the internal superior scapula: it makes your neck painful and stiff, and makes it difficult to turn your neck, commonly known as “falling pillow”. The upper inner corner of the scapula is the lower stop of the scapular muscles, the lesser rhomboid and trapezius muscles. The pressure point is at the upper inner corner of the scapula, which is prone to strain due to long hours of ambulatory work. Tendon inflammation can cause stiffness in the neck muscles, and it is difficult to turn the neck when it is painful, commonly known as “drop pillow”. It is caused by a sterile inflammation of the muscles attached to it, not caused by an inappropriate pillow. The pain can be radiated to the neck along the small rhomboid muscle of the scapula, so it causes pain and stiffness in the neck and is often misdiagnosed as cervical spondylosis. After a minute or two of massage above its stopping point vertical its muscle fibers around, the symptoms can immediately be relieved a large part, and then eat some anti-inflammatory painkillers on the good. Local pressure pain point plaster, and then do backward extension of the chair exercise, you can treat and prevent.
2, triceps tendonitis: It makes the outside of your upper arm hurt, and it is difficult to write on the board, lift your hand to comb your hair, and take off your clothes. When checking the pressure point of the triceps stop, a pressure point can be felt at the top of the “human” suture in the armpit, which is the point of attachment of the triceps at the outer edge of the scapula. The painful point can also be found by turning sideways during the examination, extending the arm 90 degrees, and pressing the point where the arm is perpendicular to the scapula. In addition to localized pain, the inflammation can also radiate down the outside of the upper arm, causing pain on the outside of the upper arm and making it difficult to undress. This area is difficult to find, and patients are often confused about where the pain is, so they put the plaster on the side of the upper arm. In fact, this muscle dominates the posterior extension and also works with the fibers of the deltoid muscle to maintain the adduction of the upper arm. Do chair exercises to stretch the upper arm backwards, while doing more rotational shoulder movements.
3. Biceps tendonitis: It causes pain in your shoulder joint and prevents you from combing your hair. Its pressure point is below the rostral process, where the short head of the biceps stops, in the fossa of the shoulder joint shown in the figure. When inflamed, the shoulder joint pain and limited abduction and external rotation of the shoulder joint make it difficult to lift your hand to do the combing motion. You can take non-steroidal anti-inflammatory and analgesic drugs before meals, and do wall climbing exercises for biceps tendonitis.
Biceps tendonitis wall climbing exercise practice: facing the wall close to the wall standing, the affected arm on the wall, hand slowly little by little to climb up, climb to the upper not to stop, and then the body slowly lean forward pressure, stick to the wall, driven downward pressure on the shoulder joint. Be sure to pay attention to the exercise, to the body downward pressure to the shoulder a little pain, but can tolerate the degree to be effective.
4.Supraspinatus tendonitis: It prevents you from abducting the shoulder joint. The pressure point is at the head of the humerus near the shoulder joint, so mark it well and close it or put a plaster on it.
Exercise exercises for supraspinatus tendonitis: turn sideways to the wall, the affected limb as practice biceps exercises amble up the wall slowly, the movement of the body drives the pull of the shoulder joint. Every day when you go to bed, put a sandbag or hot water bag on the affected shoulder that is not covered by the quilt to keep it warm. When the muscles in your shoulder joint area are loosened and don’t hurt, don’t forget the pain, you should also keep consolidating and do the chair exercises I designed, and keep exercising again and again. Patients who have frozen shoulder should do the chair exercise, when the upper limb is strongly backward to a certain degree, then continue to do a few rotational shoulder joint movements, so that the prevention and treatment of shoulder and back pain and frozen shoulder exercises combined, this exercise is easy for patients to grasp, easy to do, when doing the pain level can be controlled by themselves, can tolerate, not easy to cause them to resent, and can persist for a long time. I’ve been using it for some years now and it’s really effective. However, patients should be told that the exercise must be effective only when it is a little painful to press down.
Second, the prevention of frozen shoulder.
1. Strengthening physical exercise is an effective way to prevent and treat frozen shoulder. Strengthening the shoulder joint muscles can prevent and delay the occurrence and development of frozen shoulder. According to the survey, the chances of frozen shoulder attack dropped a lot among the people with developed shoulder joint muscles and high strength. Therefore, the exercise of strong ligaments and muscles around the shoulder joint is of great significance for the treatment and recovery of frozen shoulder.
2. Cold is often a trigger for frozen shoulder. Therefore, in order to prevent frozen shoulder, middle-aged and elderly people should pay attention to keeping their shoulders warm and cold, and do not let them get cold. Once you catch a cold, you should not delay treatment.
3.The following are the actions to prevent and treat frozen shoulder.
(1) Elbow flexion and shaking: Patients stand with their backs against the wall or lie on their backs with their upper arms against their bodies, flexing their elbows and using the elbow point as a fulcrum for external rotation activities.
(2) Finger climbing wall: The patient stands facing the wall, slowly climbing upward along the wall with the affected side fingers, making the upper limb as high as possible, to the maximum, making a mark on the wall, and then slowly going back down to the original place, repeatedly, gradually increasing the height.
(3) Posterior hand pulling: The patient stands naturally, and in the posture of internal rotation and backward extension of the affected upper limb, the healthy hand pulls the affected hand or wrist, gradually pulling it toward the healthy side and pulling it upward.
(4) Arm extension standing: the patient’s upper limbs naturally droop, arms straight, palms down slowly abduct, lift upward with force, stop for 10 minutes after reaching the maximum, then return to the original position, repeatedly.
(5) Posterior extension of the spine: the patient stands naturally, in the posture of internal rotation and posterior extension of the affected upper limb, flexes the elbow, flexes the wrist, touches the spinal eminence with the finger of the middle finger, gradually moves upward from the bottom to the maximum and then stays still for 2 minutes, then slowly moves downward back to the original position, repeatedly, gradually increasing the height.
(6) hair comb: the patient can stand or lie on his back, the affected side of the elbow flexion, forearm forward up and rotate forward (palm up), try to rub the forehead with the elbow, that is, sweat wipe action.
(7) Head and pillow hands: The patient lies on his back, crosses the fingers of both hands, palms up, and puts them on the back of the head (occiput), first makes both elbows inward as much as possible, and then extends them as much as possible.
(8) Shoulder rotation: The patient stands, the affected limb drops naturally, the elbow is straightened, and the affected arm circles from the front upward to the backward, with the amplitude from small to large, repeated several times.
The above eight movements do not need to be done every time, you can choose to exercise alternately according to your specific situation, 3-5 times a day, generally do each movement about 30 times, more or less, as long as you are persistent, the prevention and treatment of frozen shoulder will be very beneficial.