Shoulder and chest pain
1.Intercostal neuralgia
Intercostal neuralgia English name is the neuropathic pain along the distribution area of the intercostal nerve caused by the stimulation of various etiologies, there are two types of primary and secondary, most of the pain is related to the following factors.
1, trauma, soft tissue injury to the chest, fracture, misalignment of thoracic vertebral joints, (such as violent coughing, sneezing), after chest surgery.
2, inflammation: herpes zoster and other viruses, tuberculosis, rheumatism, and soft tissue inflammation.
3, metabolic pain: diabetic unperipheral neuritis, osteoporosis, has alcohol poisoning, nephritis, etc.
4, tumor or metastatic Ca, etc., thoracic vertebral osteophytes, degenerative changes in the nucleus pulposus.
Clinical manifestations of intercostal neuralgia.
Pain along the affected nerve distribution area skin and subcutaneous, superficial parts are segmental distribution, from the back thoracic vertebrae to the anterior chest in a semi-circular shape, can develop multiple intercostal nerves, the boundaries are more obvious pain nature of pressure-like, pinprick-like, knife-like, burning-like severe pain, mostly persistent or paroxysmal aggravation, bending, twisting, coughing, sneezing, deep breathing can aggravate the pain, sometimes there can be a bundle of sensation or skin irritation, hyperalgesia The examination of the affected thoracic vertebrae may cause pressure pain and allergic intercostal pressure pain. X-ray or CT examination may reveal narrowing of the thoracic space, sclerosis of the cartilage plate, hyperplasia, changes in the physiological scoliosis of the spine, and other corresponding disease manifestations may also be seen. Treatment generally includes bed rest, application of non-steroidal analgesics, acupuncture, baking electric paravertebral or intercostal nerve block, and amber cream external paste can effectively improve the treatment of this disease with very satisfactory results, no pain and no side effects.
2, costochondritis
The clinical manifestation of costochondritis, also known as anterior chest wall syndrome, is a common cause of anterior chest pain, because the pain site in the anterior chest, it is easy to confuse with angina, patients often mistakenly think they have coronary heart disease, the cause is generally related to trauma, viral infection, rib cartilage development malnutrition, inflammation of the thoracic rib joints, myofasciitis, its clinical manifestation is anterior chest pain, mostly soreness and swelling pain, the onset of acute or slow, sometimes light and sometimes heavy, can be due to turning over The clinical manifestation is anterior chest pain, mostly soreness and swelling, which is acute or slow in onset, sometimes mild and severe, and can be aggravated by turning over, coughing, deep breathing, upper limb activities, sometimes radiating to the upper limbs. In clinical practice, it should be distinguished from coronary angina, tuberculosis pleurisy and other diseases, and the treatment should pay attention to rest, avoid overexertion of upper limbs, local heat physiotherapy, and apply amber ointment to effectively cure this disease.
3, dorsal myofascial pain syndrome
Dorsal myofascial pain syndrome, is a common cause of back pain, back muscles, holding continued strain, strain, such as some specific work and sports, long-term bad posture, degenerative changes in the thoracic spine can cause dorsal myofascial pain, common dorsal muscle syndrome are latissimus dorsi syndrome, anterior serratus syndrome, prismatic muscle syndrome, thoracic spine disorder syndrome, intercostal myofascial syndrome, etc.. These syndromes are characterized by pain confined to the corresponding muscles or nearby, sometimes accompanied by movement disorders activity pain, especially long working hours are most likely to trigger pain, from mild soreness to severe dull pain or sharp pain, physical examination can be palpable local corresponding pain points or muscle contracture nodes as shown in Figure C treatment appropriate rest, avoid muscle overload prolonged exertion, correct poor posture, develop good exercise habits, for prevention is very It is important to use amber cream topically to treat back pain, and the effect is better, faster and more thorough with physical therapy and massage.
1.What is frozen shoulder, what are the clinical manifestations and treatment;
2.How to do self-exercise for frozen shoulder disease.
3.Self-massage, prevention and treatment of frozen shoulder.
4.How does tennis elbow occur, what are the symptoms and how to treat it?
Chicken soup with bone wind
[Ingredients] 90g of chicken, 15g of bone-seeking wind, 12g of wei ling xian, 18g of elderberry, and the right amount of honey dates
[Method] Wash all the ingredients and put them together in a casserole. Add water and simmer for 2 hours with moderate heat, season to taste.
[Usage] Drink as much as you like.
[Effects] Dispelling wind and dampness, invigorating blood circulation.
[Indications] For periarthritis of the shoulder joint
Wu Jia Pi Herbal Wine
[Ingredients] Wujia Pi 150g, Angelica Sinensis 15g, Cinnamon 150g.
[Effects] Promoting blood circulation, dispelling wind and dispersing cold.
[Indications and contraindications] Used for periarthritis of the shoulder joint
How does tennis elbow occur and what are the symptoms? How is it treated?
Tennis elbow is also known as epicondylitis of the humerus.
Tennis elbow is also known as epicondylitis of the humerus. It is mainly caused by the repeated strong movement of the forearm extensor muscle group, which tears the tendons and muscle fibers and causes bleeding and adhesions, resulting in aseptic inflammation. The pain can be aggravated by holding things in the hands (such as sweeping, twisting towels, carrying pots), and sometimes it can be aggravated on cloudy days.
If not treated in time, it can become chronic and stubborn in a week. At this time, we can use the loosening liquid method, together with manipulation and amber ointment, to achieve a cure.
What is frozen shoulder?
Frozen shoulder is an aseptic reaction of the soft tissues around the shoulder (such as the joint Z shoulder ligament). It is called “shoulder palsy” and “shoulder strain” in Chinese medicine.
What are the clinical manifestations of frozen shoulder?
The main symptoms of frozen shoulder are pain around the shoulder, limited movement or stiffness of the shoulder joint, dull pain or cutting pain, which is aggravated at night, and difficulty with simple movements in daily life. Chinese medicine believes that frozen shoulder is a result of old age, deficiency of qi and blood, invasion of wind, cold and dampness into the shoulder, and detention of the meridians.
How to treat frozen shoulder?
For mild periarthritis, we apply “amber soft cream” externally. In combination with exercise, you can generally recover. For severe frozen shoulder, we use the “liquid release method”, together with the external application of “amber soft and firm cream” and the internal use of “kidney soft and firm capsule” to cure it in one course.
How to do self-exercise for frozen shoulder?
1.Wall climbing exercise, facing the wall, both feet apart and shoulder width, upper limb forward, fingers do wall climbing and gradually increase from low to high, so that the shoulder and arm muscles have a pulling pain, repeat 10 times, insist on practicing.
2.Posterior extension pressure shoulder, back to the table, hands on the table, repeated squatting, repeat 10 times, practice shoulder joint posterior extension function.
3.Standing circle, battle standing, arms straight, avoid bending, maximum slow clockwise circle from bottom up on time, repeat 10 times, repeat.
4.Pull wheel exercise, install a small pulley, and wear a rope in the pulley, tie a small wooden stick at each end of the rope, use the healthy side arm to drive the string side arm, pull up and down, 3 times each time. Exercise and treatment of frozen shoulder have the same important role, so be persistent, action in place, adhere to the correct and effective exercise can prevent muscle adhesions to improve muscle spasm, accelerate blood circulation, so that the condition is eliminated as soon as possible.
Self-massage, prevention and treatment of frozen shoulder
(1) Knead the shoulder. Rub the anterior side of the patient’s shoulder and deltoid muscle with the large fissure of the healthy side hand for about 2-3 minutes, first lightly and then heavily.
(2) Pinch the deltoid muscle The thumb of the healthy hand and the index and middle fingers pinch the deltoid muscle of the affected shoulder with symmetrical force for 2-3 minutes, and gradually descend to the upper arm and forearm, first lightly and then heavily.
(3) Press and rub the acupuncture points Press and rub the acupuncture points of Tianzong, shoulder k, shoulder s and shoulderzhen. Each point for about half a minute.
(4) Pressing painful points Point the end of the thumb or middle finger and press the pressure points on the front and periapical parts of the shoulder, from light to simultaneous shoulder joint movement to enhance the effect of point pressing.
(5) Play Jiuquan Use the five fingers of the healthy hand to grasp and squeeze the patient’s anterior pectoralis major and posterior shoulder major muscles several times symmetrically, and use the thumb and index finger to play and squeeze the axillary tendon (Jiuquan point) for 2-3 times, so that the acidity and numbness are released to the fingers.