What factors can affect the effectiveness of acupuncture for frozen shoulder?

  Frozen shoulder has a slow onset and a long duration, usually within 1 year, and in longer cases up to 1-2 years. Some patients who receive acupuncture treatment often have a course of treatment that exceeds several months, six months, or even longer. Patients often lose confidence in treatment, and sometimes, acupuncturists also find it difficult to cope with.  The reason for the lack of effectiveness of the treatment, the reasons for this are the following factors.  1, follow the conventional acupuncture points of the textbook, deviated from the lesion site Shoulder joint periarthritis is often a different acute inflammation of the shoulder periaponeal failure to get timely treatment developed, and the affected muscle groups also vary from person to person, different. However, in general, it is mainly manifested in the three parts of the shoulder, the front and back of the shoulder and the arm, and the specific parts, such as the lesion site in the front of the shoulder, can vary greatly from person to person. Some acupuncturists clinically select acupuncture points according to the textbook stereotype, such as shoulder, peri-shoulder, shoulder well, arm, quchi, etc. The chances of these points, except for the arm, occurring as the focal reaction point of frozen shoulder, are rare, but clinically they always select the shoulder, peri-shoulder, which deviates from the lesion site.  2, acupuncture needles are too thin to achieve the expected curative effect At present, acupuncture needles made by acupuncture manufacturers are getting thinner and thinner, the original fine needles, No. 30 0.32mm thick needles are replaced by No. 31 0.30mm thick needles, No. 32 0.28mm thick needles are replaced by No. 33 0.25mm thick needles. In order to reduce the pain of needling, many practitioners are keen to choose 0.25mm thick and thin needles for needling, regardless of whether it is an internal disease or a meridian disease.  Periarthritis is a chronic inflammatory lesion of the soft tissues around the shoulder joint, and the local soft tissues around the shoulder can produce adhesions, relying on small, slender needles. Even if the needles are in place, it is difficult to soothe the adherent soft tissues. Therefore, to improve the therapeutic effect of acupuncture, it is best to use 0.35mm thick needles, or at least 0.30mm thick needles, 0.25mm thick needles have very little effect.  3, the application of moxibustion when not as expected, resulting in acute inflammation to chronic disease moxibustion for this type of disease has a better therapeutic effect, chronic inflammation of the shoulder is often from acute inflammation, such as early acute inflammation, such as biceps tendonitis, can be in the early stage of the onset of acupuncture, and with a large moxibustion, can prevent the patient into chronic periarthritis of the shoulder. Therefore, moxibustion treatment is very necessary at the right time.