Frozen shoulder, also known as periarthritis, adhesive shoulder arthritis, and fifty shoulder, is caused by soft tissue lesions around the shoulder joint that lead to shoulder pain and dysfunctional activities. It is more common in patients over 40 years old, with more women than men (about 3:1) and more left shoulders than right shoulders. Freezing shoulder has a long duration of disease, and the pain and reduced mobility of the shoulder joint cause inconvenience to the patient. In the early stage, the pain in the affected shoulder and arm is paroxysmal, often aggravated by rainy days or exertion, and then gradually develops into persistent pain. The nature of the pain is soreness or dull pain, and the movement of the affected shoulder is limited, such as the pain is aggravated when the upper arm is lifted, abducted, rotated and wrapped around, etc. There may be tearing pain during a certain rotation movement, which is unbearable. At the same time, the functional activities of the shoulder joint in all directions are limited to varying degrees, especially in abduction, internal rotation and supination, which are the most severe. When the upper arm is abducted, the scapula also swings and the phenomenon of “anti-shoulder” occurs. Daily activities such as combing hair, dressing, pocketing and back touching are obviously limited or cannot be completed. Finally, the “frozen shoulder” is formed, which seriously affects life and work. In addition, because of the patient’s fear of pain, the shoulder joint is inactive for a long time, so in the late stage, the shoulder muscles such as deltoid muscle can be seen to have different degrees of disuse atrophy, which is manifested by the loss of the full appearance of the lateral deltoid muscle, the protrusion of the shoulder peak, and the decrease of the shoulder muscle strength. In cases of prolonged frozen shoulder, muscle contracture and stiffening may occur due to long-term local blood circulation disorders, which may further aggravate the degree of limitation of upper arm movement. The treatment principle of frozen shoulder is staged treatment, which is divided into three stages: early stage, freezing stage, and recovery stage. These are the different stages of frozen shoulder or the severity of the symptoms. The treatment of frozen shoulder should be mainly conservative. Generally speaking, if the diagnosis is timely and the treatment is appropriate, the course of the disease can be shortened. The motor function can be restored early. Early stage: i.e. the painful stage, the patient’s pain symptoms are heavy. In contrast, dysfunction is often due to muscle spasm caused by pain, so treatment is mainly aimed at relieving pain and preventing joint dysfunction. Pain relief can be achieved by using sling braking. This allows the shoulder joint to rest adequately. It is generally not advisable to use massage or tui na methods too early to prevent the pain symptoms from worsening and prolonging the course of the disease. Some active exercises can also be taken to control the shoulder joint mobility. After the acute period has passed, massage and massage can only be used to improve blood circulation and promote local inflammation to subside. Freezing phase: Joint dysfunction is the main problem in this period, and pain is often caused by joint movement disorders. Treatment focuses on restoring the function of joint movement. The treatment used can be physiotherapy, massage, massage, medical sports and other measures to release the adhesions and expand the range of motion of the shoulder joint. The purpose of restoring normal joint movement function. For the symptoms of dysfunction, patients with severe frozen shoulder can be separated from the adhesions by using the method of large massage under anesthesia if necessary. During this phase, functional exercises of the shoulder joint should be adhered to. In addition to passive exercises, the patient should actively cooperate and carry out functional training of active exercises. Active exercise is an extremely important part of the whole treatment process. Frozen shoulder, also known as periarthritis, adhesive shoulder arthritis, and fifty shoulder, is caused by soft tissue lesions around the shoulder joint, resulting in shoulder pain and dysfunctional movement. It mostly occurs in patients over 40 years old, more women than men (about 3:1), and more left shoulders than right shoulders. Freezing shoulder has a long duration of disease, and the pain and reduced mobility of the shoulder joint cause inconvenience to the patient. In the early stage, the pain in the affected shoulder and arm is paroxysmal, often aggravated by rainy days or exertion, and then gradually develops into persistent pain. The nature of the pain is soreness or dull pain, and the movement of the affected shoulder is limited, such as the pain is aggravated when the upper arm is lifted, abducted, rotated and wrapped around, etc. There may be tearing pain during a certain rotation movement, which is unbearable. At the same time, the functional activities of the shoulder joint in all directions are limited to varying degrees, especially in abduction, internal rotation and supination, which are the most severe. When the upper arm is abducted, the scapula also swings and the phenomenon of “anti-shoulder” occurs. Daily activities such as combing hair, dressing, pocketing and back touching are obviously limited or cannot be completed. Finally, the “frozen shoulder” is formed, which seriously affects life and work. In addition, because of the patient’s fear of pain, the shoulder joint is inactive for a long time, so in the late stage, the shoulder muscles such as deltoid muscle can be seen to have different degrees of disuse atrophy, which is manifested by the loss of the full appearance of the lateral deltoid muscle, the protrusion of the shoulder peak, and the decrease of the shoulder muscle strength. In cases of prolonged frozen shoulder, muscle contracture and stiffening may occur due to long-term local blood circulation disorders, which may further aggravate the degree of limitation of upper arm movement. The treatment principle of frozen shoulder is staged treatment, which is divided into three stages: early stage, freezing stage, and recovery stage. These are the different stages of frozen shoulder or the severity of the symptoms. The treatment of frozen shoulder should be mainly conservative. Generally speaking, if the diagnosis is timely and the treatment is appropriate, the course of the disease can be shortened. The motor function can be restored early. 1.Early stage: i.e. the painful stage, the patient’s pain symptoms are heavy. The dysfunction is often due to muscle spasm caused by pain, so the treatment is mainly aimed at relieving pain and preventing joint dysfunction. Pain relief can be achieved by using sling braking. This allows the shoulder joint to rest adequately. It is generally not advisable to use pushing and massage methods too early to prevent the pain symptoms from worsening and prolonging the course of the disease. You can also take some active exercises to control the mobility of the shoulder joint. After the acute period has passed, you can use massage to improve blood circulation and promote local inflammation to subside. 2. Freezing period: Joint dysfunction is the main problem in this period, and pain is often caused by joint movement disorders. Treatment focuses on restoring the function of joint movement. The treatment used can be physiotherapy, massage, massage, medical sports and other measures to release the adhesions and expand the range of motion of the shoulder joint. The purpose of restoring normal joint movement function. For the symptoms of dysfunction, patients with severe frozen shoulder can be separated from the adhesions by using the method of large massage under anesthesia if necessary. During this phase, functional exercises of the shoulder joint should be adhered to. In addition to passive exercises, the patient should actively cooperate and carry out functional training of active exercises. Active movement is an extremely important part of the whole treatment process. 3.Recovery period: The main objective is to eliminate residual symptoms. The main principle is to continue to strengthen functional exercise, enhance muscle strength, restore the scapular girdle muscles that have undergone disuse atrophy in the early stage, and restore the normal elasticity and contraction function of deltoid muscles and other muscles, so as to achieve the purpose of comprehensive rehabilitation and relapse prevention. In addition to different treatment measures for different disease stages, treatment measures should also be considered for the severity of the disease. In this regard, Western medical experts believe that the severity of the condition can be determined and treatment can be guided by the limitation of movement and end-absence of sensation due to pain in the passive motion test. If the patient’s pain occurs before the end sensation in the passive motion test, the frozen shoulder is often acute and active motion therapy is not appropriate; if the patient’s pain occurs at the same time as the end sensation, active motion therapy can be used appropriately; when the end sensation is reached without pain, active motion therapy should be used. The main pathological feature of frozen shoulder is that the synovial fluid secretion is impaired by joint braking and dried up, and the lubrication function disappears. Normal synovial fluid contains sodium vitrate which has lubricating properties and can reduce friction between soft tissues. It is believed that the resistance to movement of the joint is mainly generated by friction between soft tissues, and elevated frictional resistance is the main cause of joint stiffness. Therefore, the supplementation of exogenous sodium vitrate can improve the physiological function of synovial fluid in pathological conditions, which can increase the lubricating effect of tissues in the joint cavity and reduce the friction between tissues, while playing the role of elasticity, buffering the effect of stress on cartilage, significantly improving the inflammatory response of synovial fluid tissues, promoting the healing and regeneration of joint cartilage, relieving pain and increasing joint mobility. Thus, the purpose of clinical cure is achieved. The main objective is to eliminate the residual symptoms. The main principle is to continue to strengthen functional exercise, enhance muscle strength, restore the scapular girdle muscles that have undergone disuse atrophy in the early stage, and restore the normal elasticity and contraction function of deltoid muscles and other muscles, in order to achieve comprehensive rehabilitation and prevent recurrence. In addition to different treatment measures for different disease processes, treatment measures should also be considered for the severity of the disease. In this regard, Western medical experts believe that the severity of the condition can be determined and treatment can be guided by the limitation of movement and end-absence of sensation due to pain in the passive motion test. If the patient’s pain occurs before the end sensation in the passive motion test, the frozen shoulder is often acute and active motion therapy is not appropriate; if the patient’s pain occurs at the same time as the end sensation, active motion therapy can be used appropriately; when the end sensation is reached without pain, active motion therapy should be used. The main pathological feature of frozen shoulder is that the synovial fluid secretion is impaired by joint braking and dried up, and the lubrication function disappears. Normal synovial fluid contains sodium vitrate which has lubricating properties and can reduce friction between soft tissues. It is believed that the resistance to movement of the joint is mainly generated by friction between soft tissues, and elevated frictional resistance is the main cause of joint stiffness. Therefore, the supplementation of exogenous sodium vitrate can improve the physiological function of synovial fluid in pathological conditions, which can increase the lubricating effect of tissues in the joint cavity and reduce the friction between tissues, while playing the role of elasticity, buffering the effect of stress on cartilage, significantly improving the inflammatory response of synovial fluid tissues, promoting the healing and regeneration of joint cartilage, relieving pain and increasing joint mobility. Thus achieving the purpose of clinical cure.