There are many people with neck and shoulder pain who have not been treated properly for a long time, causing psychological and physiological burden and pain. Common frozen shoulder: the first symptom is the gradual increase of shoulder activity and shoulder joint movement disorder, the pain is located in the front and outside of the shoulder, sometimes it can be radiated to the elbow and scapular area, but there is no sensory disorder, the pain is obvious at night, affecting sleep, afraid to lie on the affected side, continuous pain can cause muscle pain and muscle atrophy. The pain increases when the upper limb is abducted and externally rotated. Patients can self-examine: the affected hand over the top of the head to feel the contralateral ear or back stretch to feel the contralateral scapula, if the shoulder pain and can not feel the disease can be suspected. Another common condition is thoracic outlet syndrome (TOS): the cause is the compression of the brachial plexus nerve or subclavian artery by the cervical ribs or anterior oblique muscles. Most of the symptoms are pain and numbness and fatigue in the upper extremities, especially on the little finger side of the forearm. The shoulder is full, the supraclavicular fossa area is shallow, sometimes a bulging mass or a hypertrophied oblique muscle can be palpated, the posterior extension and lateral flexion of the spine is common, and the muscle strength of the upper limbs, especially the grip strength of the hand, is reduced. In severe cases, muscle atrophy of the hand and hyperalgesia of the little finger side of the forearm may occur. Sometimes the color of the upper extremity changes and the veins become angry. Self-examination: Sitting, both upper limbs up and out, elbow flexion 90 degrees, repeated rapid flexion and extension of each finger, if 3 minutes can induce upper limb pain and fatigue can be considered this disease. Treatment: neck muscle exercise, massage, Chinese medicine and physical therapy. Traction on the neck is usually ineffective and may even aggravate the problem, while correcting poor posture of the head and neck, avoiding carrying heavy objects, raising the arms above the head during sleep, and not letting the shoulders droop. If conservative treatment does not work, surgery is the last resort. Patients with cervical spondylosis can also classify themselves in order to take different treatment methods: spinal cord type cervical spondylosis: first manifested as sensory disorders, starting with the upper limbs gradually develop into numbness and pain in the extremities, and is a continuous state. After a few weeks or months, there are heavy lower extremities, inactivity, difficulty in lifting the legs, unstable walking with a waddling gait, and in severe cases, weakness, tendon reflex hyperactivity, patellar ankle clonus, and in severe cases, muscle atrophy and urinary and fecal dysfunction. Vertebral artery type cervical spondylosis: Mostly manifested as headache, dizziness, tinnitus, vision loss, sudden collapse without consciousness disorder, neurasthenia, plant nerve disorder, and a few patients may also have developmental disorders, which can be considered as this disease. Neurogenic cervical spondylosis: neck and shoulder pain with numbness of one or both nerves, and in severe cases, muscle atrophy or muscle weakness. Poor fine finger movements. This disease can be considered when the pain is aggravated by pressure on the top of the head when the patient is sitting. Ankylosing spondylitis: first invade the lower joints of the spine, gradually progressing upward, causing ankylosis of the spine in the thoracic vertebrae, it invades the cervical spine can cause neck pain, stiffness, and is heavier in the morning, relieved by activity, often causing hunchback. Cervical myofibrosis: cold, moisture, chronic injury and poor posture such as high pillow, long-term low work, etc. can cause edema, congestion and sterile inflammation of the cervical myofibers. Diffuse pain in the back of the neck, aggravated in the morning, can be slightly alleviated after activity, most of the lesions can be found in the area of pressure pain or points, normal neck movement, no abnormal X-ray,
This disease can be considered. In addition, many patients have severe neck and shoulder pain, but there is no obvious reason or reason to cause such serious symptoms, this is mostly considered to be the cause of the patient’s poor sleep.