Frozen shoulder, also known as periarthritis of the shoulder, is a common condition with shoulder joint pain and inconvenience. The disease is more common in women than in men and is more common in manual laborers. If not treated effectively, it may seriously affect the functional activities of the shoulder joint. There may be widespread pressure pain in the shoulder joint, radiating to the neck and elbow, and different degrees of atrophy of the deltoid muscle. Liu Dezhao, Department of Anesthesiology, The Third Affiliated Hospital of Sun Yat-sen University Common pressure points are mainly the attachment points of tendons and bone tissues and the bursa and tendons. For example, the rostral process, the greater tuberosity of the humerus, the inter-nodal groove, the attachment point of the biceps tendon under the acromion, the acromioclavicular joint, and the attachment point of the deltoid muscle. Treatment Soft tissue adhesions around the shoulder joint are the root cause of pain and dysfunction, so releasing the adhesions is the key to treatment. The pain specialist adopts the method of “pain point block + brachial plexus nerve block anesthesia” to treat frozen shoulder, which can restore the normal range of motion of the affected shoulder only once; after the operation, together with the corresponding joint function exercises, the pain of the affected shoulder disappears and the movement is free, which is the best treatment effect of painless, safe, no accidental injury and one time cure. Detailed operation 1. Peripheral pain point block: Inject anti-inflammatory and analgesic solution into the peripheral pain points respectively. 2.Under intravenous anesthesia or brachial plexus anesthesia, the patient’s shoulder joint and scapula should be fixed by the assistant, the operator should flex the patient’s upper arm toward the head, and press the axillary muscle group at the same time, then lift the upper arm slowly along the head measurement until it is pressed against the bed (i.e. lifting up to 180°), then abduct the upper arm by 90°, then let the patient sit up, and move the upper arm in all directions according to the functional position, and make sure to reach the normal maximum functional position ( When the hand is inwardly rotated on the opposite shoulder, the elbow joint reaches the midline of the sternum, and the hand touches the subscapular angle when internally rotated. During the loosening operation, a “click” sound can be heard, and the resistance to lifting, spreading, rotating, closing and flexing disappears after the loosening. 3.Postoperative joint functional exercise: Patients must exercise on their own every day after the operation, lifting, internal rotation, external rotation, internal contraction and abduction must reach the maximum functional position, at least 3 to 4 times a day. Safety Patients with no contraindications to anesthesia (recent cold or pneumonia, respiratory failure, severe hypertension, heart attack within three months, cerebrovascular accident in the active stage, severe anemia, etc.), brachial plexus anesthesia or intravenous anesthesia, operation, high safety, less patient pain, easy to accept, and fast results, good efficacy! Pain specialist physicians guarantee patient safety throughout the procedure and provide safe and painless treatment conditions.