Frozen shoulder is common in middle-aged and elderly people around the age of fifty, often called “fifty shoulders”. The pathogenesis of the disease is complex, but Chinese medicine believes that the disease is mainly related to the lack of qi and blood, external wind, cold and dampness, and cumulative strain; modern medicine believes that it is related to acute and chronic injury to the shoulder, cold and decreased endocrine levels. In the ancient texts, Su Wen – Theory of Inversions, it is pointed out that “if the Ying Qi is deficient, it is not benevolent; if the Wei Qi is deficient, it is not used; if the Ying and Wei are both deficient, it is not benevolent and not used, and the meat is also therefore.” Insufficient Ying Qi means less blood, less blood means no nourishment for the meridians, and numbness and constriction; insufficient Wei Qi means less Qi and no use of the limbs, no flexion and extension, no resistance to external evil, and easy invasion of external evil, blocking Yang Qi and stagnating the meridians. Lai Shuhua, Department of Tui-Na, Guangdong Provincial Hospital of Traditional Chinese Medicine
This disease has a certain ability to heal itself, a few patients even if the disease is more serious, the pain is more serious, the joint “freezing” serious, without any treatment, including no joint function exercise at most 1 to 2 years are according to the “pain period a joint dysfunction period a symptom relief period a recovery period “The development and end of this pattern.
However, only a few patients with frozen shoulder can heal themselves, and most of them need timely and adequate treatment and exercise to heal themselves. It is better to find it early, exercise it early and treat it early! Among them, orthopedic massage, fire cupping and acupuncture are considered the most effective, safe and acceptable methods. Most of the patients in the author’s clinic are those who come to the clinic with frozen shoulder.
Prevention of the disease is important. To keep away from frozen shoulder, you should pay attention to the following aspects: (1) Don’t blow directly against the fan or air conditioner in summer (especially for those who often drive, prevent the air conditioner in the car from blowing against both shoulders); don’t rinse with cool water immediately when you sweat; don’t stay too long in a humid environment, and don’t sleep on a wet floor; protect your joints from wind and cold in winter. (2) Middle-aged and elderly people should not exert themselves too hard when exercising or working, and should not repeat one action for a long time. For patients with frozen shoulder, it is necessary to adhere to functional exercises and pay attention to local warmth, which can play a role in consolidating the effect and preventing recurrence. (3) Correct poor posture, such as lying on one side or exerting force on one shoulder for a long time. (4) Pay attention to the treatment of related diseases: such as diabetes, cervical spondylosis, shoulder and upper limb injuries, thoracic surgery and neurological diseases. (5) For the healthy side of the shoulder should be active to prevent frozen shoulder. (6) Diet, high-fat food should not be eaten: If you are a high blood lipid group you should also take lipid-lowering Chinese medicine with treatment. (7) The course of frozen shoulder is long. Patients must build up confidence and achieve cooperation between doctors and patients and continuous effective treatment before frozen shoulder can be cured. (Shuhua Lai, Department of Massage, Guangdong Provincial Hospital of Traditional Chinese Medicine)