Frozen shoulder is a chronic inflammatory condition that occurs in the periapical region of the shoulder.
There are three high incidences of this disease.
1. high prevalence age group: the age of prevalence is around 50 years old.
2. high incidence of gender: slightly higher incidence in women than in men.
3, the high incidence of occupation: mostly seen in manual laborers.
If the disease is not effectively treated, it may seriously affect the functional activities of the shoulder joint and hinder daily life. In the early stage of the disease, the shoulder joint pain is paroxysmal, often triggered by weather changes and exertion, then gradually develops into persistent pain, and gradually worsens, with light day and heavy night, unable to sleep at night, unable to lie on the affected side, and limited active and passive activities of the shoulder joint in all directions. When the shoulder is stretched, it can cause severe pain. 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.
I. Main causes
There are more cases of frozen shoulder in recent years, why is this?
The main causes are
1. Long-term local strain. Overexertion: Some workers who often use their shoulders are also at high risk of frozen shoulder, such as drivers and some machine operators, who use their shoulders excessively and cause frozen shoulder.
2. Unhealed local trauma. Shoulder injury: Usually patients with frozen shoulder are those who have received injury to the shoulder due to cold, hemiplegia or trauma.
3.Long-term less than exercise. This kind of patients such as stroke disease, bedridden, etc.
4.Local blowing and cold. Wind chill, cold and cold are the common causes of shoulder joint pain and inability to lift due to wind and cold, which can lead to frozen shoulder.
5.Degeneration of own function. Local function degeneration or loss of regulation. Such as irregular life and not paying attention to shoulder care. The important thing about this disease is that people are now caused by their own reasons. This makes some diseases will be easy to invade, and frozen shoulder is one of the diseases.?
Second, the main symptoms
1. Pain: Light day and heavy night is a feature of this disease, which is also a symptom of early frozen shoulder.
Most of them are chronic, with paroxysmal pain at first, and then gradually increasing pain or stabbing pain. The pain is often aggravated by climate change, after exertion or by occasional impact.
2. Fear of cold: The affected shoulder is afraid of cold, even in the hot summer days, the shoulder does not dare to blow the wind. Generally speaking, when this kind of frozen shoulder symptom appears, most of the time it is a mid-stage frozen shoulder symptom.
Muscle spasm and atrophy: The deltoid supraspinatus and other muscles around the shoulder can spasm in the early stage, and disuse muscle atrophy can occur in the late stage, with typical symptoms such as inconvenience in lifting the shoulder peak and unfavorable backbend. At this time, the pain symptoms are reduced instead.
4. Loss of motion: Many patients with frozen shoulder are afraid to move because of the pain and local inflammation, resulting in local dysfunction.
III. Main treatment
The treatment of this disease must emphasize five firsts.
1. Treatment comes first. Frozen shoulder should be treated actively and timely. The earlier the treatment, the better the effect.
2. Keep warm first. This disease is related to cold. Therefore, pay attention to keeping warm at all times. When you get up in the morning and go to bed at night, you should pay attention to the cold and keep warm, so that your shoulder does not get cold.
3.Conditioning in the first place. This disease is related to its own dysfunction and decompensation. Therefore, we should pay attention to our own health care. Enhance your own anti-disease function. This is beneficial to the elimination of local shoulder joint symptoms. Don’t overexert yourself and take a moderate amount of rest. Keep a good mood and get enough sleep. A happy mood is the best medicine for the disease. Have adequate nutrition. For those who are physically weak, it is important to have proper nutrition to enhance the resistance of the muscles and bones, especially for middle-aged and elderly people who have a declining physique, they should pay more attention to their own nutritional adequacy.
4. Exercise in the first place. Strengthening the exercise of shoulder joint muscles can prevent and delay the occurrence and development of frozen shoulder. According to the survey, the chances of frozen shoulder attack decreased a lot among people with developed shoulder joint muscles and high strength. Therefore, the exercise of strong ligaments and muscles around the shoulder joint is of great significance for the treatment and recovery of frozen shoulder. Exercise is necessary for frozen shoulder, both at the first onset and when it reaches the dysfunctional stage. Even in the various other treatments later on, it is necessary to cooperate with exercise. Whether or not to cooperate with exercise is determined by the length of the disease and the quickness of its healing and whether or not it has sequelae.
(1) Practice climbing the wall. Face the wall, climb the wall with both hands, and strive for the height to rise every day. Since the beginning of the disease to the entire course of the disease should be so.
(2) Paddle back and forth. Two arms like backstroke backwards in turn, to maintain balance can walk backwards.
(3) Double swinging arms. Swing 40 times, reverse swing 40 times, each arm swing once, adhere to one to two months will have the effect.
(4) hands behind the grip. Double behind each other, the back of the hand against the waist back, as far as possible, to touch the shoulder blades as degree.
5, acupuncture in the first. Acupuncture treatment, for all stages of the disease, have a very good therapeutic effect. It can stop pain, reduce inflammation, and prevent local muscle atrophy and joint adhesions. In the whole course of the disease, it is necessary to treat in a timely manner.
Acupuncture treatment, I know to four more.
One is to take more hand three Yang meridian points, such as shoulder three needles, Quchi, Hegu, etc..
The second is more penetrating stab. Such as shoulder acupuncture points, to the pain point, to the hand three yin meridian point penetration stab.
Third, more giant prick movement acupuncture. The same name Yang meridian or the corresponding part of the opposite side of the same name Yang meridian acupuncture method.
Fourth, more moxibustion. This disease has more cold, more stagnation, more stasis, etc. Moxibustion has a very good therapeutic effect. Acupuncture and moxibustion can be used.
6, combined treatment in the first place. The disease has not been solved for a long time, or the symptoms persist, must apply a combination of treatment methods.
Generally, it is more on the basis of acupuncture and moxibustion, with Chinese medicine treatment.
Specific principles are three warm.
The first is to warm the meridians and open the ligaments: mostly using Douwuxiaosheng Tang plus or minus.
The second is to warm the stagnant blood: mostly using the combined formula of Tonic Yang Returning Five Soup and Blood Mansion Expelling Stasis Soup.
The third is to warm Yang and dispel cold: mostly using Jin Kui Kidney Qi Pill, etc.
Specific methods such as: Chinese herbal medicine for internal use, Chinese herbal medicine for fumigation, Chinese herbal medicine for external application, etc.
The main herbal medicines, such as Qiangwu, Douhu, Fangfeng, Gui Zhi, Bai Zhi, Ge Gen, Mugua, Chuan Dao, Hong Hua, Xianshi Cao, Turbinate Cao, Chuan Jiao, Bonesetter, Chuan Xingjian, Boswellia, Myrrh, Ginger, etc., are used to move stagnation and eliminate stasis, penetrate bone and disperse wind, relax tendons and activate blood, dispel wind and dampness, dispel cold and relieve pain.
According to the specific situation, can also be combined with Chinese medicine iontophoresis, or with massage treatment.
As for whether to cooperate with western medicine, that depends on the specific situation.
Only for a very small number of serious patients, some local closed treatment is applied. But there will be some side effects. The efficacy is also not very good. Individual patients experience sensory and motor loss, etc.