Cooler weather, shoulder discomfort patients increased significantly, most of the middle-aged and elderly friends like to fling their arms in a circle, rubbing the shoulder stretching and other exercise movements to health care shoulder, but the exercise method did not do the right thing, not only can not play a role in the exercise, but also may lead to more serious shoulder problems. Orthopedic surgeon reminded, shoulder pain to distinguish between “true and false frozen shoulder”, shoulder pain caused by shoulder impingement and frozen shoulder is different, can not simply because the shoulder pain also occurs as frozen shoulder treatment, to first clarify the cause of shoulder pain, and then choose the right treatment and exercise. 1, shoulder pain to distinguish between true and false frozen shoulder Shoulder pain is very common in daily life, as long as the shoulder pain, often will be put on the hat of frozen shoulder, so that a wide range of shoulder movement, but due to inappropriate shoulder movement, resulting in shoulder pain delayed, long-term suffering from pain. If the rotator cuff tear is originally misdiagnosed as frozen shoulder, and the patient is allowed to carry out functional exercises such as “climbing the wall”, or artificially forcibly pulling, it may result in the increase of the tear or even aggravate the injury of the rotator cuff that has already been damaged. It is worth noting that rotator cuff tear is not just a sports injury, it is also a manifestation of human body strain and degeneration, therefore, long-term use of the upper limb workers and the elderly are also the main population. 2, how to distinguish between frozen shoulder and rotator cuff tear Frozen shoulder pain is light during the day and heavy at night Frozen shoulder has a characteristic: shoulder pain is light during the day and heavy at night. Frozen shoulder patients will even be woken up in the middle of the night when the pain is severe, and they can’t sleep peacefully, especially can’t lie down on the affected side. The rotator cuff injury is the most common shoulder joint disease, about 30%-40% of shoulder joint diseases are eventually diagnosed as rotator cuff injury. An experienced specialist can determine whether it is a frozen shoulder or not after taking a medical history and a simple examination, and can further distinguish whether there is a bone spur by taking an X-ray to check whether inflammation is caused by the wear and tear of the bone spur, resulting in shoulder pain. Differential diagnosis of shoulder pain is very difficult, it must be an orthopedic surgeon who has been specially trained in shoulder surgery to have diagnostic certainty, it is recommended to go to professional sports medicine or shoulder surgery for diagnosis and treatment. 3, the two kinds of shoulder pain treatment methods are different treatment of frozen shoulder, “medical three practice seven” Frozen shoulder is a self-limiting disease, usually lasts 1-2 years, that is to say, can be treated conservatively or some patients do not go through the treatment, in one year to half a year time will be cured by themselves. But this does not mean that patients with frozen shoulder do not need to exercise for treatment. Frozen shoulder is a progressive disease. As the disease progresses, the range of motion of the shoulder will become more and more limited and the patient’s shoulder will become more and more painful. Many patients are afraid to move due to pain at the beginning of frozen shoulder, and over time, the shoulder joint becomes tight and cannot move normally. In the beginning, they may not be able to unzip the buttons on their back, then they may be limited in lifting their pants, and finally they may not even be able to reach up and wipe their buttocks. The treatment of frozen shoulder should be “three parts medical treatment and seven parts practice”, that is, the more pain in the shoulder, the more you have to move, shoulder physical therapy exercises can not be less. Therefore, appropriate wall climbing, stretching exercises to help treat frozen shoulder, frozen shoulder can also be done in specialized hospitals to treat physiotherapy, physiotherapy can play an anti-inflammatory, analgesic, antispasmodic, improve blood circulation, relaxation of muscles. In addition, cold is an important reason for the onset of frozen shoulder, so in order to prevent recurrence, patients must pay attention to shoulder warmth, should avoid air conditioning vents blowing directly to the shoulder, can also be used to warm water bags on the shoulder. Rotator cuff injury serious need to do surgery Clinically for rotator cuff injury, according to different causes, the degree of pain and other comprehensive consideration. Initial conservative treatment: physical therapy, medication, etc. can improve the pain. If there is no sign of improvement after 3 months to half a year of conservative treatment, and some patients even find that the rotator cuff tear has a tendency to expand and the muscles have a tendency to atrophy when they have an MRI, they should go for arthroscopic minimally invasive repair surgery. For rotator cuff injury caused by trauma, as long as it affects the patient’s function and daily life, arthroscopic rotator cuff repair should be performed as early as possible to minimize the sequelae.