How is “shoulder pain” treated?

  What are the treatments for “shoulder pain”? In this issue, we will talk about the effective treatments for frozen shoulder, rotator cuff injury and subacromial impingement syndrome.  What are the Chinese medical treatments for frozen shoulder?  Chinese medicine treatments for frozen shoulder include Chinese massage, acupuncture, fire acupuncture, acupuncture knife therapy, herbal acupuncture point injection, herbal ionization, tonics and herbal tonics for internal use.  The common massage and tui-na techniques for frozen shoulder are: the method of stretching and activating the muscles and channels, the method of rolling, the method of pointing and pressing, the method of rotating and shaking the shoulders, the method of pulling the arms behind the back, the method of lifting and shaking, etc. Chinese medicine manipulation treatment is very characteristic of Chinese medicine and is one of the more commonly used clinical treatments. Acupuncture treatment has also been recognized all over the world. Acupuncture treatment points mainly include shoulder s, shoulder well, shoulder outer Yu, giant bone, arm, quchi, etc. and can be combined with moxibustion at painful points as Yu, once a day or every other day.  Fire acupuncture, also known as n-pricking in ancient times, is a method of treating diseases by stabbing a certain area with a special needle after burning red with fire. This treatment method has been applied in China in the Qin and Han dynasties. Fire needling is a method of treating disease by rapidly piercing the point with a red-hot needle tip. As early as in the “Ling Shu? The official needle” in the record: there is “quenching prick, prick burnt needle then take paralysis.” The Treatise on Typhoid Fever, the Thousand Gold Wing Formula, and Acupuncture and Moxibustion Dacheng all have specific descriptions of fire needling. This method has the effect of warming the meridians and dispersing cold, and opening the meridians and activating the channels.  Small acupuncture therapy is a kind of closed loosening procedure between surgical methods and non-surgical therapies. It is based on the ancient nine needles, sharp needles, etc., combined with the modern medical surgical scalpel and the development of the product of organic combination with soft tissue relaxation surgery, has a history of more than ten years, in recent years there is a trend of further development, and for the world to pay attention to. The operation of small needle knife therapy is characterized by stabbing deep into the treatment site to the lesion for easy cutting, peeling off the harmful tissue, in order to achieve the purpose of pain relief and dispel the disease. Its indications are mainly soft tissue injury lesions and bone and joint lesions. The advantage of small needle knife therapy is that the treatment process is easy to operate and is not restricted by any environment or conditions. The incision is small, no sutures are needed, the damage to human tissue is small, and it is not easy to cause infection, no adverse reactions, no obvious pain and fear for the patient, no rest is needed after the operation, the treatment time is short, the course is short, and the patient is easy to accept.  Chinese medicine acupuncture point injection is more similar to modern medicine targeting therapy, combining modern medical treatment with traditional Chinese medicine, using pure Chinese medicine and the human body needs to be mixed with the ingredients of drugs, Chinese medicine acupuncture point injection targeting therapy, that is, local targeting drug delivery, drug power directly to the foci, direct penetration to the acupuncture points, pain points, focal points, played the role of dredging the meridians, anti-inflammatory and analgesic effect, improve local blood circulation, promote metabolism. As another new therapy combining modern medical treatment with Chinese medicine, ion introduction of Chinese medicine is also commonly used in clinical practice.  The Chinese medicine is decocted into a medicinal juice and washed on the affected shoulder, then wrapped with clean gauze and applied to the affected shoulder. Most of the selected drugs are herbs that have the function of dispersing wind and cold, activating blood circulation and removing blood stasis, and relaxing tendons and activating collaterals. Chinese medicine usually classifies frozen shoulder into the following four types: (1) wind and cold attack; (2) cold and damp stagnation; (3) blood stasis and blockage; and (4) deficiency of qi and blood. According to the different types of symptoms, different tonics are prescribed for internal use.  Western medicine treatment for frozen shoulder is mainly divided into two major parts: surgical and non-surgical, and non-surgical treatment is mainly local closure therapy and physiotherapy.