Frozen shoulder is also known as “fifty shoulder”. The onset is around 50 years of age, and most cases occur when the shoulder is cold, which is related to endocrine disorders. In most cases, the chronic onset of the disease is insidious, and the pain is often caused by lifting or abduction movements before being noticed. Patients complain of shoulder pain, limited or stiff shoulder joint movement, inability to comb hair, difficulty in dressing, and sometimes the pain is worse at night, affecting sleep. Although the disease is self-healing, the prognosis is good. However, functional exercise alone is difficult to carry out on the one hand and takes a long time at the same time. The needle knife is used to close and loosen the key points of adhesions, and with specific techniques, the adhesions of frozen shoulder are completely thawed and functional exercises can be performed immediately after the operation. 90% of patients can achieve the treatment purpose after 1-3 operations and no recurrence after the cure. Overview:Frozen shoulder, commonly known as frozen shoulder, is also known as frozen shoulder. It is a chronic inflammatory disease of the periapical muscles, tendons, bursa and joint capsule. It is characterized by pain and functional limitation during activities due to internal and external joint adhesions. 4.Acute contusion and strain of the shoulder after improper treatment, etc. 2.Extra-shoulder factors Cervical spondylosis, heart, lung, and biliary tract diseases occur in the shoulder traction pain, and the long-term failure to heal the original disease causes persistent spasm and ischemia of the shoulder muscles to form inflammatory lesions, which transform into true periarthritis. The lesions of periarthritis of the shoulder occur mainly around the glenohumeral joint, which includes: 1. muscles and tendons. Such as the deltoid, supraspinatus, infraspinatus, subscapularis and lesser garden muscles and their combined tendons. It is one of the most stressed structures during shoulder joint activities and is easily damaged. The long tendon of the biceps through the humeral inter-articular groove of the bone fiber tunnel, this section is a good place for inflammation; short head from the rostral process, through the glenohumeral joint in front to the upper arm, affected by inflammation of the posterior muscle spasm, affecting shoulder abduction, posterior extension. 2. Bursa. There are subdeltoid bursa, subacromial bursa and rostral subacromial bursa. The inflammation can interact with the adjacent deltoid, supraspinatus tendon, and short biceps tendon. 3.Joint capsule. The glenohumeral joint capsule is large and loose, and the shoulder has a large range of motion, so it is vulnerable to injury. Chronic injury to these structures is mainly characterized by hyperplasia, roughness, and intra- and extra-articular adhesions, resulting in pain and functional limitations. In the later stages, the adhesions become very tight and even adhere to the periosteum, at which point the pain disappears, but the dysfunction is difficult to recover. Clinical manifestations: 1. The disease is more common in women than in men, more on the left side than on the right side, and can develop on both sides successively. The disease mostly affects the middle 50s and the elderly. 2. The pain gradually appears in one part of the shoulder, which is obviously related to the movement and posture. With the prolongation of the disease, the pain expands and involves the upper middle part of the shoulder, and is accompanied by limited movement of the shoulder joint. If you want to increase the range of motion, severe sharp pain will occur. In severe cases, the affected limb cannot comb the hair, wash the face or buckle the belt. The patient may wake up at night with pain due to turning and moving the shoulder. The patient can still point out the pain point at the beginning, but later the range is expanded and the pain is felt to come from the humerus. 3. On physical examination, there was mild atrophy of the deltoid muscle and spasm of the trapezius muscle. The supraspinatus tendon, long and short head biceps tendons and the anterior and posterior edges of the deltoid muscle can have obvious pressure pain. The shoulder joint is most obviously limited in abduction, external rotation and posterior extension, and in a few people, internal retraction and internal rotation are also limited, but the limitation in forward flexion is less. 4. In older patients or those with a longer course of disease, osteoporosis of the shoulder, or calcification of the supraspinatus tendon and subacromial bursa may be seen on x-ray. Conventional treatment: 1. Frozen shoulder has its own natural course and usually heals itself in about a year. However, if you do not cooperate with the treatment and functional exercise, even if you heal yourself, you will still have different degrees of dysfunction. 2. Early physiotherapy, acupuncture, massage, massage and closure can improve the symptoms. 3.When the pain persists and it is difficult to sleep at night, you can take NSAIDs for a short time. 4.Regardless of the duration of the disease and the severity of the symptoms, active activities of the shoulder joint should be carried out every day without causing severe pain. 5. In addition to local treatment, treatment of the original disease is also required for frozen shoulder caused by extra-shoulder factors. Minimally invasive acupuncture treatment: 1. The treatment of adhesions around the shoulder joint with small acupuncture needles can effectively solve the symptoms such as limited joint movement and pain. 2.With the exception of serious diabetes and cardiovascular blood diseases, all can be treated with a clear diagnosis. 3.After surgery, we must adhere to the rehabilitation treatment and active functional exercise.