There is muscle adhesion.

There are many ways. Physical therapy, acupuncture and self-exercise are all important. Ask the doctor to tell you how to exercise.

In addition, if it is an indication, it can be treated by local injection of drugs. The effect is also ideal.

suggestion

1, exercise by yourself. Method is followed by.

2. Appropriate massage and massage. Has good curative effect.

3. Local injection of drugs is also effective. Need professionals.

For more information, see the following information.

[Family Precautions]

1. Pay attention to cold and warmth.

Due to the climate change in nature, cold and moisture constantly invade the body, which can contract muscle tissue and small blood vessels. Muscle contraction for a long time can produce more metabolites, such as lactic acid and pain-causing substances, which will stimulate muscle tissue and cause spasm. If it lasts for a long time, it will cause fibrous degeneration of muscle cells and muscle contraction dysfunction and cause various symptoms. Therefore, it is very important to pay attention to cold and warmth in daily life, especially to avoid shoulder cold, to prevent scapulohumeral periarthritis.

2. Strengthen functional exercise

For scapulohumeral periarthritis, we should pay special attention to joint movements, such as playing Tai Ji Chuan, Tai Chi sword and croquet frequently, or hanging our arms at home, using tensioners, dumbbells and swinging our hands, but we should pay attention to the amount of exercise so as not to cause damage to the shoulder joint and its surrounding soft tissues.

Correct bad posture

Correct bad posture. For people who often sit at their desks and work with their shoulders abduction, they should pay attention to adjusting their posture to avoid chronic strain and cumulative injury caused by long-term bad posture.

4. Pay attention to related diseases

Pay attention to related diseases that are easy to cause secondary scapulohumeral periarthritis, such as diabetes, cervical spondylosis, shoulder and upper limb injury, thoracic surgery, nervous system diseases, etc. People with these diseases should closely observe whether there are symptoms of shoulder pain, whether the range of motion of shoulder joint is reduced, and should carry out active and passive movements of shoulder joint to maintain the range of motion of shoulder joint.

5. Actively prevent healthy shoulders.

For patients with scapulohumeral periarthritis, besides actively treating the affected side, the healthy side should also be prevented. Studies have shown that 40% patients with scapulohumeral periarthritis will have contralateral scapulohumeral periarthritis after 5 ~ 7 years of illness; About 12% patients will have bilateral scapulohumeral periarthritis. Therefore, targeted preventive measures should also be taken for the healthy side.

[General Western Medicine Therapy]

1. drug therapy

Prednisone 25 ~ 50mg, 1% procaine 10ml, pain point closed, 1 time per week, 4 times as 1 course of treatment.

2. Functional exercise

Climb the wall to exercise.

Face the wall, slowly climb up along the wall with both hands or affected hands, so that the upper limbs are raised as much as possible, and then slowly return to the original position and repeat.

Body rear handle

Put your hands behind your back, hold the wrist of the affected limb with a healthy hand, and gradually pull it up and repeat it.

External rotation exercise

Stand with your back against the wall, bend your elbows with your fists, and do upper arm external rotation, so that your back is as close to the wall as possible. Repeat.

Shake your arm.

Lunge, one hand akimbo, the other hand holding an empty fist close to the waist, do a circular shaking back and forth, from small to large, from slow to fast.

1. Massage therapy for scapulohumeral periarthritis

(1) method of relaxing muscles and activating collaterals: this is the preparation method. The patient takes an upright position, and the doctor uses the whole palm of his right hand to exert force, from the wrist, elbow and shoulder to the neck, from the inside of upper limbs and shoulders to the outside and back, and then pushes and caresses them in turn, and repeats the operation for more than 20 times.

(2) Rolling method: When the patient is lying on his back or sitting, the doctor applies rolling method or finger rolling method to the front of the affected shoulder and the inside of the upper limb, and repeats it several times to cooperate with abduction and external rotation of the affected limb. Then take the lying position, the doctor holds the elbow of the affected limb with one hand, and uses the rolling method on the outside of the shoulder or the back of the armpit with the other hand, and instructs the patient to do activities such as lifting and adduction of the affected limb; Then let the patient lie on his back, and the doctor will roll the upper part of the chest and the front part of the shoulder by rolling or finger rolling, and then let the patient sit up and cooperate with limb stretching.

(3) Acupoint method: The patient takes the seat, and the doctor points Hegu, Quchi, Quepen, Shoujian, Shouzhen, Shouli, Shoujing, Tianzong, Quyuan and Ashi, causing local soreness.

(4) Circumferential shoulder-shaking method: After standing on the affected side of the patient, the doctor holds the affected shoulder with one hand and the wrist or elbow with the other hand, and makes a circular motion with the shoulder joint as the axis, with the range from small to large. Then lift the forearm with one hand, so that the elbow joint of the affected side flexes, the forearm adducts, and the hand of the affected side wraps around the top of the head, the affected shoulder and the front repeatedly 10 times. At the same time, hold the affected shoulder with the other hand.

(5) Passive upper limb pulling method: the doctor stands slightly in front of the patient's affected side, holds the wrist of the affected side with one hand, puts his shoulder in front of the shoulder of the patient's affected side, pulls the affected arm from front to back with the hand holding the wrist, and gradually pulls it back with force, repeating for 4-5 times.

(6) The method of pulling the arm behind the patient's back: the doctor stands behind the healthy side, holds the healthy side shoulder with one hand to prevent the patient's upper body from bending forward, and holds the affected side wrist with the other hand to pull the affected limb from the back to the healthy side, gradually exerting force to increase the range of motion, depending on the patient's tolerance.

(7) Swing method: the doctor stands outside the patient's shoulder. Hold the wrist of the affected limb slightly above with both hands. Lift the affected limb and pull it up obliquely by lifting and shaking. When pulling, the patient is required to sink his shoulders and bend his elbows first, and the doctor slowly pulls the affected limb obliquely upward. The range of action is gradually increased, and the intensity of manipulation is from small to large. Be careful not to use too much force to prevent accidents.

Massage yourself

Chinese medicine believes that there are 12 meridians, of which 6 pass through the shoulder, 3 pass through the back of the hand and 3 pass through the palm, so dredging the meridians can treat scapulohumeral periarthritis. During the treatment, you can massage the back of your hand from finger to shoulder with your index finger, middle finger, ring finger and little finger, and then massage the palm surface from shoulder to finger. You can also use a towel as a massage tool, generally massage for 3-5 times to rub your skin red.

There are four methods of finger massage: ① The fingers of the left hand and the fingers of the right hand are crossed reversely, and the joints at the root of the fingers are stretched at the same time, and then the fingers are crossed and opened and closed rhythmically for 3 to 5 times. (2) Cross your fingers, bend your palms like Christians do when praying, and stimulate your palms and all your fingers for 30 seconds. Rub the fingers of the other hand with the center of the thumb and forefinger, and gently rub the fingers of both hands. ④ Using the acupressure method, stimulate the muscles and finger roots of the palm with the center of the thumb, and count "one, two, three" rhythmically while pressing, and press each place three times.

3. Practice the fitness ball regularly

15 patients with scapulohumeral periarthritis were treated with fitness balls for 3 months. Before and after using the fitness ball, measure the skin temperature with a skin thermometer. Results After practicing the ball for 30 minutes, the temperature of Laogong point and the front and back parts of the palm increased by 0.67-0.76℃, and 15 patients improved in different degrees. Because exercise accelerates local blood circulation, it can improve local nutrition supply, speed up metabolism, relieve various symptoms and improve the condition. It is also very meaningful to explain the role of practicing fitness ball in preventing and treating scapulohumeral periarthritis from the meridian theory of traditional Chinese medicine. Inside the palm, there are hand Taiyin lung meridian, hand Shaoyin heart meridian and hand Jueyin pericardium meridian. The lung governs qi, the heart governs blood vessels, and the fitness ball moves in the hand, stimulating the acupuncture points and meridians on the hand, dredging the meridians and regulating qi and blood, thus achieving the therapeutic effect. Therefore, patients with scapulohumeral periarthritis should often practice fitness balls to facilitate early recovery.

[Expert reminder]

Strengthening physical exercise is an effective method to prevent and treat scapulohumeral periarthritis, but it is important to stick to it. If you don't insist on exercise and rehabilitation, the function of shoulder joint will be difficult to return to normal.

2, malnutrition can lead to physical weakness, and physical weakness often leads to scapulohumeral periarthritis. If nutrition is fully supplemented and proper exercise is carried out, scapulohumeral periarthritis can often be cured without drugs.

3, catching cold is often the inducing factor of periarthritis of shoulder. Therefore, in order to prevent scapulohumeral periarthritis, middle-aged and elderly people should pay attention to keep warm and cold, and don't let their shoulders catch cold. Once you catch a cold, treat it in time and don't delay.

Etiology:

What is the cause of scapulohumeral periarthritis?

There are two main causes of scapulohumeral periarthritis: trauma and rheumatism.

(1) Trauma: There are many reasons for trauma, and the degree of injury is light or heavy. Excessive abduction, traction, overstretching, fatigue, joint dislocation, fracture, postoperative tissue injury, blood stasis, edema formation, and shoulder joint tissue adhesion can all cause scapulohumeral periarthritis.

(2) Rheumatism and cold invade the soft tissue around the shoulder joint: both can cause pain and reflex spasm of the soft tissue around the shoulder joint, and increase capillary permeability. In addition, pain reflex and inflammatory stimulation will lead to blood stasis, edema and adhesion, which will lead to shoulder joint dysfunction or loss.