Early symptoms of scapulohumeral periarthritis.
1, shoulder pain.
At first, shoulder pain was paroxysmal, mostly chronic. Later, the pain gradually increased or suddenly, or it was like a knife cut, and it was persistent. After climate change or fatigue, the pain often gets worse.
Shoulder pain 2, afraid of cold.
Shoulders are afraid of cold, and many patients wrap their shoulders with cotton pads all the year round. Even in summer, they dare not blow their shoulders.
3.x-ray and laboratory examination.
Conventional chest radiographs are mostly normal, but some patients can see osteoporosis in the later stage, but there is no bone destruction, and calcified shadows can be seen under the acromion. How normal laboratory tests are. Osteoporosis of shoulder or calcification of supraspinatus tendon and acromion capsule can be seen on X-ray plain film in the elderly or the elderly with a long course of disease.
4, gentle.
Most patients can feel obvious tenderness points around the shoulder joint, and the tenderness points are mostly in the tendon groove of the long head. Acromion descending capsule, coracoid process, supraspinatus muscle attachment point, etc.
5, muscle spasm and atrophy.
Muscles around the shoulder, such as deltoid muscle and supraspinatus muscle, may have spasms in the early stage, and typical symptoms such as disuse muscular atrophy, prominent acromion, inconvenient lifting and unfavorable dorsiflexion may occur in the later stage, and the pain symptoms are relieved at this time. Slight atrophy of deltoid muscle and spasm of trapezius muscle. The anterior and posterior edges of the posterior superior tendon, long and short head tendon and deltoid muscle can all have obvious tenderness.
Chronic phase of muscle spasm and scapulohumeral periarthritis.
Shoulder pain gradually reduced or disappeared, but the stiffness of shoulder contracture gradually increased and frozen. The range of motion of shoulder joint in patients with scapulohumeral periarthritis is 50%-20% lower than that in normal people. In severe cases, the acromiobrachial joint activity completely disappeared, and only the acromiobrachial joint and the chest wall joint were active. It is difficult to comb your hair, dress, raise your arms and tie your belt upside down. Old people with scapulohumeral periarthritis can have mild muscle atrophy, which is more common in deltoid muscle and scapular girdle muscle. Tenderness is mild or no tenderness and lasts for a long time, usually 2-3 months.
Periarthritis recovery period.
The symptoms of scapulohumeral periarthritis basically disappear, and individual patients with scapulohumeral periarthritis may have slight pain. Shoulder joint relaxes slowly, and joint mobility increases gradually. First, the external rotation activity is resumed, followed by abduction and internal rotation activity. The symptoms of scapulohumeral periarthritis in recovery period are related to the time of acute and chronic periods. The longer the freezing period, the slower the recovery period of scapulohumeral periarthritis patients.
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1, climb the wall with your fingers.
The patient touches the wall in front of him, from low to high, and slowly climbs up with the index finger and middle finger alternately, and climbs to the height he can bear, making a mark to try to climb higher next time. Training 2-3 times a day, each time 15-20 minutes, climbing higher and higher is very helpful for the recovery of periarthritis of shoulder. Be careful not to bend sideways when climbing the wall.
2. Lift heavy objects.
Bend forward, stand with your legs apart, put one end of the table on the unaffected side, bend it for about 90 degrees to relax the tendons around the shoulder joint, and then do the exercises of swinging inside and outside, back and forth, and around the arm, and the amplitude can be gradually increased until the fingers are swollen or numb. Then straighten your waist for a short rest and relax, and then use dumbbells, sandbags and other heavy objects (1 ~ 2kg) to swing back and forth, inside and outside, left and right for the same time (30 ~ 50 times) to avoid pain. You can also do it in prone position, that is, hang the affected shoulder outside the bed, and then do a relaxing swing or lifting a heavy object.
Note: Exercise should be painless, because pain can reflexively cause or aggravate muscle spasm, thus affecting functional recovery. Every activity should not cause pain aggravation. On the contrary, it is suggested that there is excessive activity or new injury, and the amount should be adjusted at any time.
Draw a circle on the wall.
The patient faces the wall, straightens his arm and symbolically draws a circle on the wall. Repeating this action frequently will be of great help to the recovery of scapulohumeral periarthritis.
4. Pull the towel.
Take a long towel, pull one end of each hand, put it behind your back, put one hand on it and the other hand on it, and pull it like a bath. At the beginning of activities, patients may be subject to some restrictions, but don't worry, the movements gradually change from small to large, and they feel better and better. Do it several times a day, and the situation of scapulohumeral periarthritis will gradually improve.
Pull the towel 5 and keep pushing.
Find a stick about 50 cm, lift the stick horizontally with both hands, and push the affected side outward with a good hand for a few centimeters every day, and insist repeatedly until the affected side can do abduction.
6. Open your arms.
Patients with scapulohumeral periarthritis naturally hang down their upper limbs, straighten their arms, slowly abduct their palms downwards, forcibly lift them upwards, stop as much as possible, and then return to their original positions and repeat.
7. Turn your shoulders.
The patient with scapulohumeral periarthritis stands, the affected limb hangs naturally, the elbow is straight, and the affected arm turns from front to back, from small to large, and repeats several times.
Turn shoulder 8, backstroke.
Stroke your arms backwards alternately like backstroke (for balance, you can walk backwards), 1-2 times a day. You may feel shoulder pain at first, so you can control the time of each exercise to 5-, and then gradually increase it.
After reading the above 8 kinds, choose one that suits you quickly. Get up, I believe it will be forever at the latest. You can definitely cure the annoying scapulohumeral periarthritis step by step, even completely, and give you a healthy and energetic body!