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According to the patient's clinical symptoms, frozen shoulder can be determined, such as paroxysmal pain in the shoulder, shoulder flexion and extension, rotation, abduction, internal and external rotation, lifting and other limited movements, obvious tender points around the joint, mainly in the coracoid process, biceps brachii and intermus longus sulcus, acromion, supraspinatus muscle with obvious tenderness. In particular, the pain is significantly aggravated when dressing, combing hair, washing the face and other actions, and the upper limbs have obvious radiation, which will cause muscle atrophy around the shoulder, weakness, sensitivity to cold in the affected area, and sensitivity to wind in the later stage. Symptoms of frozen shoulder appear:
First of all, don't blow the air conditioner, frozen shoulder actually often occurs in people around 50 years old, but in recent years, the change of living habits, the trend of getting younger and younger, many young people are greedy for cold, and the air conditioner is turned on all day long, and the situation of frozen shoulder occurs. Parent:, j:
Raise. You can adjust it in time, and you can return it if you don't use it well. At the same time, pay attention to keep warm, don't catch a cold, and eat lightly.
Don't eat spicy food, and you can do some exercise.
1. Turn your hands back, pull the wrist of the affected limb with your healthy hand or pull the affected limb with a towel, gradually pull up and lift, repeatedly.
2. Facing the wall, slowly climb up along the wall with both hands or the affected hands, so that the upper limbs are raised as high as possible, and then slowly return to the original place downward, repeatedly.
3. You can stand with your back against the wall, clench your hands into fists and bend your elbows, do the external rotation of your upper arms, try to keep your back close to the wall, and repeat.
4. You can also lunge, one hand crosses the waist, the other hand holds an empty fist close to the waist, and the front and back rings are rotated and shaken, the amplitude is from small to large, and the action is from slow to fast.
5. In addition, you can also stand or sit, hold the wrist of the affected side with the unaffected side, pull the forearm of the affected side along the chest, pass through the face, over the head, and reach the back of the pillow, which can be repeated.
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In general, patients with frozen shoulder often feel pain in the shoulder joint, and sometimes there is a restriction of shoulder joint movement, which can become more severe if not received timely **. How to judge frozen shoulder: First, patients can feel obvious tenderness when they can press the shoulder joint with their hands at home.
Second, raise your arms up and move closer to your ears, if you feel pain or can't get closer, you may have a shoulder joint. Patients are advised to go to the hospital for various tests to confirm**.
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This frozen shoulder may have local muscle pain in the shoulder joint, can not move, if you have these symptoms, first of all, rest more, reduce activities, and at the same time take Yunnan Baiyao and Panax notoginseng tablets, local massage therapy,
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It is a common condition with shoulder pain and immobility as the main symptoms. It is often induced by weather changes and exertion, and gradually develops into persistent pain and gradually worsens, with light days and heavy nights, sleepless nights, inability to lie on the affected side, and limited active and passive movement of the shoulder joint in all directions. It is recommended to choose traditional Chinese medicine, traditional Chinese medicine ** is the process of symptomatic conditioning and gradual repair, so you must have a good attitude and understanding of Gu Kangqing Xiao Black Paste is very good.
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Frozen shoulder can cause shoulder pain, but not all shoulder soreness is because of frozen shoulder. What do you know to help us identify frozen shoulder, and what tests do you need to do if you want to know if you have frozen shoulder? Let's take a look.
Frozen shoulder has obvious symptomatic features, and it should be easy to notice that you pay attention to your symptoms in your daily life. When you find that you usually have shoulder pain, and the pain worsens after exertion, in addition to shoulder pain, you also feel dizziness, nausea, insomnia, palpitation, tinnitus, etc., you should first consider cervical spondylosis, if even the arms are affected and cannot be lifted, and even the daily behaviors such as eating and combing hair are blocked, then the possibility of suffering from frozen shoulder is relatively large.
What tests are done for frozen shoulder?
1. X-ray examination.
To confirm whether it is frozen shoulder, X-rays are one of them. X-rays are used to diagnose shoulder fractures, dislocations, tuberculosis, osteoarthritis, rheumatism, rheumatoid arthritis and other diseases.
2. Shoulder arthrography.
This is done by injecting a contrast agent into the shoulder joint and then taking X-rays to confirm the diagnosis of shoulder disease.
If you are diagnosed with frozen shoulder, you can do both of the above examinations, and of course, the doctor will recommend the appropriate examination method for you after arriving at the hospital.
Who is susceptible to frozen shoulder?
1. Teachers. The teacher's work does not seem to have physical labor, and it is not very labor-intensive, but when the teacher writes the teaching plan and the blackboard in class, the shoulder muscles are involved in the work of Xieming rubber for a long time, which can easily cause muscles, tendons and other soft tissue fatigue, so that over time, frozen shoulder will come to the door.
2. The elderly. The elderly are more likely to get frozen shoulder than young people, especially the elderly over 50 years old, their autonomic nervous system and endocrine system are disordered, the body's new gratitude is degenerated, and the muscle damage is irreparable, which will further cause muscle painful spasms and disuse atrophy, which will lead to the occurrence of frozen shoulder. Therefore, middle-aged and elderly people should pay attention to the prevention of frozen shoulder in their daily lives.
If you suspect that you may have frozen shoulder, you can do the above tests to confirm the diagnosis.
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Diagnosis is usually based on history and clinical symptoms. Conventional radiograph, most of them are normal, and some patients can see osteoporosis in the later stage, but there is no bone destruction, and calcified shadows can be seen under acromion. In older or older patients, plain x-rays may show osteoporosis of the shoulder, or calcification of the supraspinatus tendon or subacromial bursa.
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The symptoms of frozen shoulder can be divided into three aspects. First, shoulder pain. It is usually a swelling pain, which occurs slowly and gradually worsens, and can be a knife-like pain.
Fatigue and pain that worsen after cooling In general, symptoms are mild during the day and severe pain at night. Second, it manifests as limited mobility of the shoulder joint. As the disease progresses, it becomes difficult for patients to comb their hair, wash their face, and get dressed.
Sometimes it can affect elbow function. Third, show a fear of cold. The shoulder joint is particularly sensitive to cold winds.
Patients should develop symptoms according to their condition**.
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To determine whether you have frozen shoulder, you can go to the hospital for X-ray examination, magnetic resonance imaging, shoulder arthrography and other examinations to diagnose it. In addition, if the patient suffers from frozen shoulder, the symptoms of shoulder pain will be significantly affected, and simple activities such as lifting the back of the hand or combing the hair will also be significantly affected.
After suffering from frozen shoulder, it is necessary to take care of rest during the acute attack to avoid excessive movement of the shoulder, and at the same time, you can also apply a local cold compress to relieve the pain. If the pain is severe, you can take anti-inflammatory and analgesic drugs as prescribed by the doctor, and if necessary, you can carry out local pain point sealing**, shock wave**, physiotherapy, etc. Patients should pay attention to keeping their shoulders warm and not getting cold.
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In general, people with frozen shoulder often experience pain in the shoulder joint and sometimes limited shoulder movement.
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Diagnosis of frozen shoulder.
Medical history. Has a history of chronic shoulder strain.
Has a history of shoulder or upper limb trauma and ** inappropriateness.
There may be a history of cervical spondylosis, diabetes, thyroid disease, heart disease, stroke, autoimmune disease, etc.
Clinical presentation. Symptom.
Pain around the shoulder joint and limited movement.
Signs. The deltoid muscles may have mild atrophy and trapezius spasms.
Supraspinatus tendons, biceps longus tendons, brachyceps tendons, and anterior and posterior borders of the deltoid muscle can be markedly tender.
The active and passive activities of the shoulder joint were obviously limited, mainly limited in external rotation, abduction and extension, and in a few people, adduction and internal rotation were also limited, but forward flexion was relatively limited.
Commonly used special physical examinations include: Jope test, bear hug test, abdominal compression test, posterior extension and lift test, Yegarson test (Yergason sign), etc.
Imaging tests.
X-rays. Learn about the bones in your shoulder.
X-ray of the shoulder joint structure is normal in frozen shoulder; In older or older patients, varying degrees of osteoporosis of the shoulder may be seen. It can be used to rule out bone tumors, calcific tendonitis and other diseases.
Precautions: Remove jewelry or metal objects such as necklaces from the inspection site before the inspection.
Magnetic resonance imaging (MRI) examination.
It can clearly show whether there are structural abnormalities in the soft tissues around the shoulder joint and determine the nature and location of the lesion.
may show widespread inflammation and/or fibrosis of the soft tissues around the shoulder, such as cyst edema, thickening, bursal effusion, fibrosis of the rotator cuff space, etc.; It may also be unremarkable. Other lesions, such as rotator cuff tears and glenoid cysts, can also be excluded.
Precautions. Before the inspection, items containing metal materials, as well as electronic products, magnetic cards, etc., should be removed.
If there are medical devices such as steel plates and implantable pacemakers, you should inform your doctor in advance.
Shoulder arthrography.
After the contrast medium is injected into the shoulder joint cavity, X-rays are performed. It is invasive and is generally not routinely available.
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Many people may be troubled and affected by frozen shoulder, but they have no way to tell whether they have frozen shoulder. Is shoulder pain frozen shoulder? In fact, frozen shoulder is mainly due to the restriction of shoulder joint movement, as well as the phenomenon of pain, since many people have doubts, then today I will talk to you about how to judge whether you have frozen shoulder.
In the first method, place both arms close to the outside of the chest, flex the elbows, and bring the hands outward. If you find it difficult, you may need to consider frozen shoulder. However, you should only consider whether it is frozen shoulder until you are about 50 years old, and if you are too young, it may just be the cause of excessive exercise.
The second method is to check the strength of the muscles. Stretch your arm flat, and someone should press down, if the shoulder is very easy to be pressed down at this time, and there is pain, it means that you have frozen shoulder.
The third method is to raise your arms around your shoulders, if there is pain, rotate your shoulders externally and continue to lift up, the pain will be reduced or disappeared, it can be judged as rotator cuff tears.
When the patient's arm is rotated and it is not within the reach of a normal person, and a certain amount of pain is triggered, there will be a clicking sound. If the voice is loud or the arm is painful, it can also be judged that the patient has frozen shoulder.
As you can know from the above, it is not the phenomenon of shoulder pain that is frozen shoulder, but it may be caused by excessive exercise. If you are not feeling well, you can take the test yourself at home in the same way as described above.
If the phenomenon is 80% similar to the above-mentioned phenomenon, it means that the possibility of frozen shoulder is relatively high. At this time, the patient should not panic, the best way should be to immediately find a reliable doctor to diagnose and **, only in this way can the harm be minimized.
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There are three main ways to determine whether it is frozen shoulder.
1. Obvious pain in the shoulder. Pain is one of the most obvious symptoms of frozen shoulder, which causes paroxysmal and worsening pain, and slight movement of the shoulder joint can cause significant pain.
Frozen shoulder is usually caused by chronic strain and external injuries that cause shoulder pain that is usually confined to the affected shoulder joint and may have symptoms such as tearing pain. Colds can worsen symptoms.
2. There is obvious pain when pressing the shoulder. Although pain is one of the telltale symptoms of frozen shoulder, not all shoulder pain is caused by frozen shoulder.
If you have pain in the shoulder, press on the painful area, and if the pain persists, you may consider frozen shoulder. However, if there is no pain when pressing on the painful point, then the pain is not caused by frozen shoulder, but may be caused by cervical spondylosis.
3. Restricted movement of the shoulder joint. Frozen shoulder causes adhesions of the joint capsule and soft tissues around the shoulder, which gradually weakens the muscles and eventually restricts the movement of the shoulder joint. For example, some shoulder joints are difficult to do by lifting the back of the head, bending the elbows back, crossing the waist, and reaching the back.
In addition to the above three aspects, it is more accurate to go to the hospital for professional examinations to judge frozen shoulder, such as X-ray examination, shoulder MRI examination, etc., to rule out other diseases.
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1.If the elderly have shoulder joint pain symptoms, this situation is not caused by frozen shoulder, first of all, we must judge whether the elderly have shoulder joint movement disorders, and shoulder joint movement pain, if it is a shoulder joint, the pain symptoms in the back scapula suture, or the muscles on the shoulder blade post have pain symptoms, it may be caused by frozen shoulder, if it is the shoulder joint, the pain symptoms at the humerus joint surface, it should be caused by rotator cuff inflammation.
2.For some patients with mild frozen shoulder, it is recommended to use topical drugs to treat frozen shoulder. It is recommended to use Houputang Tongshu antibacterial liquid, which can quickly relieve pain and reduce inflammation when frozen shoulder occurs, and the effect can be seen in 3 to 5 minutes after use, and it can also deeply repair the damaged tissues of the shoulder and neck area.
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