Ask for help with frozen shoulder and tennis elbow

Be sure to pay attention to the balance of exercise, fifty shoulder is a kind of frozen shoulder, with frozen shoulder, the patient's shoulder movement and arm movement are affected, a movement or at a certain angle of pain will be aggravated, so it affects the movement of the arm. These two diseases appear in the patient's body, must be timely **, shoulder part of the fire tank, physiotherapy effect is a little better, the same is true for the arm, if physiotherapy can not be reduced, then it is necessary to use traditional Chinese medicine in a timely manner, the effect of general external Chinese medicine is better, while taking medication, we must pay attention to maintaining a certain degree of exercise every day

Frozen shoulder is a chronic inflammation of the soft tissues around the shoulder joint, shoulder muscles, tendons, bursa and joint capsule, forming adhesions inside and outside the joint, hindering the movement of the shoulder, and osteoporosis or calcification of the shoulder can be seen on X-ray. The occurrence of frozen shoulder may be related to exposure to cold, inconspicuous trauma, or prolonged lack of movement with a cast in the case of an upper arm fracture.

The main measure is the functional exercise of the affected shoulder. Resist the pain and swing your arms back and forth, inside and out, or draw circles. You can also face the wall, touch the wall with both hands and slowly lift it up, several times a day, and record the height of the wall, and strive to gradually improve the function of the shoulder joint.

If the pain is severe, heat therapy can be given, or a hot water bottle or hot towel can be applied to the shoulder, and acupuncture, massage, massage, etc.**, or some painkillers and anti-inflammatory drugs can be taken appropriately to temporarily limit shoulder activities. For obvious tender points, local injections of hydrocortisone acetate and procaine can be used for blocking**.

Tennis elbow got its name from the fact that tennis players are susceptible to this disease, and its medical name is lateral epicondylitis of the humerus. Housewives, bricklayers, carpenters, and other people who repeatedly exert their elbows for a long time are also susceptible to this disease. Due to long-term strain, some tendons and soft tissues attached to the elbow joint can be torn or injured in part, or periosteal trauma caused by friction, causing periosteitis.

It is mainly manifested by pain on the outside of the elbow that radiates to the outside of the forearm, weakness in gripping, and exacerbation when screwing or squeezing a towel. The affected area is somewhat swollen, and the bone growth and bulge can be felt, and the tenderness is obvious. To confirm the diagnosis, the wrist flexion test can be done by straightening the elbow joint, flexing the wrist, and then rotating the forearm as far back and outward as possible.

After tennis elbow, you should take a break and stop some movements that use elbow and wrist strength. All kinds of diathermic physics**, or hot water bottles, hot towels, and combined with acupuncture, massage, etc., have certain curative effects. Injection of triamcinolone acetonide into the tender area is more effective if the injection site is accurate.

It can be injected once a week, 2 to 3 times for 1 course of treatment. Except for a few patients who may have increased pain due to local inflammation within 1 to 2 days after injection, local injection generally does not cause systemic complications. If there is still no effect after various **, and it has seriously affected work and life, surgery** can be done.

Hello, 1, Gu Xu Ningtang's Shu Luo Ping Pain Paste to drive away evil and help the right, nourish the blood and replenish the deficiency, regulate the qi and the middle, so that the qi and blood are prosperous, the blood can be prosperous, the muscles can be warmed, the muscles and bones can be nourished, and the effect of qi and blood and smooth, strong muscles and bones can be achieved. The whole side takes into account both inside and outside, and treats both the inside and the outside, so that the tennis elbow is both symptomatic and symptomatic.

2. Family self**: warm water soaking, wax pad** and hot water bottle hot compress**3, local cessation of activity in the early stage, fixed with plaster, some patients can be relieved by rest.

4. In the early stage, an elastic bandage is wrapped around the abdomen of the distal forearm muscle to reduce pain.

"Tennis elbow" refers to elbow joint pain, and the medical disease is called lateral epicondylitis of the humerus, which is called in traditional Chinese medicine.

brachial paralysis", and bone diagnosis** is more intuitive and more accurate to call "radius posterior". At.

More than 100 years ago, it was called "writer's elbow", and later it was also called "tennis elbow" because it was found that most tennis players suffer from this disease. "Tennis elbow" can be caused by people who repeatedly move their forearms, such as housewives, typists, painters, plasterers, hairdressers and computer people, who are common patients in hospital outpatient clinics.

"Tennis elbow" can be initially triggered by sudden and inappropriate force on the elbow, but it is usually a slow onset, with gradual unidirectional exertional pain. It often occurs when you are carrying heavy objects, rubbing laundry, twisting a towel, or carrying a teapot to pour water, mopping the floor, or sleeping and pulling a quilt, causing pain or severe pain in the elbow area. Mild pain is sometimes insidious, and when symptoms worsen, it is persistent pain, arm weakness, and even holding objects falling on the ground, and when the forearm is pronated, it is often limited by pain, and sometimes the pain radiates to the upper part of the forearm and the middle of the upper arm.

On the ** of the tennis elbow, you can apply the elbow tendon-patch with the effect of healing and repairing, reducing inflammation and relieving pain, regulating qi and blood, and removing paralysis, as long as the affected area is washed and dried before use, and the plaster is applied to the painful part of the elbow.

Tennis elbow (lateral epicondylitis) of the elbow joint, lateral elbow joint, tendon at the beginning of the extensor muscle of the forearm is inflamed and painful. The pain arises due to chronic lacerations caused by repetitive exertion of the extensor muscles of the forearm. People experience pain in the affected area when they grasp or lift objects hard.

Tennis elbow is a classic example of overuse syndrome. Tennis and badminton players are more common, and housewives, bricklayers, carpenters and other people who repeatedly do elbow activities for a long time are also susceptible to this disease.

Individualized programs are developed according to the specific conditions of the patient, with the aim of reducing or eliminating symptoms and avoiding them.

1.Non-surgical**.

1) Rest Avoid activities that cause pain, and do not exercise until the pain is gone, especially no tennis.

2) Ice Apply ice to the outside of the elbow for 1 week, 4 times a day, 1 time for 15-20 minutes. Do not touch the ice cubes when wrapping them in a towel **to avoid frostbite**.

3) Taking medication: aspirin or non-steroidal anti-inflammatory painkillers (such as ibuprofen, etc.).

4) Protective gear The use of compression resistance protective gear on the forearm can limit the force generated by the muscles of the forearm.

5) Hyperthermia Hyperthermia is applied before stretching** and exercise preparation activities.

6) Stretching** When the acute pain disappears, start gently stretching the elbow and wrist according to the doctor's instructions, do not cause pain, keep the stretching state for 10 seconds, and repeat 6 times.

7) Strength exercises: Exercises to strengthen the wrist extension muscles according to the doctor's instructions.

8) Gradually return to exercise As recommended by your doctor, start exercising the arm movements required for your exercise program (work activities).

9) Local occlusion with cortisone Injection of cortisone drugs into specific parts of the elbow joint can reduce inflammation and relieve pain.

10) Extracorporeal shock wave** can improve local blood circulation, reduce inflammation, and have a good effect on tendon terminal disease.

2.Surgery**.

If it is an advanced stage of tennis elbow or recalcitrant tennis elbow, after six months to one year of regular conservatism**, the symptoms are still severe and affect life and work**, surgery can be taken**. Surgical methods include minimally invasive arthroscopic surgery and less invasive open surgery to remove unhealthy tissue, improve or re-establish local blood circulation, and allow tendons and bones to heal.

Medication**. 1.In mild cases, rest, anti-inflammatory and analgesic drugs can be taken and other measures can be taken **; For those who do not heal after taking medicine, local closure can be done, 1 time a week, 2 4 times Duoduanling can be cured and burned.

2.In recalcitrant cases, a longitudinal incorporating can be made at the lateral epicondyle of the humerus under local anesthesia to surgically remove or release the extensor tendon and cut or release the vascular nerve bundle. It has also been suggested that most of the recalcitrant cases are caused by traction of the extensor carpi radialis brevis aponeurosis and the posterior parapronatal aponeurosis arch on the deep branch of the radial nerve, and that this nerve release is required to make the symptoms disappear.

Swelling, pain, inability to make strength, and inflammation in severe cases.

Problem Analysis:

Hello, your situation is mainly caused by tennis elbow pain in the left shoulder joint, tennis elbow refers to lateral epicondylitis of the humerus, which is caused by long-term and repeated arm movements.

Suggestions: It is recommended to go to the hospital for an X-ray examination of the shoulder joint and elbow joint to rule out other diagnoses, and local closure can be carried out for lateral epicondylitis of the humerus**, which can get good results, and also limit the activity of the wrist joint to prevent ** and aggravation of the condition.