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The causes of frozen shoulder are divided into shoulder causes and extra-shoulder factors. Local causes of frozen shoulder, first.
1. Most of the diseases occur in middle-aged and elderly people around 50 years old, so it is also called fifty shoulders. It is the degeneration of muscles, ligaments, and bones around the joint plus the change of various external forces, so it has an impact, and with the degeneration of the joint, the ability to withstand external forces is weakened. Clause.
Second, it is the chronic injury caused by long-term excessive activity and poor posture. Clause.
Third, it is that after the trauma of the upper limbs, the shoulder bone is fixed for too long. For example, if the shoulder bone is suspended for a long time in the fracture of the forearm, the muscles around the shoulder will atrophy and adhesion. Clause.
Fourth, it is the impropriety of the acute sprain and traction. Clause.
Fifth, it is the factors outside the shoulder joint, such as cervical spondylosis, heart, lung, and biliary tract diseases, and the referred pain of the shoulder joint occurs, because the original disease does not heal for a long time, so that the shoulder muscles are continuous spasm and ischemia and form inflammatory lesions, which are transformed into real frozen shoulder. Generally, if there is frozen shoulder, it can be recovered in time through Miao 1 father 1 1 1 raise, Taobao has, I hope it will help you.
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Frozen shoulder is also known as frozen shoulder or frozen shoulder! It is caused by adhesion of the surrounding ligaments caused by aseptic inflammation caused by shoulder joint strain and cold! In this case, be sure to keep warm!
**Mainly focus on functional exercises! Non-steroidal anti-inflammatory drugs can be taken orally to reduce pain, and then the affected limb can climb the wall and pull the horizontal bar.
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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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Frozen shoulder is more common in middle-aged and elderly people around the age of 50, and in recent years, frozen shoulder is also common in young people. It is often caused by minor trauma, chronic strain, or rheumatism and cold. Therefore, in daily life, it is necessary to pay attention to protecting the affected shoulder, pay attention to cold and moisture, avoid trauma, pay attention to the affected shoulder when lying on the side, and insist on shoulder joint exercise activities every day.
For example, taking the shoulder joint as the center and doing the affected limb in a circle can play a significant preventive and effective role.
1. Cupping**, select the muscle attachment point, or the common pain points of the long and brevis muscles of the biceps, etc., prick the bleeding with a triangular needle first, and then put it on the cupping.
2. Occlusion**, choose more parts of the rotator cuff, long and short biceps tendon and coracohumeral space for occlusion.
3. Tendon manipulation techniques, such as patting, the operator's fingers are straightened and brought together, and the interphalangeal joints and fingertips are hit on the affected area, first patting the shoulder three points (the anterior, outer, and posterior pain points of the shoulder), and then patting the three shoulder areas (the anterior shoulder area is the outer side of the upper chest and the front of the shoulder, the outer shoulder area is the outer side of the shoulder arm, and the posterior shoulder area is the lateral edge of the scapula and the back of the shoulder), and the pat is slightly red. **1 time per day, 3 to 5 times in a row.
4. Acupuncture**, you can take Ah Shi acupoint, Tianzong, scapula, Tiaokou acupoint, add moxibustion after flat acupuncture, 1 time a day, 10 times for 1 course of treatment. You can also use massage techniques to pinch, knead, and press the above acupuncture points, with soreness, numbness, swelling, etc., for 5 to 10 minutes.
5. Drugs**, if necessary, anti-inflammatory and analgesic drugs can be taken internally, and external [neck and shoulder loose massage cream] conditioning, etc.;
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How to tell if you have frozen shoulders.
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Symptoms: 1. Pain is the most prominent symptom of frozen shoulder. The initial pain symptoms are often mild, often triggered by weather changes or exertion, and gradually develop into persistent pain, especially during shoulder joint internal rotation, extension, lifting, abduction and other movements, and even severe pain.
2. The pain symptoms will also be aggravated at rest, especially when sleeping at night, severe cases can not sleep at night, and can not press the shoulder to the affected side to lie down, 3. The limitation of shoulder joint activity generally occurs 3-4 weeks after the pain symptoms are obvious, and the cause is pain, muscle spasm, etc. After that, soft tissues such as joint capsules and ligaments adhere and contracture, resulting in significant stiffness of the shoulder joint.
4. Frozen shoulder is generally preceded by a history of shoulder pain and gradual decline in joint function for weeks to months, and about 1 5 patients have had minor trauma to the shoulder or upper limbs. Insidious onset and gradual development are characterized by one of the early clinical features of frozen shoulder.
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To judge by doing X-rays, you can exercise more often, for example, the following exercise activities should be done frequently.
1. Shake your hands: Standing position, feet shoulder-width apart, arms gently shake back and forth, and gradually increase the swing amplitude, 15 times per set, 5 sets each time.
2. Draw circles: Face the wall, straighten your arms, and then draw circles on the wall, do 15 reps per group, 5 sets at a time.
3. Climb the wall: Stand in front of the wall, hold the wall with your hands, climb up until the highest point, make a mark, then put down your hand, and when you climb the wall again, aim to exceed this mark, 30 times a time, do 2 sets a day.
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How to determine frozen shoulder, this is not easy to say, it is recommended to go to a regular medical institution to see in the determination. First of all, it is important to understand that frozen shoulder and shoulder pain in general can be easily confused, and not all shoulder pain problems are frozen shoulder. There are many things that need to be checked, such as the gradual onset of shoulder pain, especially at night, gradually worsening, and the limitation of shoulder joint mobility and getting worse, I used to be a person who has been bothered by frozen shoulder for many years.
First of all, you have to observe whether the dog's appetite is normal, appetite can directly trigger the dog's physical condition, and then observe whether the dog's behavior is normal, whether the temper is short-tempered, whether the body has fever, and whether the body temperature is correct These are how to judge whether the dog has canine distemper. <>
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