What are the treatments for frozen shoulder, and what are the treatments for frozen shoulder

The best methods for frozen shoulder include functional training, medications, traditional Chinese medicine, surgery, and more.

Functional exercises can help improve blood circulation, reduce muscle adhesions and spasms, and promote metabolism.

Medications**: Oral non-steroidal anti-inflammatory drugs, such as meloxicam, etc.

Traditional Chinese Medicine**: Oral administration such as body pain and stasis decoction, suitable for frozen shoulder with blood stasis block; Medicated liquor, ointment, acupuncture, massage, small needle knife**, etc., all vary from person to person and have certain curative effects.

Surgery**: When various conservative methods are ineffective or the efficacy is not good, surgical release can be considered, and arthroscopic minimally invasive surgery is becoming more mature.

Acute phase of frozen shoulder: cold compress can be applied during the acute attack; When the pain point is limited, it is feasible to close the local pain point**; Patients with persistent pain can take NSAIDs for a short period of time; If the symptoms are severe and cannot be relieved, if the above measures are ineffective, joint cavity closure or nerve block** can be performed; Pay attention to rest to reduce the burden on the shoulder muscles.

Frozen shoulder**Pathogenesis:

Lack of qi and blood, external wind, cold and dampness, trauma to muscles and bones. Frozen shoulder often occurs on the basis of soft tissue strain, inflammatory lesions, trauma, and cold exposure such as biceps tendonitis, subacromial bursitis, and supraspinatus tendonitis. The inflammatory changes such as congestion, edema, exudation, and thickening of the ligaments, tendons, and joint capsules caused by the above factors will cause adhesion and calcification over time if they are not effective.

At the same time, protective restriction of movement or long-term immobilization of the affected shoulder promotes the formation of adhesions, which eventually leads to loss of mobility of the shoulder joint.

Clinical manifestations of frozen shoulder:

1. The pain is paroxysmal in the early stage, often induced by weather changes and fatigue, the day is light and the night is heavy, the night is sleepless, and the affected side cannot be lying. When the shoulder is stretched, it can cause severe pain.

2. Restricted functional activities.

Bend over and shake your shoulders: Bend over and stretch your arms, do a shoulder joint rotation exercise, and the movements are from small to large, from slow to fast.

Wall climbing exercise: Face the wall, use both hands or one hand to slowly climb up the wall, so that the upper limbs are as high as possible, and then slowly go down back to the original place, repeat several times.

With both hands back, pull the affected side with the unaffected hand; Wrist, gradually pulling upwards, repeatedly.

External rotation exercise: Stand with your back against the wall, clench your fist and bend your elbows, rotate your arms externally, try to touch the back of your fist against the wall, and repeat several times.

Shoulder adduction and abduction exercises: cross your hands at the back of your neck, and try to adduct and abduct your shoulder joints, repeating several times.

Shaking exercise: The patient is in a standing position, and the shoulder joint is bent forward, extended, adducted and abducted, and the range of action is from small to large, and it is repeated repeatedly.

Support and stretch 1: Support the fixed object behind you with both hands, make the chest and abdomen straight, and pull the affected limb backwards.

Support and stretch 2: The patient supports a fixed object (such as the edge of the bed or the edge of the table) with both hands to squat, and pulls the affected limb upward with body weight.

There are several common methods of frozen shoulder**:

1. Massage**Frozen shoulder: Massage has the effect of dissipating cold and relieving pain, invigorating blood circulation and removing blood stasis, dredging meridians, smoothing joints, and strengthening muscles and bones. First of all, tap the large vertebrae, shoulder well, Tianzong, Quchi for 2 3 minutes, and then massage the shoulder area, the method should be from light to heavy, from heavy to light, with some warm and comfortable as the degree, try to prevent violent methods.

2. Traditional Chinese medicine ** frozen shoulder: with the use of Jiji Yutang Shoulder Bone Relief Patch to dredge the meridians, promote qi and blood, dissipate cold and pain, and promote recovery. Dispelling wind and cold, relieving spasmodics, activating blood and dissolving stasis.

3. Cupping**Frozen shoulder: Cupping is relatively safe, and it can be done in the front, outside and back of the shoulder. To find the most painful area, you can use a fire pot or a vacuum extraction tank.

The commonly selected acupuncture points include shoulder well, shoulder corner, shoulder front, shoulder chastity, Tianzong and other acupuncture points. Choose two acupuncture points at a time and use them alternately.

4. Acupuncture**Frozen shoulder: The commonly selected acupuncture points include shoulder well, shoulder corner, shoulder front, scapular chastity, large vertebrae, Quchi, Waiguan, carpal bone and other acupuncture points.

5. Physiotherapy: use high-frequency electromagnetic**, once a day, 10 days for 1 course of treatment. It can play a role in anti-inflammatory, analgesic, antispasmodic, improve blood circulation, and relax muscles.

Frozen shoulder can be comprehensively treated by hot compresses, massage, non-steroidal anti-inflammatory, anti-jujube, pain medicines, or traditional Chinese medicine that invigorates blood circulation and dispels blood stasis. It can also be done through local closure. and other methods to carry out**, pay attention to dismantling and dismantling the shoulders to keep warm, and not let the shoulders be cool.

At present, the main methods of frozen shoulder include non-surgical and surgical, of which non-surgical is the main method of frozen shoulder, non-surgical includes oral anti-inflammatory and analgesic drugs, physical, local acupuncture physiotherapy, local pain point closure, local massage, self-massage and other comprehensive methods, and at the same time carry out functional exercises of the shoulder joint, including active and passive abduction, rotation, extension and flexion, circumferential rotation and other movements, when the pain of the shoulder joint is significantly reduced and there is still stiffness, it can be released under general anesthesia. Restore shoulder function. Surgery is performed under general anesthesia for shoulder arthroscopic release and bone spur removal around the shoulder joint under general anesthesia for patients with frozen shoulder, such as subacromial hyperplasia, chronic injury of the rotator cuff, and obvious adhesions in the absence of non-surgical procedures.

There is a doctor.

How to freeze shoulder**.

Wang Xinguang, Deputy Chief Physician.

Department of Joint Surgery, Huizhou Central People's Hospital.

Frozen shoulder is a large concept that encompasses many conditions, including frozen shoulder, subacromial impingement syndrome, rotator cuff injury, and labral injury. As a result, there are different approaches for different diseases, and if the wrong approach is taken, it can be counterproductive. Most of the frozen shoulder referred to by ordinary people refers to frozen shoulder, that is, adhesions around the shoulder joint.

In this case, it is necessary to carry out ** according to the actual situation of the patient, ** method is as follows:

1. The symptom of frozen shoulder is pain, and the pain is more severe, and many patients cannot sleep at night.

2. For joint stiffness, for simple frozen shoulder, patients need to be encouraged to exercise in all directions of the shoulder joint, such as climbing the wall and lifting the shoulder to loosen the adhesion tendons, but if it is not frozen shoulder, but other diseases, such as subacromial impingement syndrome, the way of climbing the wall can make the rotator cuff injury more and more serious, thereby aggravating the condition, so you must be clear about your disease before frozen shoulder;

3. If the frozen shoulder cannot be improved by taking medicine and exercising, surgery may be required, and there are two main surgical methods: first.

1. Manipulative release of joints under anesthesia; Clause.

2. Minimally invasive shoulder arthroscopic joint cleaning and release surgery under anesthesia can generally achieve faster relief after surgery. Generally speaking, frozen shoulder is a self-limiting disease, and the course of conservative ** is about half a year to 2 years, and it may slowly get better. However, some patients are unable to tolerate such a long period of pain, and surgery may be considered for frozen shoulder**.

Frozen shoulder, also known as condensation of the shoulder, there are many sayings about the pathology of the condensation of the shoulder. Some say it is from the perspective of soft tissue injury. After the onset of the disease, it showed pathological changes such as inflammatory exudation, cell necrosis, soft tissue hyperplasia, and scarring adhesions.

However, Chinese medicine believes that the shoulder condensation is caused by the invasion of external evil caused by the emptiness of the meridians.

Acupuncture medicine believes that shoulder coagulation is a typical self-compensatory disease, because a local lesion, such as the biceps biceps biceps starting point injury, the shoulder joint in order to protect and repair the injured muscles, inevitably limit the function of the shoulder joint, although the injured muscles have been rested and partially repaired. However, the structures around the shoulder joint, such as the long head of the biceps muscle, the supraspinatus muscle, the infraspinatus muscle, the minor cause muscle and the synovial sac around the shoulder joint, cannot be moved for a long time due to the repair and adjustment of the human body, so that the muscles, ligaments and synovial sacs around the shoulder joint form extensive adhesions and short marks, which eventually leads to serious dysfunction of the shoulder joint and even causes joint ankonosis. Frozen shoulder can use shoulder and neck massage cream 2-3 times a day, take an appropriate amount of ointment and apply it to the affected area, massage clockwise to make it absorb, do not use excessive force, massage for 3-5 minutes, until ** slightly red, the ointment can be completely absorbed.

Relax the tendons, invigorate blood and relieve pain, and gently nourish bones. Thus repairing and regulating frozen shoulder.

Due to the complexity of the pathogenesis and pathogenesis of frozen shoulder, it has not been fully elucidated, and it is still lacking. Generally, it is mainly symptomatic, to relieve pain, restore function, and avoid muscle atrophy. Disease education, medical nutrition**, exercise**, condition monitoring, and medications** for patients with frozen shoulder**.

**Cycle. Frozen shoulder**, which requires a long intermittent period**.

So so**. In acute frozen shoulder, it is necessary to rest immediately when the pain is very severe, and it is not advisable to do too much activity in daily life. However, after the acute phase of the disease, regardless of the duration of the disease and the severity of the disease, patients need to properly practice shoulder flexion, extension, rotation, adduction and abduction and other activities every day.

Such as wall climbing method, circle method, wheel pulling method, combing method, etc. The main purpose of functional exercises is to improve the blood circulation around the shoulders of the patient, thereby reducing the patient's muscle spasm and tissue adhesion. Relieves pain and gradually restores the normal function of the patient's shoulder joint.

Guard**. At present, scholars believe that conservative ** is the first choice for frozen shoulder, especially in patients in the acute phase and icing phase, such as rest in the acute phase. For patients with an underlying disease, it is important to actively control the primary disease first, such as diabetic patients.

Drugs**. Oral non-steroidal anti-inflammatory drugs such as ibuprofen, diclofenac sodium, indomethacin, etc. If the pain persists and it is difficult to sleep at night, consider taking them for a short period of time, noting that these drugs can cause kidney damage.

When the drug is closed and the pain point is limited, local injection of prednisolone acetate can be used, which can significantly relieve the pain.

The best way to freeze shoulder.

The principle of frozen shoulder is to take corresponding measures for the different frozen shoulder symptoms in different periods of frozen shoulder symptoms. It is a biological agent made of high-efficiency biological components extracted from the high-tech means from the Qinghai-Tibet snowy plateau organisms and herbs, the drug contains dozens of times the efficacy of traditional medicine, the drug can comprehensively solve rheumatoid arthritis, rheumatoid arthritis, cervical spondylosis, lumbar spondylosis, frozen shoulder, bone hyperplasia and sciatica and other diseases.

Precautions for frozen shoulder.

1. Strengthening physical exercise is an effective way to prevent and prevent frozen shoulder, but it is important to insist. If you don't insist on exercising and doing ****, it will be difficult for the function of the shoulder joint to return to normal.

2. Malnutrition can lead to physical weakness, which often leads to frozen shoulder. If the nutrition is relatively adequate and the exercise is appropriate, frozen shoulder can often be cured without medicine.

3. Cold is often the predisposing factor of frozen shoulder, therefore, in order to prevent frozen shoulder, middle-aged and elderly people should pay attention to keeping warm and cold, and do not make the shoulder cold. Once you catch a cold, you should also be in time**, and do not delay treatment.

4. Exercises to strengthen shoulder muscles can prevent and delay the occurrence and development of frozen shoulder. According to the survey, the probability of frozen shoulder attack has decreased by 80% in people with strong shoulder muscles and strength, so the exercise of ligaments and muscles around the shoulder joint is of great significance for the recovery of frozen shoulder.

Middle-aged and elderly people over the age of 50 have a higher chance of suffering from frozen shoulder than the general population. Although the disease will have a certain self-healing ability, it lasts for a long time and is prone to different degrees of joint deformity. Therefore, early diagnosis and treatment of frozen shoulder is key.

**Good ways to freeze shoulder:

1. Drugs**: Topical plasters can be applied to the affected shoulder, or drugs such as safflower oil and massage lotion can be applied to the affected shoulder and supplemented by massage; If the pain is severe, Western medicines such as indomethacin and inflammation can be used to reduce pain and create conditions for massage and functional exercises.

2. Massage: It is an effective method for this disease, and it plays a particularly significant role in loosening soft tissue adhesions, relieving muscle spasms, and improving joint mobility.

3. Local occlusion: patients with periarthritis of the shoulder can be partially occluded in the tender part when the joint pain and tenderness are obvious, the joint mobility disorder is progressively aggravated, or when the joint pain affects the clinical treatment such as massage and functional exercise.

4. Minimally invasive**: As a new type of minimally invasive technique, laser acupuncture knife release has achieved good clinical results in frozen shoulder. It has the functions of anti-inflammatory and analgesic, promoting tissue repair, preventing scarring and enhancing the body's resistance, and it causes less trauma to patients and recovers faster.