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At present, the treatment of frozen shoulder is mainly conservative**. Commonly used methods include: oral anti-inflammatory analgesics, physical **, local closure of pain points, massage massage, self-massage and other comprehensive **.
Joint function exercises are also performed, including active and passive abduction, rotation, extension and flexion, and circumferential movements. When the shoulder pain is significantly relieved and the joint is still stiff, it can be released under general anesthesia to restore the range of motion.
According to the different course of the disease, the ** mode of frozen shoulder also has its own emphasis.
1) Coagulation phase: The purpose of ** is mainly to relieve pain. Nonsteroidal anti-inflammatory drugs can usually be used for analgesia, and other analgesics may be used if necessary.
It can also be supplemented with physiotherapy. Intra-articular steroid hormone injections in the shoulder early in the lesion can reduce synovitis and thus shorten the natural history of the frozen shoulder.
2) Freezing period: Shoulder joint function exercise after analgesia**. Since the inflammatory phase of the shoulder joint has subsided during the freezing phase, intra-articular steroid injection is not suitable, and the shoulder joint needs to be moved on a larger scale to restore the mobility and function of the shoulder joint, which is the focus of this period**.
Patients who have been exercising for a longer period of time with low impedance function can also perform manual release under anesthesia and arthroscopic shoulder capsular release.
3) ** in the thawing period: during the thawing period, it should be actively exercised to produce a certain stretching stress, so that the muscles around the affected shoulder are contracted, the ligaments are stretched, the joint capsule is stretched at the same time, and the flow of synovial fluid in the joint cavity increases, which not only improves the movement outside the joint capsule, but also improves the movement in the joint capsule, so that the range of motion of the shoulder joint in all axes and multiple directions is significantly increased.
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There are several main ways to relieve frozen shoulder pain:
Use of analgesics: When patients with frozen shoulder have obvious pain symptoms, nonsteroidal anti-inflammatory analgesic drugs can be used to relieve pain symptoms.
Local physical **: For the pain caused by frozen shoulder, hot compresses, acupuncture, massage, massage, infrared irradiation physiotherapy and other physical ** can be applied locally, which is conducive to improving local blood circulation and relieving pain symptoms.
Injection of glucocorticoids into pain points: If the pain symptoms of frozen shoulder are severe and unbearable, doctors can inject glucocorticoids into pain points, such as prednisolone acetate, hydrocortisone, etc., which are conducive to anti-inflammatory, reduce the exudation of inflammatory substances, and then relieve pain symptoms.
External application of plasters that invigorate blood circulation and dispel blood stasis: such as notoginseng wound ointment, upper pain relief patch, Yunnan Baiyao ointment, etc., which is conducive to blood circulation and blood stasis, improve local blood circulation, and reduce pain symptoms.
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1) Wrist hanging method: When the pain of frozen shoulder is severe, the forearm of the affected side can be suspended with a triangular scarf, so that the shoulder joint of the affected side remains naturally sagging, the elbow joint is flexed, and the wrist joint is in a natural position to limit the activity of the upper limb on the affected side, and the triangular scarf can be lifted after the pain is reduced.
(2) Icing method: use the best ice packs on the market, or plastic bags, fill ice cubes and an appropriate amount of salt water, or use the frozen items in the refrigerator to place them in the painful part of the shoulder joint on the affected side for about ten minutes, which can significantly reduce the pain. Appropriate supplementation of Kinrich polyaminic sugar chondroitin helps chondrocytes regenerate
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The course of frozen shoulder is traditionally divided into three phases: coagulation, freezing, and thawing. In the coagulation stage, the main lesion is located in the shoulder capsule, the joint capsule is tightened, the subcapsular folds are adherent to each other and disappear, and there is adhesion between the long head and tendon sheath of the biceps brachii.
In addition to severe atrophy of the joint capsule, the soft tissues around the joints are affected, the degeneration is aggravated, the bursa is congested and thickened, the tissues are inelastic, and the movement of the shoulder joint is obviously limited. After 7 to 12 months, the inflammation gradually subsides, the pain disappears, and the shoulder joint mobility gradually recovers.
1.Shoulder pain.
At first, the shoulder is paroxysmal pain, most of which are chronic, and then the pain gradually worsens or dull pain, or knife-like pain, and is persistent, climate change or exertion often aggravates the pain, the pain can spread to the neck and upper limbs (especially the elbow), when the shoulder is occasionally bumped or stretched, it can often cause tear-like severe pain, shoulder pain is a major feature of the disease, if the pain is caused by cold, it is particularly sensitive to climate change.
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Frozen shoulder pain can be relieved with Wanteric indomethacin liniment. This liniment is fine when used on a large area, it can be quickly absorbed by the skin, and the anti-inflammatory and analgesic effect is very good.
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It is said that the anti-inflammatory and analgesic effect of Wanteri indomethacin liniment is very good, this liniment penetrates well, tenosynovitis, frozen shoulder, pain caused by strain and sprain, etc., can be used, and its analgesic effect is obvious.
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1 pain is one of the common symptoms of orthopedic diseases, patients at the beginning of the shoulder is paroxysmal pain, most of them are chronic, and then the pain gradually worsens or abrupt pain, or knife-like pain, and is persistent, after climate change or exertion, the pain is often aggravated, the pain can spread to the neck and upper limbs, when the shoulder is occasionally bumped or stretched, it can often cause tear-like severe pain, shoulder pain is light day and night is a common typical symptom of frozen shoulder, most patients often complain of waking up in the middle of the night, can not sleep, especially can not lie on the side of the affected side.
2. With the development of the course of the disease, the patient's shoulder joint can be limited in all directions, abduction, lifting, internal and external rotation are more obvious, with the progression of the disease, due to the long-term disuse of the adhesion of the joint capsule and the soft tissue around the shoulder, the muscle strength gradually decreases, coupled with the coracohumeral ligament fixed in the shortened internal rotation position, etc., so that the active and passive activities of the shoulder joint in all directions are limited, and the function of the elbow joint can also be affected in severe cases, and the hand cannot touch the ipsilateral shoulder when the elbow is flexed, especially when the arm is extended back, the elbow flexion action cannot be completed.
3. Joint activity mainly depends on the movement of muscles, deltoid, supraspinatus and other muscles around the shoulder can have spasm in the early stage, disuse muscle atrophy can occur in the late stage, acromion protrusion, inconvenient lifting, unfavorable backbend and other typical symptoms, at this time the pain symptoms are reduced. There is mild atrophy of the deltoid muscle, and spasm of the trapezius muscle.
4. The acute phase is the initial stage of frozen shoulder, which lasts for about one month and sometimes lasts to three months. The main clinical manifestations are pain around the shoulder, which can be dull pain, stabbing pain, cold pain, soreness, aggravation at night, and even affect sleep, and normal or mild limitation of shoulder joint functional activities.
The adhesion phase is also called the freezing phase. The course of the current stage of the disease is about three months. The shoulder pain is less than before, but the pain is still sore, the shoulder joint function is severely limited, the range of motion in all directions is significantly reduced, and the movement disorders such as abduction, external rotation, forward flexion, and backward extension are the most significant, and can even affect daily life, such as dressing, combing hair, eating, belting, etc. The pathological characteristics of this stage are the reduction of aseptic inflammation, the adhesions are severe, and the symptoms are most obvious with limited activity.
The recovery period is called frozen shoulder. The duration of the disease is 6 to 18 months. The shoulder pain is significantly reduced, or even only soreness and discomfort appear, and the range of motion of the shoulder joint gradually increases, and the patient may have a tendency to heal spontaneously.
The pathological characteristics of this stage are that the aseptic inflammation basically disappears, the adhesions around the shoulder are gradually loosened, the painful adhesions are gradually reduced, and the disease is healed.
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Local immobilization is used, and suspension braking with a triangular scarf is used to avoid excessive activity that causes muscle digging and muscle cramping. The use of analgesic and muscle disturbance eugenics drugs, the dispensing is conducive to relieving this pain, if the pain is difficult to sleep, it can also be supplemented with a small amount of sedative drugs, which has a good effect on the relief of pain.
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Frozen shoulder is a local injury caused by overexertion of the body, if the environmental pain can be counted, the way to use hot compresses, in daily life, you should also pay more attention to protect the shoulder.
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There are many ways to relieve pain from frozen shoulder, mainly to keep warm, pay attention to rest, and do not content or suffer.
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The measures include physiotherapy, medications**, etc., which represent the drug with cayenne rheumatic gel, which it improves on.
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First, it is necessary to pay attention to the warmth of the sedan chair god here, and to strengthen the protection of the shoulder joint to prevent injury.
Second, the patient needs to strengthen the physical exercise involving the shoulders at ordinary times.
Thirdly, patients with prevalence need to prevent long-term immobilization when they are working, such as walking and moving more between work.
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If you have frozen shoulder, you should actively cooperate**, and you should also use hot compresses frequently, and you can also use some shoulder and neck instruments**, and you can also use acupuncture. Circular motions can also be used to massage with gentle strokes, all of which can relieve pain.
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You can go to the hospital for a detailed examination, and you should usually move your shoulders more, you can go to massage, you can also go to the bone or go to acupuncture and massage, all of which can relieve frozen shoulder.
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After having frozen shoulder, you must go to the hospital for a check-up, and you also need to relieve it by medication, and you can also massage it gently by massage.
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Frozen shoulder is very common in our lives, especially for long-term sedentary workers, basically there will be such a situation, I believe that many people will be accustomed to massaging the shoulder or neck when they have frozen shoulder, so that there will indeed be an instant feeling of relaxation, but this feeling is often short-lived, and it will be sore after a while.
When I was at work, I often felt a sore shoulder, and I didn't know why at first, I thought I was tired from work, so I went home and massaged, it was better, but the shoulder began to hurt again in two days, I just thought about going to the hospital **, and the doctor said that it was frozen shoulder, pay more attention to rest on the line, nothing serious, after listening to the rest of the rest of the rest of the line, I left with peace of mind, took a few days off to prepare for a good rest at home, and after a few days of rest, I only felt that the shoulder pain was more serious, and it seems that I still have to **.
So I went to the hospital to prescribe some medicine, in fact, I always feel that taking medicine is not very reliable, because I have a friend who has arthritis, although I have frozen shoulder, but I feel the same, they are all part of the joint. He has been taking medicine, but taking medicine to treat the symptoms but not the root cause, he has been taking it, and he stopped and started again, and the doctor also suggested that I go to massage and acupuncture to see if there is any effect.
Massage, acupuncture and medicine are not the same, it is really to relax the body for **, rather than relying on drugs to maintain, I like massage and acupuncture very much, this physical ** method, for this disease on the joints is more effective。By the way, the disadvantage of it, as long as I don't go, it starts to hurt again, I don't know if you are like this, acupuncture is also very painful at the beginning, although it is comfortable but the effect is not very good.
Later, I began to paste pyridine, this is my favorite ** method I have been using, the effect is very good, I used it for three or four days to feel the pain and look at it a lot。There are a few boxes at home, I will go to paste a paste every day, after I can feel really comfortable, the benefit of the joint ** is very great, I can usually go to work can be pasted at all, I will do some exercise when I am free, and the frozen shoulder has been completely cured.
If you are a shift worker like me, you must pay more attention to rest when you are working, or just pay attention to your sitting posture, and incorrect sitting posture will also cause frozen shoulder.
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If you want to relieve the pain of frozen shoulder, you can do tai chi and hang your arms at home, but pay attention to the amount of exercise. Topical hot compresses and appropriate massages can also be applied, as well as acupuncture**. You can also take some anti-inflammatory and pain-relieving medications.
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1. Hot compress, hot compress has the effect of invigorating blood circulation and removing blood stasis, promoting blood circulation and improving symptoms. 2. Physiotherapy, such as acupuncture, massage, massage, etc. 3. When the pain is severe, oral non-steroidal anti-inflammatory and analgesic drugs and blood circulation and blood stasis removal drugs.
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At the time of the attack, you should press your shoulder, which can relieve some pain, and you also need to take some medicine, if it is particularly serious, you should be sent to the hospital for treatment.
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In such a situation, I think you should go to the doctor, you can also apply a hot towel to the painful area, or you can take some painkiller medicine, which can relieve the pain.
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When the frozen shoulder occurs, you can do massage, acupuncture, and plaster to get relief.
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<><How to relieve frozen shoulder pain quickly
1. The wrist hanging method hangs the forearm to limit the movement of the upper limbs, so that the shoulder joint can be fully rested, which can reduce the pain.
2. Wrap the ice pack or other frozen things in the refrigerator in a clean towel and apply it to the sore shoulder to relieve the pain. Apply a cold compress for 5-15 minutes each time.
3. Soak the towel with hot water and wring it out, and the temperature should not be burned. To reduce heat dissipation, a layer of plastic can be covered. The hot compress lasts for 10 minutes.
4. If you can't fall asleep because of pain, you can use a pillow to cushion the painful shoulder to make the shoulder have a loose and comfortable position.
5.Some people are afraid to move their shoulders because of shoulder pain, but in fact, doing some exercises appropriately can not only improve local blood circulation, promote the absorption of inflammation, but also maintain the range of motion of the shoulder joint.
6. Touch the wall and climb high, stand facing the wall, feet shoulder-width apart, stretch your upper limbs forward, and use your fingertips to climb the wall, from low to high, until the shoulder and arm muscles have a feeling of soreness, and repeat the action 10 times.
7. Sitting or standing with the backhand touching the back, touch the back with the back of the hand on the painful side, move the waist up and down, try to let the hand touch the shoulder and spleen, so that the shoulder joint is extended and rotated. Repeat 10 times.
Frozen shoulder, also known as "frozen shoulder" or "fifty shoulder", the main symptom is shoulder pain. The pain can be dull or knife-like pain, and it will even wake up at night, which brings great pain and inconvenience to our lives. >>>More
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Patients need to avoid eating foods high in purines, such as seafood, animal offal, etc., especially not seafood with beer, immobilization of the affected limb, local cold compresses, and medications**.
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