Many people naturally think of scapulohumeral periarthritis once their shoulders ache, just like they think of colds when they have fever or cough.
For common fever and cough, no one should directly say it is lung cancer. Because compared with lung cancer, fever and cough are too common in the common cold.
However, shoulder pain is different. Most of the time, shoulder pain is not caused by scapulohumeral periarthritis, but blindly giving oneself [diagnosis] of scapulohumeral periarthritis is likely to harm oneself.
Shoulder pain caused by scapulohumeral periarthritis should be how’s?
1. People under 40 seldom have scapulohumeral periarthritis.
Scapulohumeral periarthritis is also called [frozen shoulder] [50 shoulder], which literally means that this disease is very common in people aged 50. However, the fact is that people under 40 seldom suffer from scapulohumeral periarthritis.
2. Shoulder pain often worsens at night.
When scapulohumeral periarthritis occurs, the shoulder joint will suffer from pain, which may occur after weather changes and catching cold, and the pain is lighter during the day and often aggravates at night.
3. Shoulder movement is restricted
Scapulohumeral periarthritis not only causes shoulder pain, but also causes shoulder movement to be restricted, which is manifested by the difficulty in completing simple actions that require raising the arm, such as combing hair, dressing and even tickling.
If all the above conditions are satisfied, it may indeed be scapulohumeral periarthritis, but it is only possible.
How should scapulohumeral periarthritis be diagnosed?
If the diagnosis is scapulohumeral periarthritis, what should I do besides symptomatic treatment with analgesic drugs?
Completely different from the concept of fracture [braking], the treatment principle of scapulohumeral periarthritis is: activity, activity, and activity again. Only exercise can pull apart the ligaments and soft tissues of shoulder joint adhesion bit by bit.
There are many exercises around the shoulder, just like fancy swimming, but it is nothing more than repeated exercises of joint flexion and extension, abduction, adduction and rotation.
The rehabilitation exercise of scapulohumeral periarthritis can be divided into two stages. In the early stage of rehabilitation, when the symptoms are severe, Do a small range of joint activities without causing severe pain, and cooperate with stretching and strength exercises after the pain is relieved. If the pain is obvious, don’t rush to exercise. At this time, exercise is not only very painful for the patient himself, but also the improvement of joint function is very weak.
1. Early small-scale joint movement
That is, do simple abduction, outward rotation and inward rotation exercises of shoulder joint, and stretch joint capsule from multiple directions.
(1) Abduction: stretching the lower part of shoulder joint capsule
Place the forearm and elbow on the table, then slide the forearm away from the body and gently extend the shoulder joint.
When sliding to the maximum extent or feeling slight pain, stop sliding and hold for a few seconds.
(2) External rotation: stretching the anterior part of shoulder joint capsule
Standing on the edge of the door, bend your elbow about 90 degrees, place your palm on the door frame, rotate your body clockwise, and stick your palm on the door frame all the time during the rotation.
When rotating to the maximum extent or feeling slight pain, stop rotating and hold for a few seconds.
(3) Internal rotation: stretching the posterior part of shoulder joint capsule
Stand at the side of the door with your palm at your waist, your elbow on the door frame, your body rotating counterclockwise, your elbow position fixed and your feet fixed during the rotation.
When rotating to the maximum extent or feeling slight pain, stop rotating and hold for a few seconds.
2. Joint activity and strength exercises
After the symptoms are relieved and the joint activity is improved, shoulder joint activity and strength training can be done in coordination with rubber bands. It is recommended to do it twice a day.
(1) Abduction and adduction
Fix one end of the rubber band, repeatedly pull the rubber band to the side of the body, then relax and practice the abduction and adduction function of the shoulder joint.
(2) Flexion and extension
Fix one end of the rubber band, repeat the action of pulling the rubber band back and then relaxing. During the pulling and releasing process, pay attention to straightening the arm and keeping the elbow joint motionless.
(3) Outer rotation
Raise your forearm, then let your forearm fall to the table under the action of gravity, then raise your arm, and repeat this action. During the lifting and lowering process, the elbow position remains unchanged.
The cause of shoulder pain is not only scapulohumeral periarthritis.
There are many reasons for shoulder pain, usually the diseases of the shoulder and back. Of course, diseases of cervical spine, heart and gallbladder can also cause shoulder pain.
Some studies have shown that only about 20% of the middle-aged and elderly people who go to the hospital due to shoulder pain are scapulohumeral periarthritis, and the vast majority of them are actually pain caused by other diseases.
1. Shoulder and back fasciitis
For people who have not suffered trauma, the most common cause is fasciitis of shoulder and back, which is a chronic aseptic inflammation.
A pain point can be found in the shoulder and back, and when moving, it will be especially painful in a certain posture. However, the pain belongs to pain, and the movement of shoulder joints is generally not affected.
2. Rotator cuff injury
For those who have suffered shoulder injuries recently or have suffered shoulder joint injuries in the past but have not received formal treatment, the most common cause of shoulder pain is rotator cuff injury.
Rotator cuff is the muscle tissue around the shoulder joint. After rotator cuff injury, the shoulder will feel pain, which will worsen during exercise and at night. At the same time, patients will also have difficulties in daily activities such as washing face, combing hair, wearing clothes, taking high-altitude objects and driving, but the final diagnosis requires magnetic resonance examination.
3. Other diseases
In addition to the above two diseases, shoulder pain may be caused by acromion impingement syndrome, shoulder instability, cervical spondylosis, cholecystitis, coronary heart disease, tumor, etc.
Casual [diagnosis] scapulohumeral periarthritis will harm yourself.
Many friends will go online or inquire about all kinds of scapulohumeral periarthritis information from their relatives and friends once they give themselves the diagnosis of scapulohumeral periarthritis. For example, scapulohumeral periarthritis will heal itself without treatment. When it hurts, they can buy some painkillers to stop and relieve pain. Scapulohumeral periarthritis needs more exercise.
There is no denying that scapulohumeral periarthritis can indeed heal itself. It needs to take painkillers and exercise more. But the premise is that the diagnosis of scapulohumeral periarthritis is clear.
For other common diseases that lead to shoulder pain, the treatment methods are different. Applying the treatment of scapulohumeral periarthritis to these diseases will aggravate the disease and delay the treatment.
1. Aggravating the illness
If it is rotator cuff injury or acromion impingement syndrome, due to different degrees of tendon injury and tear, surgery is often required to repair the injured tissue, and conservative treatment should also focus on rest and braking. Therefore, blind exercise may have the opposite effect, the disease is getting more and more serious, and wrong waiting will miss the best treatment opportunity.
2. Delay in disease treatment
If cholecystitis, angina pectoris, painkillers and exercise do not have any therapeutic effect, they will delay the treatment of the disease and lead to serious consequences.
Therefore, don’t think it is scapulohumeral periarthritis as soon as you have shoulder pain. The experience of relatives and friends and your own judgment can only be used as a reference. How to deal with it or listen to the opinions of doctors.