Active exercise to prevent frozen shoulder

Path Ting China's traditional Chinese medicine academy of sciences wangjing hospital

China's traditional Chinese medicine to

        Cases: WangYuXiang (a pseudonym), female, 52 years old, ferial the housework, cooking cooking to buy rice buy surface, two years when feeling right shoulder joint ache, because symptoms do not pay attention to light, a few times this summer night after blow air conditioning, a shoulder pain is aggravating, the pain was severe, especially in the pain at night is heavy, after the break not ease, with lift on shoulder after stretch restricted, cannot TaiJian and freely dressing, affect daily life, to come to our hospital to see a doctor, check the shoulder joint activities is limited, Neer sign (+), brachial two head long tendons tendons tenderness (+), X-ray shoulder joint swelling of the surrounding tissue, diagnosis for frozen shoulder, also is often say fifty shoulder.

        Frozen shoulder, for clinical sees more at about 50 patients, so it is also called frozen shoulder, incidence of women than men, see more at manual workers to shoulder pain and activities is limited as the main symptom, but also because of have patients often consciously have cold shoulder into the inside called "air leakage shoulder".

        Frozen shoulder patients such as WangYuXiang, most always have shoulder strain and excessive movement history, often because of the cold climate or shoulder joint exercise intensity big induced, the characteristic is shoulder joint ache and uplift restricted, serious pain such as acupuncture, especially the night pain affect morpheus, even if the rest and stop work, also have no obvious pain relief, part of the patients pain may be to neck and forearm radial, at the same time with the direction of the shoulder joint limited activities, especially before flexion uplift, abduction uplift and the stretch disorder obvious, because is so painful not freely do face, do up one's hair, strip and so on the movement, affect daily life.

        Frozen shoulder by shoulder more frequent excessive do a certain action or long-term posture bad or shoulder injury caused by etc, which led to shoulder joint chronic injury, the shoulder joint capsule, shoulder week soft tissue, shoulder joint muscle tendon and ligament frayed extrusion, produce chronic degenerative change, for the performance of the articular capsule proliferation rough, articular capsule inside and outside adhesion and muscle tendon ligament strain after the inflammatory adhesion, causing pain and function limitation.

        Frozen shoulder have self-healing, refers to the system even without treatment, a two years later symptoms can also getting better and heal, this is the difference between with other joint disease. Of course timely symptomatic treatment, can obviously reduce pain and function limitation, shorten the course of disease. Treatment to reduce the pain, function exercise, promote the joint function recovery for the principle.

        Frozen shoulder course is divided into pain period, freezing period and alleviate period.

        Pain period: the acute phase, duration is 10 weeks to 3 months, main show is around shoulder joint pain severe, night aggravating, the pain can't believe. Treatment to local closed, acupuncture and moxibustion, acupotomy and oral anti-inflammatory analgesic drug is given priority to, should stop to shoulder joint movement make its rest, control shoulder joint activities, unfavorable hot compress, heat treatment and to knead, passive massage, in case shoulder pain aggravating, wait for acute pain relief, then massage massage to improve blood circulation to promote inflammation subsidise ease joint function.

        Freezing period: namely stiff period, duration of 4 months to 12 months, freezing period patients shoulder joint pain most reduced or not activities will not pain, but always there tenderness and joint function different degree restricted, uplift, outreach and internal rotation movement disorder, treatment to passive shoulder massage and patients autonomous function exercise is given priority to, serious patients can be used when necessary during anesthesia massage to release the conglutination.

        Remission: namely "thaw" function convalescence, duration is 6 months to 2 years, the treatment and functional exercise, shoulder pain disappear completely, with daily life work, shoulder joint range of activity gradually increase, return to normal or near normal, shoulder joint capsule and muscle tendon ligament contracture adhesion lifted, there are some serious patients due to happen shoulder week waste with sexual muscle atrophy and normal elastic, failed to achieve comprehensive rehabilitation, in view of these patients, also will be subject to specific damage degree for rehabilitation measures.

        To prevent frozen shoulder, ferial focus on the strengthening of the shoulder muscles around active exercise, in addition, to reduce the housework and movement of the shoulder joint excessive use, avoid long time working at his desk and a cold place, also is an important link of prevention.

        Introduce several kinds of shoulder joint independent exercise method, can strengthen the shoulder week muscle ligament power to prevent disease occurs, it can also be used for frozen shoulder convalescence self treatment:

        End shoulder: shoulder service (shrug practice), shoulders at the same time or about shoulder alternate, each group of 10 times, daily 5 groups.

        Limb guoquan: bent down to 30 degrees, health arm lift with arm, do with arm guoquan action, clockwise line the up and down or so guoquan action, every five minutes, daily 5 groups.

        Rub back: with arm internal rotation from behind by up to touch back, health arm from behind on the down with arm, this movement as a result of two arm generally difficult to touch each other, can use towel connecting two arms, as laid back.

        Do up one's hair: with shoulder like comb my hair by forehead, head to the pillow, ear around the head after 1 laps, each group to do 20 times per day, 2-3 groups, in the morning exercise is preferred.

        Women: two feet stand and shoulder are the same as wide, with his hands crossed after squeezing afterbrain, at the same time two shoulders two cubits expansion and body parallel, then two cubits furl pinch head, this action repeated alternation, each group of 10 times, daily 3 groups.