Periarthrosis of the shoulder joint
Shoulder-bladder periarthrosis or periarthritis( PLP) is a whole group of diseases of the periarticular tissues of the shoulder joint, which have very similar symptoms. Therefore, they are united in one group. The word "periarthrosis" or "periarthritis" shows that only paranasal tissues are involved in the pathological process, the structures of the brachial junction themselves remain intact. The main complaints and manifestations in PLP is the pain in the shoulder area and the limitation of the amplitude of movements in it. Such a picture can arise when the joint capsule is damaged, the synovial shoulder bags( burs), the tendons of the muscles that are attached in this area.
It is very important to suspect the disease at an early stage, as every day it becomes more difficult for a person to move his hand, the amplitude of movements decreases, which can even become a cause of disability. If the symptoms are identified and treatment is started as early as possible, then you can completely get rid of the problem.
What is this
So, let's consider the main diseases that are included in the concept of PLP.
Tendonitis of the rotator cuff of the shoulder joint
This is a lesion of one or more muscle tendons that form a rotator cuff of the shoulder( over- and subacute, subscapular, small and large round muscles).Still this disease can be met under the name "impingzhment-syndrome".In this case, the pain appears only with active or passive movements of a rotational nature in the shoulder.
Structure of the rotator cuff of the shoulder joint
This inflammation of the synovial bag, which is under the acromial process of the clavicle, directly above the shoulder joint. With this pathology, pain occurs during lifting of the upper limb.
In this disease, the podkarmialnaya mucous bag not only becomes inflamed, but also lends itself to the process of calcification. Sometimes a pathological process involves a tendon located under the bursa. The pain disturbs the person constantly, amplifies at any movements in a brachium. With the progression of pathology, severe contracture of the shoulder joint may occur.
Tendonitis of long arm bicep head
This is a lesion of the biceps tendon at the site of its passage in the humerus of the humerus. In this case, there is pain in the shoulder with the slightest circular movements, and painful sensations disturb the person at night.
This disease can be found under the name "frozen shoulder".Due to the primary inflammatory processes, the joint capsule can be sclerized. The size of its cavity decreases, which negatively affects the condition of the shoulder joint. As the pathology progresses, the amplitude of movements is constantly decreasing, any movements become painful. Sharply worsening quality of life, a person becomes incapable even of self-service.
Due to chronic inflammation, the capsule of the shoulder is sclerosed, its cavity decreases, resulting in the impossibility of movement
This is a pain syndrome that occurs with cervical osteochondrosis. Due to the squeezing or irritation of the nerve roots that come out of the cervical spine, chronic pain occurs. It extends from the neck down to the shoulder area. Disturbs the patient not only at movements, but also in rest.
Thus, the humeroparous periarthrosis can be caused by one or several of the above-described diseases. To establish the true reason is not so important, and it is difficult to do this, because treatment for periarthrosis of the shoulder joint in each case is the same.
What are the reasons for all the above violations? Consider the most basic:
- cervical osteochondrosis;
- trauma to the shoulder region;
- excessive load on the joint( long physical work, other activities with increased activity of the shoulder joint, for example, dancing);
- permanent strong overloads of shoulder joints, for example, in people involved in sports, repair, gardening works;
- prolonged static loads of the shoulder joint, for example, holding hands in one position with office workers;
- surgery in the shoulder region in the past;
- endocrine and metabolic disorders.
In most cases it is necessary to deal with impingment-syndrome, therefore, the features of the clinic, diagnosis and treatment of the pathology of the rotator cuff of the shoulder are given below.
Because of persistent and excessive loads in the shoulder joint, the humeroparous periarthrosis of
Symptoms As a rule, most patients can not indicate the reason why their shoulder started to hurt. The pain develops gradually and unnoticeably for a person. Localized along the anterior and lateral surfaces of the humeral articulation, sometimes - along the posterior.
At the outset, painful sensations appear only when the high-amplitude movements: taking the hand to the side, the establishment behind the head and lifting forward. This leads to the fact that some patients do not even notice such a problem, since in everyday life there is no need to perform such movements.
As the pathology progresses, the pain intensifies, appears when even the usual movements are performed, the function of the shoulder joint appears. It becomes painful to carry out ordinary daily affairs, for example, to take the handrail on a landing or in transport. As a rule, it is at this stage that most people seek medical help. But sometimes you have to deal with the start-up PLP options, when the amount of movement in the shoulder does not exceed 10-15 degrees.
There are no external signs of the disease, in some cases there may be crepitation in the shoulder region during movements.
With humeroscapular periarthrosis, pain usually occurs with movements in the shoulder joint.
. Stage of periarthrosis of the shoulder joint.
Three stages are distinguished during PLP:
- The stage of "freezing".Characterized by the onset of pain syndrome in the shoulder joint, both in motion and at rest. The patient can not sleep on the side of the affected joint due to pain. But the amplitude of the movements is not broken. This phase lasts from 2 to 9 months. If you start treating the disease at this stage, you can quickly and effectively achieve a full recovery.
- Stage of the "frozen" shoulder. The intensity of pain is reduced, they are disturbed only by movement, there is no sign in rest. But the limitation of the volume of movements in the joint becomes noticeable. This phase can last from 3 to 9 months. If the treatment is complex, then, perhaps, it will be possible to stop the pathological process and resume mobility of the shoulder.
- The stage of imaginary well-being. Characterized by a significant reduction in the pain syndrome up to its complete disappearance. But at the same time, the possibility of movements in the shoulder joint is sharply and significantly limited. This phase lasts 1-2 years. Treatment only operative, if it is absent, then the joint completely loses the ability to move.
To establish the diagnosis of PLP is rather difficult, because you need to exclude a large number of pathologies of the structures of the shoulder joint.
- elucidation of specific complaints and identification of risk factors, possible causes specific to PLP;
- of the ultrasound of the shoulder joint;
- MRI or CT;
- determination of the amplitude of movements in the shoulder and ascertaining the degree of their limitation;
- standard laboratory tests of blood and urine.
MRI is a valuable and informative method for diagnosing pain in the shoulder
Treatment of humeroparasitic periarthrosis
Treatment for pleural flush periarthrosis should be comprehensive and commenced as early as possible.Recommended reading: Why does the arm in the shoulder joint hurt?
With active pain syndrome without medication therapy is indispensable. Prescribe drugs from the group of analgesics and non-steroidal anti-inflammatory drugs. The "gold standard" is the use of diclofenac sodium. The course of treatment should not exceed 14 days. Other drugs are also used: meloxicam ibuprofen, indomethacin, celecoxib, etc.
If you can not get rid of the pain with NSAIDs, then resort to the use of glucocorticoid hormone anti-inflammatory drugs( Diprospan, Kenalog).They are injected with local anesthetics into the soft tissues around the shoulder( blockade).As a rule, from 6 to 10 such procedures are needed to completely get rid of the pain. In complex therapy, vitamins of group B are also used.
Physiotherapy is a very important element of the therapeutic program for PLP.It is correctly chosen exercises that are regularly performed, will increase the mobility of the shoulder and avoid the sclerosing capsule. Therapeutic gymnastics is selected individually for each patient by an experienced physiotherapist or rehabilitation physician.
Complex of therapeutic exercises with plechelopal periarthrosis:
The following methods are also used in complex therapy:
- various physiotherapeutic procedures by courses;
- post-isometric relaxation;
- treatment with folk remedies and other alternative therapies.
If all of the methods described above are not eliminated by PLP, or the disease is diagnosed at the last stage, then surgical treatment is resorted. Sometimes only an operation can return a person the freedom to move his hand.
Periarthritis( periarthritis): causes, symptoms, treatmentShoulder-bladder periarthrosis refers to diseases of the musculoskeletal system. In this case, the pathological process involves the shoulder joint and soft tissues located in the immediate vicinity. However, bone tissue itself is not affected by any changes.
Causes of humeropathy periarthritis can be difficult to determine, due to late treatment of patients. However, there are factors that are most often associated with the appearance of signs of the disease.
Periarthrosis of the shoulder joint occurs usually as a result of the following types of effects:
- injury, which led to a sharp shift in the components of the shoulder joint;
- hypothermia associated with prolonged exposure to cold, humid air;
- chronic overload due to the peculiarity of life;
- blood flow disorder in this area;
- consequences of operative intervention on the mammary gland;
- pathological changes of neighboring organs( osteochondrosis, liver pathology, etc.).
The symptoms of humeropathy periarthritis may vary depending on the form of the disease.
In mild forms, the following symptoms are more common:
- is a non-intense pain in the shoulder region that occurs solely during exercise;
- insignificant restriction of mobility in the shoulder, for example, the patient is unable to draw a hand behind his back or pull it up;
- if you rotate a straight arm in the shoulder joint, then at some point there will be intense pain.
If you do not pay attention to these changes, then in half the cases there are acute symptoms of brachial periarthrosis:
- acute pain in the shoulder, which extends to the neck and the corresponding arm;
- pain becomes stronger not only with exercise, but also prevents a patient from sleeping;
- noted a significant limitation of mobility;
- sometimes the patient takes a forced position( the hand is pressed to the body and bent at the elbow), as the pain is reduced;
- occasionally observed systemic reactions, manifested by increased body temperature;
- on the background of insomnia worsens and the general condition of the patient.
In a third of patients who have not treated this condition, periarthritis passes into a chronic form. Manifestations in this case are much less pronounced, and gradually and completely pass independently. However, in a number of patients there are various kinds of complications, for example, ankylosing periarthritis, which sharply limits the mobility of the arm in the shoulder joint.
Treatment of humeropathy periarthritis should be started immediately after the onset of symptoms. For this purpose it is desirable to address to the doctor. However, not all people know which doctor heals this condition. On the one hand, there is damage to the joint, and it is necessary to consult an orthopedist or surgeon. On the other hand, the symptoms of the disease resemble the damage to nerve fibers, so patients often turn to a neurologist. You can also visit the physician's physician and physiotherapist. Remember that no matter what specialist you turn to, the doctor will help you make the right decision and make a treatment plan.
Drug treatment of humeropathy periarthritis includes several groups of drugs whose main goal is to eliminate pain symptoms and inflammatory changes. They include:
- non-steroidal anti-inflammatory analgesics - used in tablets, injections, ointments. Their action is symptomatic and helps to quickly alleviate the condition. However, it is undesirable to take them for a long time due to a large number of contraindications and side effects;
- glucocorticosteroids - are hormonal preparations and well eliminate inflammatory phenomena. For the treatment of periarthritis, drugs are prescribed for a very short period of time;
- anesthetics - used for local anesthesia( so-called Novocaine blockade).This exclusively medical manipulation is the local administration of a drug that blocks pain receptors. You can repeat the procedure several times a month.
In addition to medications, massage and physiotherapy help to cope with this disease.
Physiotherapeutic methods include:
- laser therapy;
- hardware massage;
- shock wave therapy;
- mud application.
All these techniques should be performed in outpatient settings, but sometimes there is no such possibility for the
patient. In this case, you can do with home procedures.
It is also possible to improve self-health and eliminate the symptoms of this disease independently.
For this, you can perform special exercises:
- Place your hands on the waist, then perform circular movements in the shoulder joints( simultaneously in different directions and alternately).When doing this exercise, you should limit the amplitude of the movements.
- In the same position, move your shoulders back and forth.
- Place the hand of the sick hand on the opposite shoulder. A healthy hand should pull the opposite elbow up. Carrying out this exercise, you must be careful and not make sudden movements.
- Combine the brushes behind your back( a painful hand from below) and gradually pull the aching arm downward.
If it is difficult to carry out the whole complex on your own, you can contact the physician of the exercise therapy department who will show gymnastic exercises, and also check the correctness of their performance.
You can reduce the severity of the symptoms of humeroparous periarthritis and folk remedies. There are quite a few recipes, among which the most effective are:
- Infusion of nettle( a spoon of dry raw materials per half liter of water) should be taken orally on a tablespoon. This tool will help reduce the severity of inflammatory phenomena.
- An infusion of St. John's wort is prepared in this way and take 15 ml three times a day.
- Mix 30 g of salt and 300 ml of water. With the resulting solution soak the matter and apply a compress on the shoulder.
- For grinding, you can use a tincture of marigold mixed with broths of herbs( burdock, chamomile, mint, coriander).After that, you should wrap your shoulder with a warm kerchief or scarf.
- Fresh burdock leaf can be heated and applied to the area of the affected shoulder. It is advisable to perform the procedure at night.
How to treat periarthrosis of the shoulder joint, should undoubtedly solve the patient himself. But even if he chose self-therapy, it is preliminary advisable to consult a doctor to clarify all contraindications.
Pleuralopathy periarthrosis: causes, forms, treatment, folk remedies
Causes and effective treatment of myositis of the back muscles.
In this news about how to properly treat cervical osteochondrosis exercises at home.
Symptoms of polyarthritis of the fingers!http://spina-systavi.com /lechenie/sustavov/ chto-delat-kogda-paltsy-ruk-porazheny-poliartritom-simptomy-i-lechenie.html
Simple form of
This form of the disease has the easiest clinical course. The beginning of shoulder-scapular periarthrosis is associated with the appearance of mild pain localized in the shoulder region, absent in the resting state and arising when the diseased limb is lifted up or behind the back.
There is a limitation of movements in the shoulder joint: it is not possible to perform all manipulations until the end, provided there is no pain.A distinctive feature of this pathological condition is that if you try to perform all the actions, but the specialist will prevent the patient from exercising( to resist movement), then the pain intensity will increase significantly.
Acute form of
If a person does not go to a specialist in time with a simple periarthrosis of the shoulder, then after a certain time the disease becomes more severe - acute periarthrosis. At the same time acute pains in the hand develop, which are given in the forearm, or in the neck. They arise not only in the implementation of movements, but also in a state of rest, capable of intensifying in the night and morning hours.
In this case, an increase in the body temperature index can be observed, an increase in the erythrocyte sedimentation rate( ESR) in the blood test, a C-reactive protein appears. All these indicators are markers of the presence of inflammatory processes in the body.
With acute form of periarthrosis, the restriction of movements in the patient's joint is constantly increasing. For example, when trying to raise the upper limb to the side, the patient experiences severe pain and similar movements often fail to accomplish, while raising his hand through the front upwards does not make much effort.
This can be called one of the distinguishing features of this form of the disease, according to which the expert makes a diagnosis. Touching the shoulder area is incredibly painful, swelling and swelling of the shoulder joint is noted.
Acute shoulder-scapular periarthrosis causes the patient to actively protect his hand, which is constantly in a forced position. In it, minimal pain is observed.
This form of the disease can continue without treatment for several weeks, delivering patients a fairly intense pain.
Chronic form of
The outcome of the acute form of this disease is chronic shoulder-scapular periarthrosis. It occurs when the patient does not turn in time for help to a neurologist or if there is an incorrect and irrational therapy.
This form of the disease is characterized by a decrease in the severity of the pain symptom. However, due to the exhaustion of the reserves of the shoulder tissues, any embarrassing movement in this area leads to a "lumbago" of acute pain.
At rest this symptom continues to bother patients, besides, it can intensify in the night or in the early morning time. Therefore, a person is disturbed by the function of sleep. At this stage, sixty to seventy percent of the disease can stop spontaneously and without special medical intervention, but there is a possibility of transition to a more severe form.
Ankylosing shoulder-scapular periarthrosis( ankylosing capsulitis)
Ankylosing capsulitis is characterized by the formation of ankylosis of the shoulder joint. This means that due to all the pathological processes affecting the shoulder region earlier, gradually all of its bones begin to fuse together. Forming ankylosis - fusion. As a result, any movements in the shoulder joint become impossible.Pain in ankylosing shoulder-scapular periarthrosis may in some cases be of low intensity and blunt in nature. However, its development disables the patient, depriving him of the opportunity to exercise physiological limb movements.
In other cases, pain can be extremely severe and occur when any movement that affects the shoulder joint in any way.
However, even if the pains are mild, usually patients at this stage of the disease can not pull the upper limb forward to shoulder level. When trying to raise a sore arm to the side, it can only be done at twenty to thirty degrees( at best). At this stage, patients generally can not get a sick hand behind their back, the rotation function becomes impossible.
Are there signs of knee arthrosis? You should get acquainted with the news - treatment of folk remedies arthrosis of the knee joint.
Here all the facts about what is deforming osteoarthritis of the knee joint of the 2nd degree.
What does back pain between the shoulder blades mean?http://spina-systavi.com /bolezni/spiny/drugoe/
The earlier a patient visits a neurologist, the easier this disease succumbs to treatment and the higher the chancesavoid an intense pain syndrome with it. The ankylosing form is difficult to treat conservatively, therefore surgical methods are used.
To eliminate painful symptoms, periarthritis therapy begins with the appointment of non-steroidal anti-inflammatory drugs. They have an excellent analgesic effect. These include ibuprofen and diclofenac, nimesulide, celecoxib.
If non-steroidal anti-inflammatory drugs have insufficient effect, the doctor may prescribe a short course of glucocorticosteroids - hormonal anti-inflammatory drugs( intraarticular injections).
These include flosteron or diprospan. To achieve a therapeutic effect, usually two or three similar procedures are sufficient.
Also with shoulder-scapular periarthrosis methods of physiotherapeutic treatment are used: magnetotherapy and laser therapy.
Also a good effect is accurate and gentle manual therapy, hirudotherapy, massage.
Physiotherapy exercises a special place in the therapy of this disease. There are complexes of specially developed exercises, in which, against the background of taking medications and other procedures, you can achieve excellent results in treatment and in a relatively short time to return the possibility of movements in full for the shoulder joint.
Pleuralopathy periarthrosis: causes, symptoms and treatment
Pleuralopausal periarthrosis is inflammatoryPleuralopathy periarthrosis belongs to the category of osteoarthrosis - degenerative-dystrophic lesions of the cartilaginous articular tissue.
This is one of the main reasons for the deterioration of life in the elderly.
However, the disease can occur in a much earlier age group.
Osteoarthritis, osteoarthritis and periarthritis
Osteoarthritis is the common name for the entire group of diseases in which the joint is affected by pathological changes: the subchondral bone, capsule, ligaments and jointed muscles. Usually, the damage to the joint is not limited, and bone tissue also undergoes changes. Hence the name with the prefix - osteo( bone).
Arthrosis indicates that the primary damage is the joint. If appropriate measures are taken, the disease can be localized.
Periarthrosis means that the joint disease has an inflammatory nature or is accompanied by inflammation of the tissues. As a rule, the damaged area has a higher temperature.
Pyloropathy periarthrosis: description of
The disease in the shoulder joints is localized, with some joint elements being healthy, and the capsule, tendons, ligaments inflamed and subject to changes.
Inflammation of the ligamentous tendon apparatus significantly reduces the mobility of the joint and is accompanied by severe pain. Many cases have been reported, when this type of inflammation is cured by itself, but for this it is necessary to completely protect the shoulder from the loads. If the physical load does not decrease and no measures are taken to remove the inflammation, the disease takes a chronic course, and the joint tissue is affected, and then the bone tissue is affected.
There are three main causes:
The main causes - trauma, dystrophy and inflammationtrauma - dislocation, fall, fracture, excessive load. Pain syndrome can manifest itself both immediately and after a few months;
dystrophic changes in the spine, in particular, in the cervical region. Osteoporosis, protrusion, hernia - any changes in the vertebrae disrupt the normal diet of surrounding tissues, including joints;
inflammatory diseases - humeroscapular periarthrosis occurs as a consequence of other diseases: myocardial infarction - left-sided periarthritis, cholecystitis - right-sided.
Symptoms and signs of the disease
The symptoms of the disease are quite similar, but differ in intensity depending on the stage.
Light form - accompanied by minor pain and makes it difficult to move the hands only in part. If you avoid loading the shoulder, even for a week, this will be enough for self-healing.
Acute form - pain sharply expressed in certain movements, most often when trying to take the limb back. Pain is worse at night, as well as with palpation of the shoulder. Shoulder bladder periarthritis is accompanied by an increase in temperature at the site of the lesion, possibly the appearance of swelling and redness of the skin.
Chronic form - in the absence of treatment, the disease can become chronic. The pain is moderate, but the mobility of the joint suffers significantly. In order to relieve the pain syndrome, the patient instinctively immobilizes the hand, trying to press the elbow against the body. The pain is reduced, but the joint loses mobility. As a result, there is a syndrome of "frozen shoulder", the limb with difficulty rises to the level of the shoulder. For treatment, a complex of special exercises is needed, restoring the joint to working capacity.
Types of the disease
Right-hand - occurs most often, since the right hand is used more intensively and is subjected to greater stresses. Pain during movement extends to the entire shoulder. Anesthetics are generally ineffective. The cause may be trauma or liver pathology.
Left-sided - is less common, as there are more right-handed people than left-handers, so the danger of injury for the left limb is lower. Peculiarity of left-sided periarthritis is the appearance of puffiness. The cause of the disease can be myocardial infarction, as it is accompanied by a violation of blood circulation, which affects the joints.
Bilateral - a rare form of the disease, in which both arms are affected in equal or different degrees. The symptomatology is the same, but the pain in the first stage covers both the shoulders, the upper back and neck, accompanied by swelling and a rise in temperature both in the areas and the overall body temperature. In the second stage, when the damaged joint capsules are scarred, the pain subsides, and the motor activity decreases markedly.
Treatment of humeroparous periarthritis
Pleuralopathy periarthritis is well treatable, but for full rehabilitation, exercises are needed to restore joint mobility.
Diagnostic methods - ultrasound and x-raySymptom of the disease is clearly pronounced, therefore the diagnosis of periarthrosis is not particularly difficult: it suffices to palpate the neck and shoulders and determine the limitations in movements.
To accurately determine the cause of the disease - traumatic or degenerative, ultrasound and X-ray methods are used.
Medicines are mainly used to relieve the inflammatory process, usually non-steroid - nimesulide, diclofenac. There are also physiotherapeutic procedures: electrophoresis with pain medication, compresses and so on. At this stage, the shoulder should be in relative rest, but not blocked.
After removal of the inflammation, a long development of the humeroscapular joint is required in order to restore its normal mobility.
Have the appearance of various ointments or poultices for relieving inflammation and reducing pain. Successfully applied in complex treatment:
- freshly harvested burdock leaf is washed, warmed up and applied to the affected area. The minimum time of the procedure is 1 hour. The compress can be left overnight;
- 2 spoons of chamomile and sweet clover are boiled for an hour and strains. The compress is gruel-applied for 2 hours.
From the formulations taken inside the most popular are:
- infusion of nettle - 1 tablespoon of herbs is brewed with a glass of boiling water, aged for 15 minutes and taken 1 tablespoon 3 r per day;
- infusion of St. John's wort is prepared in the same way and is used for 1 tablespoon 2 r per day.
The physical load during rehabilitation is determined by the severity of the disease and the depth of the lesion. Time, presence or absence of cargo, the number of repetitions should be strictly observed, as excessive loading on the affected joint can provoke a second inflammation, and insufficient does not lead to the goal - the return of functionality.
Correct exercises help reduce pain
The essence of the treatment method is to create isometric muscle tension for a short time - about 10 seconds, and then stretching the joint in a passive state.
That is, any of the proposed exercises is performed as follows: when the maximum force is reached, the movement stops and a pause is maintained, then the limb returns to its original position and rests.
The complex is repeated up to 5 times 1-2 times during the day. With proper performance, there is a noticeable relaxation of muscles and a reduction in pain syndrome.
The complex suggested by the physiotherapist may look slightly different, but in general terms the scheme includes the development of a brush, then hands in the elbow area, rotational movements of the hand and development of the shoulder up to jerky movements.
Exercises for the brush
- Compresses the hand into a fist and relaxes, taking into account the isotonic load;
- Turn the palm up and down, stop in the extreme position;
- Rotation with a brush;
- Rotate the brush with a show of hands at shoulder level or as high as possible.
Exercises for elbow joints
- Rotation of the arm in the elbow area. Stop in extreme position, relax when lowering the hand down;
- Flexion and extension in elbows, hands held at shoulder level;
- Bending at the elbows with the touch of the opposite shoulder;
- Bending with the palm touching the opposite blade, the initial position - the hands are freely lowered.
Arm for hand
- Raising and lowering outstretched hands as high as possible - ideally up to the vertical position. Delay in the extreme position;
- Rotation of elongated arms;
- Raising the limbs through the sides;
- Raising the arms while holding the wand to the possible height: to the level of the shoulders, to the position above the head and bending at the elbows so that the stick touches the back.
A wooden stick acts as a small load, but at the same time restricts movement.
- Circular motion with a stick in front of him with outstretched arms;
- Passing the wand from the right to the left and vice versa at the chest or shoulder level;
- Turns the hull with a stick held at shoulder level;
- Raising the hands from the position are linked behind the back. First, the connected brushes slide over the back, arms bend at the elbows. When the mobility of the joint increases, the arms are straightened.
The recommended number of repetitions is 5-10 times. Movements should be cautious and unhurried: their goal is not the development of muscle tissue, but only the humeroscapular joint.
The main goal of the exercises is the development of the humeroscapular joint.In other types of physical activity - professional duties, occupations for other parts of the body, the affected shoulder should be maximally isolated. For this purpose, it is proposed to use special belts to fix the blade.
The available physical activity is part of almost any treatment, the more restorative. But when it comes to periarthrosis exercises from the recommendation turns into an indispensable element of rehabilitation.
Shoulder bladder periarthritis or humeroscapular periarthrosis?
Shoulder pain is a common problem, which many people mistakenly believe to be joint inflammation( arthritis) or arthrosis, that is, those diseases in which internal joint structures are damaged. In fact, much more often in such cases, there is a humeropathy periarthritisperiarthrosis.
The terms "periarthritis" and "periarthrosis" mean that the pathological process develops in the soft tissues surrounding the joint. First of all, in the joint capsule and tendons, which under the influence of damaging factors can become inflamed, tear, lose elasticity or even be calcified.
What is the difference?
The difference between periarthritis and periarthritis for the patients is very conditional, since the manifestations of these ailments are very similar. The main difference lies in the nature of the pathological processes occurring in the so-called rotator cuff of the shoulder and the capsule of the shoulder joint.
With periarthritis, inflammatory changes occur with swelling of the tissues, severe pain, localized fever, and other signs. Well, periarthrosis is characterized by the development of dystrophic processes in the soft structures surrounding the shoulder joint, because of what they can not fully exercise their function( it is difficult for a person to move his hand).
There are differences between periarthritis and periarthritis in the causes that cause these pathological conditions. So, inflammatory changes in the humeroscapular periarthritis occur due to atypical, sudden loads on the upper limb or after hand injuries. In this case the appearance of soreness and other unpleasant sensations can be detached for several days.
The cause may also be cervical osteochondrosis and the transmission of nerve endings that serve the shoulder joint. In addition, some diseases of the internal organs, in particular myocardial infarctions, can play a role, in which the normal blood supply in the shoulder region is disturbed.
Periarthrosis is often a professional disease of painters, movers, blacksmiths, masons and other workers. That is, the basis for the development of pathology is the effect of a regular and prolonged load on the shoulder joint.
Symptoms of diseases
With periarthritis, the clinical picture depends to a large extent on which tendon is damaged, since each muscle has its own manifestations( restriction of certain movements of the upper limb).But there are also complaints that occur almost in all patients:
- aching boring pain, interfering with the work and increasing in motion;
- numbness and weakness in the arm;
- impossibility to lift the limb up or behind the back;
- a slight increase in temperature.
These symptoms are typical for periarthrosis, but they are less pronounced. In addition, with this pathology, there is a regularity: the right-hander is affected by the right hand, and the left-hand man is left-handed.
Both diseases without adequate therapy can lead to the development of the so-called frozen shoulder. This condition is characterized by a strong deterioration in the mobility of the joint, which is difficult to treat. The patient is impaired working capacity and deteriorates the quality of life. There is no specific diagnosis of periarthritis and periarthrosis. Typically, doctors diagnose the patient's complaints and examination data( the detection of pain points in the projection of damaged tendons, limb movements in certain planes, etc.).Sometimes, with periarthrosis, changes in the roentgenogram of the shoulder joint are revealed - periarticular saline deposits.
For periarthritis and during exacerbation of periarthritis, to reduce inflammation and anesthesia, patients are prescribed non-steroidal anti-inflammatory drugs, either intramuscularly or intramuscularly, as well as periarticular injections of hormonal drugs. This shows the limitation of the load on the affected arm.
The physiotherapy( electrophoresis with active anti-inflammatory and analgesic substances on the shoulder joint zone) gives a good effect in the diseases of the periarticular tissues. In addition, you can apply:
- hirudotherapy( treatment with leeches);
- manual therapy( especially post-isometric relaxation).
After fading acute symptoms, mud treatment is indicated. It is also necessary to perform therapeutic exercise, which is necessary to preserve and improve the mobility of the upper limb.
It is very important if you have soreness in the shoulder immediately go to the doctor, and do not wait for the unpleasant symptoms to disappear. The earlier the doctor determines the cause of the onset of unpleasant symptoms and begins treatment, the more likely the patient will recover completely and resume normal functioning of his upper limb.
Shoulder-bladder periarthritis( periarthritis)> Diseases> DoctorPeter.ru
First of all, these are pains in the shoulder joint, which increase with the turn of the shoulder or with the raising of the arm. Over time, they increase and appear during work and at night. As a rule, they arise from one side - right of right-handers, left of left-handers. Touching the shoulder joint, drawing away the elbow in the elbow to the side causes unpleasant or painful sensations and restriction of movement. Over time, in the absence of treatment, the amplitude of motion decreases( stiffness of the joint arises), the pain becomes worse and from the aching becomes transformed into a drilling or even gnawing. Isolated pain in the shoulder joint is rare. Basically it is combined with the symptoms of cervical osteochondrosis - headache, dizziness, pain in the scapula, neck, in the hand, numbness of the fingers.
Finally, the causes of development of the humeroparathic periarthrosis are not established. Among them are transferred local injuries, hard work, in which the muscles of the shoulder belt are unevenly strained, functional and dystrophic changes in the spine( protrusion or herniated intervertebral cervical discs), heredity, metabolic disorders. There is also an opinion that the humeroparous periarthrosis develops on the left - after a myocardial infarction, to the right - is a consequence of liver diseases( cholecystitis) or as a consequence of focal lung lesions.
In the event that the development of the humeroparous periarthrosis is explained by traumatization of the ligamentous tendon site of the joint and synovial bags, inflammation occurs, which results in the limitation of joint mobility in the absence of treatment. In addition, frivolous attitude towards the disease, lack of competent treatment can lead to hypotrophy and atrophy of the deltoid muscle and osteoporosis of the head of the humerus.
In cases of complaints of pain in the shoulder joint and restriction of mobility, as a rule, X-ray examination, ultrasound, magnetic resonance and / or computed tomography, arthrogram, blood test are prescribed. In addition, differential diagnosis is required to exclude pathologies such as hand thrombophlebitis, diffuse vasculitis, furunculosis, dermatitis, swelling, trauma of the cervical vertebra or brachial plexus, shingles, myocardial infarction, cerebrovascular diseases, lung and pleural damage. It is also necessary to exclude such bone pathologies, as de forming osteoarthrosis, inflammatory changes in the joint and articular bag, dystrophic and pathological changes in the cervical spine, infectious arthritis, shoulder dislocation.
In the acute period, non-steroid drugs are usually prescribed( active ingredient - diclofenac, nimesulide, blockade with glucocorticoids for inflammation and pain relief. It is also prescribed electrophoresis with analgesics, periarticular blockades, paraffin applications, and non-steroidal anti-inflammatory ointments andcreams One of the important conditions of treatment is rest for the joint and the arm, but this does not mean that they should be deprived of the ability to move. Full immobilization of the shoulder joint can
In general, the treatment of brachyopathy periarthrosis is a long process and requires constant exposure to spasmodic muscles in the shoulder joint for several months. Doctors usually recommend that the joints should not be overloaded.treatment started at the clinic and at home, to continue at the health resort - in a specialized sanatorium. Puffiness, inflammation, soreness, restoration of the volume of movements in the shoulder joint and muscles"Go away" faster, if the treatment will be comprehensive: medicamental and physiotherapy. Physiotherapeutic( spa) factors, the most useful for the treatment of the musculoskeletal system, including joints, are therapeutic muds, sulfide or radon waters. Very useful therapeutic exercise and alternative therapies-osteopathy, apitherapy, manual therapy, massages, kinesitherapy.
For the prevention of brachythe periarthrosis, early detection of cervical osteochondrosis and treatment is necessary. It is necessary to avoid injury and uneven load on the spine and the humerus zone.