Symptoms and treatment of the periarthritis of the shoulder joint
Irreversible processes: the capsule of the shoulder becomes inflamed and thickens
Periarthritis of the shoulder joint is a fairly common disease, especially among middle-aged and elderly people. This ailment is an inflammation of the shoulder ligaments and tendons. However, the cartilage or joint is not damaged, which distinguishes the disease from arthrosis or arthritis. The disease develops against the background of shoulder injuries or a blow to this area. Excessive strain on the shoulder joint causes pain.
It should be noted that some time will elapse between the onset of inflammation and the appearance of its first symptoms. The disease affects both men and women. A provoking factor in the development of humeropathy periarthritis can be the removal of the breast in women. Some diseases of internal organs also contribute to the development of periarthritis of the shoulder joint. This, for example, is a disease of the liver or spine in the cervical region, myocardial infarction. An incorrectly diagnosed diagnosis can be the cause of ineffective treatment.
Many doctors complain of a pain in the shoulder, a symptom is caused by arthrosis. However, arthrosis of the shoulder joint is a rare phenomenon, only 10% of patients have an ailment. But periarthritis is a well-known and common disease.
Symptoms and signs of ailment
Pleuralopathy periarthritis develops in different forms. If the patient complains of the constant pain in the shoulder that occurs when the hand moves, then it is already a chronic disease. There is also a common form of periarthritis of the shoulder joint, its symptoms are as follows:
- pain in the shoulder occurs only with sudden movements;
- there are some limitations in the movements of the hands( it is difficult to reach the shoulder blades and spine);
- feels a strong pain when trying to straighten the arm for the entire length and rotate around the axis, while it is necessary to overcome the resistance, without which the pain is not felt.
- sharp pain in the shoulder and neck;
- intense pain at night;
- it is impossible to move the hand upwards or to the side, but forward movement is carried out without problems;
- it is easier for a patient to hold his hand bent at the elbow and pressed to his chest;
- visible swelling in the front deltoid muscle;
- sudden rise in temperature;
- the patient's state of health worsens, insomnia appears.
Medical gymnastics with a shoulder-blade periarthritis in acute form significantly improves the patient's condition. The ability of the hand to move is renewed, the pain decreases.
In most cases, the periarthritis of the shoulder joint becomes chronic. His symptoms - weak pain in the shoulder, with the rotation of the arm around the axis of the patient feels acute pain. At night, insomnia, which occurs under the influence of sharp pain.
How to treat shoulder and shoulder periarthritis
Treatment of periarthritis of the shoulder joint is work for a surgeon or neurologist. Modern medicine is at a level that can be cured of any manifestation of the disease. However, the most difficult to cope with ankylosing disease. First of all, it is necessary to determine the causes of periarthritis. The faster this is done, the easier it will be to get rid of the disease. For example, in the case of periarthritis due to displacement of the vertebrae, manual therapy is prescribed. If the disease began to develop due to circulatory disorders, the treatment is performed by angioprotective drugs.
Shoulder tendons are treated with non-steroidal anti-inflammatory drugs. At the initial stage, this will be enough. Periarthritis of the shoulder joint in a simple form can be cured by applying compresses with dimexid or bischofite. Laser therapy is also used.At the beginning of treatment, doctors often prescribe a course of injections of hormonal drugs. The procedure is permissible in 80% of cases. But, according to experts, postisomesesitricheskaya relaxation is more effective. Periarthritis in this case can be cured in 12 sessions.
Sometimes hirudotherapy is used to treat an ailment. A leech is applied to the site of the lesion, which improves blood circulation due to the particular secreted substance. If hirudotherapy does not help cure periarthritis, the use of folk remedies can exert a proper influence.
Traditional methods of treatment should be used in parallel with medication. Decoctions of medicinal plants can eliminate pain and discomfort. For example, dry leaves of nettle, heated for 15 minutes on a water bath, have an amazing tonic effect. You can also 1 tbsp.spoon the leaves of St. John's wort, pour boiled water and insist 30 minutes, then take 3 times a day. With a disease such as humeropathy periarthritis, treatment with folk methods gives a good effect.
Medical gymnastics can save patients from ailment. The complex of certain exercises suppresses the pain syndrome, increases the motor activity of the shoulder. It is worthwhile to find a video where the exercise therapy is shown with a shoulder-blade periarthritis.
For complete recovery, it is necessary to constantly perform a series of exercises: flexion and extension of hands and hands, touching the fingers of the shoulder, jerking hands. Correctly selected gymnastics is able to cure even the most neglected forms of periarthritis.
Shoulder-bladder periarthritis( periarthritis): causes, symptoms, treatmentPleuralopathy 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 resulted in 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.).
Symptoms of brachythe periarthritis may vary depending on the form of the disease.
With a mild form, the following symptoms are more common:
- is a non-intense shoulder pain that occurs solely during exercise;
- slight restriction of mobility in the shoulder, for example, the patient is unable to bring his 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 humeroparathy 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 the 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 for humerous 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, the main purpose of which is to eliminate pain symptoms and inflammatory changes. These 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.
You can also improve your health and eliminate symptoms of the disease yourself.
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.
- Connect the brushes behind your back( a painful hand from below) and gradually pull the aching arm downwards.
If you can not perform the whole complex on your own, you can contact the physician at the exercise room, which 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 spoonful 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 the periarthrosis of the shoulder joint, should undoubtedly decide the patient himself. But even if he chose self-therapy, it is preliminary advisable to consult a doctor to clarify all contraindications.
Periarthritis of the shoulder joint and its treatment
Periarthritis of the shoulder joint proceeds with inflammation of the periarticular structures - muscles, ligaments, tendons, their connective tissue membranes( so-called tendon sheaths).The term itself is derived from Greek words - peri( near), arthra( joint), it( inflammation).Since the shoulder joint is formed by the shoulder and scapula, this disease is also referred to as a humeropathy periarthritis.
The shoulder joint is formed by two relatively massive bones - the shoulder and scapula. From the anatomical point of view, he is weak. The joint capsule here is loose, the ligaments are weakly expressed, the area of contact of the articular surfaces is small. All this creates conditions for damage to the joint itself and adjacent muscle tendons, articular bags and ligaments that pass in the thickness of the joint capsule.
Thus, the main causes of humeropathy periarthritis are shoulder injuries caused by a fall or as a result of a direct stroke. Initially, the weak shoulder joint is largely stabilized by the muscles of the shoulder girdle and upper limbs. But these muscles can be weakened in the elderly, in women, as well as in people with metabolic and endocrine disorders( obesity, diabetes).All these factors also contribute to the emergence and development of humeroparous periarthritis.
In addition, the humeropathy periarthritis may be a consequence of physical exertion. Moreover, these physical loads must be stereotyped, repeated many times - throws, jerks, swings and lead-outs. In this regard, the periarthritis of the shoulder joint often develops in athletes( oarsmen, tennis players, javelin throwers) and persons of certain professions( painters, turners, plasterers).
Another common cause of shoulder bladder periarthritis is cervical osteochondrosis. This pathology leads to a thinning and displacement of the intervertebral disc in the cervical spine. In this case, the nerve fibers of the cervical plexus are squeezed and inflamed. In turn, this leads to a disruption in the innervation and tone of the vessels that feed the shoulder joint and the muscles and tendons that are nearby. In some sources, the relationship between myocardial infarction and humerus periarthritis is indicated. This is not true, although some symptoms( pain in the arm) in these diseases can be common.
The main symptoms of shoulder periarthritis are pain and restricted movements in the joint. The severity of these symptoms is not the same, and depends on the phase of the humeroparous periarthritis( acute, chronic).The aggravation, as a rule, is connected with physical exertion, hypothermia. But it can also arise for no apparent reason. The patient complains of severe pain in the joint, irradiating( giving) to the neck, shoulder, shoulder blade. Often there is swelling in the joint area, the temperature can rise to 37-38 ° C.
Patient at the same time spares his hand. After all, the slightest attempt to take your hand to the side or lead it back leads to a sharp increase in pain. Characteristic position of the hand - in order to avoid pain, the patient bends it at the elbow and leads to the chest. In this case the muscles of the shoulder, shoulder girdle, neck are reflexively tense. The period of exacerbation lasts from several days to several weeks.
Then soreness decreases. The patient observes dull aching pains that intensify at night, with changing weather, or during carrying of weight. The movements are limited in this case. There are difficulties in raising the hand, setting it behind the back or spinning. If there is no treatment, all these phenomena progress. The volume of movements is further reduced. Persistent motor impairments or contractures are formed until complete immobilization( "frozen shoulder").Sensitivity also suffers. In the joint itself irreversible structural disturbances are formed - ankylosis of the shoulder joint. With advanced forms of the disease, atrophy of the muscles of the shoulder girdle and upper limbs develops.
Diagnosis and treatment of
The presence of a humeroparous periarthritis can be suspected on the basis of characteristic patient complaints. Attention is drawn to the forced position of the upper limb, the type of motor disorders. In order to clarify the nature of the disease, instrumental diagnostics is used - ultrasound of the joint and periarticular tissues, magnetic resonance imaging and computed tomography. The usual radiography in this respect is not very informative.More to read:
Treatment of polyarthritis of joints
Treatment in the acute phase should begin with the creation of maximum rest for the affected limb. At the same time, all loads are completely excluded, and the hand itself is immobilized( immobilized) with the help of special orthopedic devices. In the absence of these adaptations, the usual bandage dress is quite suitable.
Drug treatment is carried out with analgesic and anti-inflammatory drugs, including Analgin, Dexalgin, Voltaren, Diclofenac, Movalis. Anti-inflammatory treatment should be combined - the medications are used in the form of tablets, injections and ointments. In those cases when the periarthritis of the shoulder joint is caused by cervical osteochondrosis, anti-inflammatory ointments are also applied to the neck area, in the projection of the spine.
After acute treatment has yielded the desired result, and the pain has decreased, the swelling has disappeared, and the volume of movements has expanded, it is possible to start restorative treatment. This treatment involves the use of massage and physiotherapy procedures. Not only the shoulder belt is massed, but the whole back, upper limb, neck. Physiotherapy treatment involves the use of electrophoresis, phonophoresis, paraffin, ozocerite, magnetotherapy.
To consolidate the achieved result, and to restore the volume of movements, treatment with health gymnastics is shown. Exercises are aimed at strengthening the muscles of the shoulder girdle. During exercise, local blood circulation improves, the inflammatory focus dissolves. Exercises with a raising and a derivation of hands are carried out smoothly, without jerks, with gradual expansion of impellent volume.
In cases where the periarthritis of the shoulder joint developed due to osteochondrosis, manual therapy and osteopathy are effective. These techniques suggest direct manual exposure to the spine in order to restore its original structure and eliminate disc hernias. Unfortunately, with far-reaching stages of periarthritis, when irreversible changes occur in the shoulder joint, all these conservative measures are ineffective. The only way out is surgical treatment of humeropathy periarthritis. In the course of surgical intervention, plastic surgery of the shoulder joint is carried out followed by restorative treatment in the postoperative period.
Shoulder-flapping periarthritis - inflammatory-degenerative changes of the periarticular soft tissues involved in the functioning of the shoulder joint. Shoulder-scapular periarthritis manifests itself as aching pains, aggravated by movement, stress of periarticular muscles, swelling and tightening of tissues in the shoulder region. In the diagnosis of humeropathy periarthritis an important role belongs to ultrasound and roentgenological research, thermography, MRI, laboratory analysis. In the treatment of brachyopathy periarthritis, immobilization methods, drug therapy( NSAIDs, corticosteroids), novocain blockades, physiotherapy, massage, and gymnastics are used.
Shoulder-flapping periarthritis( periarthrosis) is a disease of the soft tissues surrounding the shoulder joint( muscles, ligaments, tendons, synovial bags), characterized by their dystrophic changes followed by reactive inflammation. The share of inflammatory-degenerative diseases of soft tissues of different localization in rheumatology and traumatology accounts for a quarter of all extraarticular injuries of the musculoskeletal system. Among them, humeropathy periarthritis is most common;slightly less frequent are periarthritis of the wrist, elbow, hip, knee, ankle, joints, joints of the foot. About 10% of the population are more or less affected by the manifestations of the humeroparous periarthritis. More often the disease is diagnosed among women over the age of 55.
Causes of humeropathy periarthritis
When considering the etiology and pathogenesis of the diseases of the periarticular soft tissues of the upper limb( periarthritis, epicondylitis, styloiditis), two main points of view dominate. The first of them explains the humeropathy periarthritis with neurodystrophic changes in tendon fibers that develop as a result of osteochondrosis of the cervical spine, cervical spondylosis, or displacement of intervertebral joints. This leads to infringement of the nerves of the brachial plexus, reflex spasm of blood vessels, impaired blood circulation in the shoulder joint, dystrophy and reactive inflammation of the tendon fibers of the shoulder.
The second theory connects the origin of the humeroparous periarthritis with mechanical injuries of soft tissues that occur during cyclic or one-stage extreme physical exertion( stereotypic movements in the shoulder joint, impact on the shoulder, fall on the outstretched arm, dislocation, etc.).Macro- and microtraumas, accompanied by tearing of tendon fibers, hemorrhages or rupture of the rotator cuff of the shoulder, cause edema of periarticular tissues and impaired blood circulation in the extremities.
In addition, diseases( myocardial infarction, angina pectoris, pulmonary tuberculosis, diabetes, TBI, Parkinson's disease), as well as some operations( mastectomy) that disrupt microcirculation in the shoulder region, can lead to the development of humerous periarthritis. As contributing factors are long-term cooling, congenital connective tissue dysplasia, arthropathy.
In tissues with insufficient vascularization, foci of necrosis are formed, which later undergo scarring and calcification, as well as aseptic inflammation. These changes are confirmed by a pathomorphological examination of the material obtained from patients with humeroscapular periarthritis.
Classification of the humeroparasitic periarthritis
Due to the variety of reasons that determine the dysfunction of the shoulder joint, the shoulder-blade periarthritis does not stand out as an independent nosology. To the periarticular lesions of the shoulder joint area, according to the ICD-10, it is customary to refer: tendonitis of the biceps brachium muscle, calcifying tendonitis, adhesive capsulitis, subacromial syndrome( impingment syndrome), shoulder compression syndrome, shoulder joint bursitis, etc.
However,in clinical practice, the term "humeropathy periarthritis" is widely used. In this case, the following forms of periarthritis of this localization are distinguished:
- simple ( "painful shoulder")
- chronic ( "frozen shoulder", "blocked shoulder", ankylosing periarthritis)
In most cases, pathology is unilateral;less bilateral plechelopatochny periarthritis develops.
Symptoms of humeroparous periarthritis
As a rule, with traumatic genesis of the humeroparous periarthritis, from the moment of trauma to the appearance of the first symptoms, it takes from 3 to 10 days. Therefore, patients can not always accurately indicate the factors that triggered the disease.
The simple form of the humeroparous periarthritis proceeds most easily and favorably. The main complaints are associated with weak pain in the shoulder area, which occur only with exercise or certain movements. Expressed pain accompanies rotational movements, attempts to overcome resistance. Limitation of mobility of the upper limb is expressed in the impossibility of raising the arm high up, the institution behind the back, etc. Simple humeropathy periarthritis is well amenable to therapy;sometimes it can disappear spontaneously within 3-4 weeks.
If the stage of the painful shoulder is accompanied by additional overload or traumatism of the extremity, then acute periarthritis can occur with a high degree of probability. This form manifests itself suddenly sudden pain in the shoulder with irradiation in the arm and neck. Typically, the pain syndrome increases at night. Particularly painful attempts to move the hand through the side, the back and rotation in the shoulder joint. To ease the pain, the patient is forced to bend his arm at the elbow and press him to the chest. In the area of the anterior surface of the shoulder is determined by a slight swelling. In the acute form of the humeropathy periarthritis, general well-being usually suffers: subfebrileility develops, insomnia develops, and work capacity decreases. The duration of the acute period is several weeks, then in half the cases the disease takes on a chronic course.
The chronic form of the humeropathy periarthritis of patients is mainly concerned with moderate pain in the shoulder, discomfort in the movement, sensation of aching in the shoulders at night. Periodically, with sharp or rotational movements of the hand may develop a shooting pain. Chronic humeropathy periarthritis can last up to several years and lead to the development of ankylosing periarthritis - the syndrome of the "frozen shoulder".At this stage, periarticular tissues become dense to the touch, and the shoulder - immobilized. In this case, any attempt by the patient to raise his hand upward or lead him behind his back is accompanied by a sharp, unbearable pain. Movement in the shoulder joint is severely limited;practically impossible to lift the arms forward and upwards, to the side, rotation around the axis, etc. The syndrome of the "blocked shoulder" develops in 30% of patients and is the final, most unfavorable stage of the humeropathy periarthritis.
Diagnosis of humeroparous periarthritis
Patients may complain to the local therapist, surgeon, neurologist, rheumatologist, traumatologist, orthopedist with complaints of pain in the shoulder girdle and associated movement restrictions. At the primary admission, anamnesis is collected, external examination, assessment of the motor activity of the shoulder joint( the possibility of performing active and passive movements), palpation of periarticular tissues.
To clarify the causes of disability of the upper limb, radiography of the shoulder joint and cervical spine, ultrasound, MRI of the shoulder joint is performed. Usually, x-ray changes are determined already with the far-gone chronic form of the humeropathy periarthritis. As a rule, they are characterized by periarticular deposits of microcrystals of calcium( calculous bursitis);with ankylosing periarthritis - signs of osteoporosis of the head of the humerus. For acute humeroscapular periarthritis, blood changes are characteristic - an increase in ESR and CRP.
Invasive diagnostic methods( arthrography, arthroscopy) are justified when deciding on the question of surgical treatment. When performing differential diagnosis, arthritis of the shoulder joint, arthrosis, subclavian artery thrombosis, Pancost syndrome with lung cancer should be excluded.
Treatment of humeroparous periarthritis
The main goal of the treatment measures with the humeroscapular periarthritis is to stop the pain syndrome, prevent or eliminate muscle contractures. In an acute stage, a gentle motor regimen is necessary, discharge of the upper limb with a soft supporting dressing or gypsum longi. To remove acute pain and local inflammation, non-steroidal anti-inflammatory drugs are used, novocain blockades are applied to the shoulder region, dimexide applications, periarticular corticosteroid administration. Additionally, muscle relaxants, angioprotectors, metabolic and chondroprotective drugs are prescribed.
Therapeutic and physical therapy( electrophoresis, microcurrent therapy, magnetotherapy, ultrasound, laser therapy, cryotherapy), massage, sulphide and radon baths are the mandatory components of therapy for acute and chronic humeropathy periarthritis. Proven effectiveness is provided by shock wave therapy, hirudotherapy, acupuncture, stone therapy, post-isometric relaxation. If the reason for the humeroparous periarthritis was the displacement of the intervertebral joints, manual therapy is recommended to restore normal joint relations. Surgical treatment of advanced forms of humeroparous periarthritis consists in performing arthroscopic subacromial decompression.
Prognosis and prevention of humeroparous periarthritis
The initial stages of humeropathy periarthritis are usually well suited to standard conservative therapy;the mobility of the shoulder joint is completely restored. A prolonged course of chronic periarthritis can lead to persistent disability of a person, loss of skills in household and professional activities. With the development of the syndrome of "blocked shoulder", partial restoration of mobility in the shoulder joint is possible only through surgical intervention. Measures to prevent humeropathy periarthritis are reduced to preventing micro- and macrotrauma of the shoulder area, timely treatment of diseases of the spine. It should be avoided supercooling, excessive and stereotyped loads on the shoulder girdle.
Pleuralopathy periarthrosis: causes, forms, treatment, folk remedies
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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 performing them( to resist movement), then the intensity of pain will increase significantly.
Acute form of
If a person does not consult a specialist at a time if there is a simple periarthrosis of the shoulder, then after a certain time the disease passes into a heavier form - 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 body temperature may be observed, an increase in the rate of erythrocyte sedimentation( ESR) in the blood test, a C-reactive protein appears. All these indicators are markers of the presence of inflammatory processes in the body.
In the 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 worsen during the night or early morning. 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, the pain may be extremely severe and occur when any movement is carried out, which at least somehow affects the shoulder joint.
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.
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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.
Neat and soft manual therapy, hirudotherapy, massage also have a good effect.
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.
Shoulder-bladder periarthritis( periarthritis)> Diseases> Dr. Peter.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 humeroparathic periarthrosis have not been 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 examination, 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 osteoarthritis, inflammatory changes in the joint and articular bag, dystrophic and pathological changes in the cervical spine, infectious arthritis, shoulder dislocation.
In an acute period, usually non-steroid drugs are 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 humeroparous periarthritis 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.
Treatment of humeroparous periarthrosis
"Warm up" - do not get carried away too much, it may become hard, but if you feel relief from heat, then please. Take non-steroidal anti-inflammatory drugs - to choose from: piroxicam, orthophene, ibuprofen, xefokam, sedalgin, pentalgin. Plus - means that relieve muscle spasm - SIRDALUD 2 mg 2 times a day. Ointments and rubbing have only an auxiliary effect, against the background of taking the drugs inside, in themselves - are practically useless, the effect of massage. But in combination with tablets two types of ointments are recommended( used alternately) - warming up - FINALGON, NIKOFLEX, CAPSIKAM, and painkillers - FASTUM_GEL, gel DICLOPHENAK, gel Nurofen.
Oh, how much my husband fizioprotsedur done, conceivable and unthinkable. And only Diklak gel helped.
Shibanov Dmitriy Valerievich
Honor [link is blocked by the decision of the project administration]
Shoulder-bladder periarthrosis, or "frozen shoulder" syndrome, capsulitis is a rare condition of painful stiffness of the muscles of the shoulder girdle. In this state, there is a restriction in the amount of arm sideways when it is raised upwards and the impossibility of putting the patient's arm behind his back. This condition often develops gradually, not noticeable for the patient. Women suddenly find that they can not fasten and unfasten a bra. In severe cases, the patient is not able to bring the spoon to his mouth with this hand.
The cause of this disease( humeropathy periarthrosis) has not yet been accurately established. There are several theories: trauma of the shoulder girdle( falls on the arm, sports overload), the presence of protrusions or herniated intervertebral discs of the cervical spine, hereditary factor, etc.
The examination determines the degree of tension of the muscles of the shoulder girdle, the volume of movement in the shoulder joint. On the radiographs of the joint, as a rule, changes will be absent.
Treatment of brachythe periarthrosis consists of manipulations on the humeral girdle, which remove painful hypertonic muscles( blockade with anesthetics, myofascial release, SMT3), and gradually increase the volume of movement in the joint.
Clinical manifestations of PLP can be caused by damage to various tissues surrounding the shoulder joint. Pleural wasteropathy is a chronic dystrophic process in the periarticular soft tissues. Repeated microtraumas of the ligament apparatus of the shoulder joint, tendons and muscles surrounding the joint can be the causes of the humeroparous periarthrosis. Often the humeroparous periarthrosis develops against the background of cervical osteochondrosis, as a consequence of trophic disturbances of the periarticular tissues. The causes can also serve as endocrine disorders( menopause, diabetes, obesity).The pathological process is localized, as a rule, in the tendons bearing the greatest load. Clinically, humeroparous periarthritis is manifested by pain and restriction of mobility in the joint. Painful, often intense, intensifying at night and with certain movements. The pain is localized in the region of the shoulder joint with the spread to the scapula, shoulder, neck and arm. Http: //www.osteopatia.ru/stat/ plechelopatochnii.htmlhttp: //www.minclinic.ru/stranicy/ periartroz.html