Shoulder-bladder periarthritis - a set of exercises
With pains in the shoulder, most of us immediately make their own diagnosis - arthrosis of the shoulder joint. In fact, the most part of the pain in this part of the body falls on the less popular "in the people" disease - humeropathy periarthritis. This disease means the development of the inflammatory process in the tendons and capsule of the shoulder joint. It differs from arthrosis in that the deep muscles, the joint itself and cartilage, it does not affect.
True, there are two diseases in common - both arthrosis and humeropathy periarthritis are treated with the use of complexes of therapeutic exercises.
Most often, the humeroscapular periarthritis develops when performing atypical exercises. For example, fans of dog breeding, who throw a stick to their pet for several hours, usually soon address complaints to doctors. Suddenly performed, atypical exercise, which involves the untrained part of the body, easily leads to the development of the disease.
Physical exercises with shoulder-blade periarthritis are part of therapy, along with non-steroidal anti-inflammatory anesthetics. When performing therapeutic exercises with shoulder-piercing periarthritis, extreme pain should be avoided, although painful sensations( moderate, beneficial) are inevitable when the tendons are stretched.
To perform therapeutic exercises with humeroscapular periarthritis should be 1-2 times a day, for 3-4 weeks.
- Raise the shoulders up, pull them to the maximum and lower them down. We try to raise our shoulders to our ears.
- We lift the shoulders one by one - up to the ears, and down, relaxing.
- We rotate the shoulders back and forth, doing several approaches.
- The hands are lowered, raise the right arm, bend it at the elbow, touch the left shoulder and lower it into the FE.We repeat to both hands in turn.
- Hands are lowered, raise the right hand up, bend over the head, fingers reach the left shoulder through the top. The elbow looks upward, we try to lower our left shoulder mentally. We return the hand to the IP, repeat to both hands in turn.
- The hands are lowered, we collect the brushes in the lock, raise them up as high as possible, as far as the disease allows. We try to pull the patient with a healthy hand. We let go of our hands as we exhale. Repeat several times, then shake hands.
- Raise your hands on your waist and let them down relaxed. We repeat, shake hands.
- We lift both hands to the level of the chest, bend them in the elbows and alternately unbend our hands, squeezing the brush into the cam. You can imagine that you are pushing your hand forward. The forward movement is made on exhalation, the fold of the hand is inhaled.
- We start the right hand behind our back, we try to move with a brush as high as possible, taking out the left shoulder blade. We fix a hand, return it to the IP, then repeat to the second hand.
- Hands behind the back, we collect in the lock, we try to lift the connected hands higher on the back. Then we do stretching - we stretch our arms behind our backs.
- Circular rotation of the hands forward and backward.
- Raise your hands up, then through the sides to the level of the shoulders and back.
- For the next exercise, you need a stick - hold it with both hands on your hips. We raise hands with a stick upwards, above the head, then bend our arms in the elbows and lower the stick over the head to the shoulders. We relax our hands and return to the IP.Repeat 8-10 times.
- We hold the wand for the ends, push it with the left hand, the right hand lifting up, turning the stick to the right. Then repeat to the other side and alternate hands.
- Wand with both hands in front of you, do circular movements forward, raising your hands as high as possible. Then repeat the rotation in the opposite direction.
- The wand is centered in the right hand, we pass it from the right hand to the left hand, then vice versa. Keep our hands raised at shoulder level.
- We put the wand behind our back and raise it upwards, to the right, pushing with the left hand, then to the left, pushing with the right hand.
- Stick away from yourself, one end on the floor. Stretch out, we reach for the wand, we lower the body down.
Therapeutic gymnastics for polyurethritis: a technique Popova as a method of treatment
Shoulder bladder periarthritis - a disease not as widely known as, for example, osteochondrosis of the spine, however no less painful and difficult to treat. It is an inflammation of the joint connecting the humerus and scapula, its periarticular tissues( ligaments, tendons and joint capsule).For the fight against this disease, drug therapy, physiotherapy and exercise therapy are used, as the course of physical exercises by P.Popov's technique has proved to be well.
Causes of the disease
Often, humeroparous periarthritis is one of the manifestations of systemic polyarthritis - a disease affecting all large and small joints. There are several reasons for polyarthritis today - it is believed that it can have a different origin. Depending on the origin, the following varieties of polyarthritis are distinguished:
- Infectious polyarthritis develops on the background or due to the defeat of the body by an infectious agent. Less commonly, arthritis is caused by parasites. Infection penetrates deeper into the joint with the current of passing blood and causes in it a specific inflammation, which is stopped after the appointment of effective therapy;in some cases after the transferred inflammation, changes in the function and anatomical structure of the joints remain.
- Rheumatoid polyarthritis. The etiology of it is not clear to date, two main factors distinguish this type of joint inflammation:
- , the heredity of
- , the past viral diseases( parotitis, measles, respiratory syncytial infection, hepatitis B, herpes, cytomegalovirus infection)
The starting point for the onset of the diseasesupercooling, stress, intoxication, disturbance of metabolic processes and the use of mutagenic preparations.
- Gouty polyarthritis. It develops as a result of impaired uric acid metabolism, as a result of which uric acid salts are deposited inside the joints and on the periarticular surface, forming characteristic nodules.
- Polyarthritis as a concomitant pathology of the underlying disease: systemic lupus erythematosus, psoriasis, granulomatosis, borreliosis and others.
Predisposing factors contribute to the development of polyarthritis: excessive physical stress, bad habits, overweight, sedentary lifestyle. In particular, humeropathy periarthritis often occurs in people engaged in manual labor, lifting weights or performing the same type of motion with their hands for a long time.
It is possible to develop this pathology in case of trauma - dislocation, sprain of the shoulder joint or bruise. In this case, there is an acute onset of the disease, associated with a traumatic situation in the anamnesis.
Clinical picture with polyurethritis
The leading symptom of the disease is the pain in the projection of the shoulder joint and shoulder blade, which is amplified by hand movements-attempts to raise it or rotate it outward or inward. Pain sharp, burning, resting slightly decreases, takes nochy character. Hand movements are severely limited. As a rule, the disease takes a chronic course with periods of exacerbation and remission. Exacerbation of the disease can provoke:
- Exceedance of the limits of the allowable physical activity
In the acute phase, there may be an increase in body temperature to subfebrile, general malaise, weakness. With infectious lesions of the shoulder joint, the body temperature can rise to high figures, and the pain can pulsate.
At objective survey the following picture is revealed: integuments in a projection of the amazed joint edematic, quite often hyperemic. Palpation of the joint is painful. In terms of blood, a picture of inflammation can be observed.
Often the disease takes an adverse course: due to frequent exacerbations, deforming changes in the joint surface and the lack of adequate rehabilitation measures, spines of the tendon-ligamentous apparatus are formed, stiffness( ankylosis, contracture) of the shoulder joint begins to develop, which gradually lead to a decrease in the function of the hand. Therefore, rehabilitation physiotherapy plays a big role in maintaining movements in the affected arthritic joint and preventing exacerbations of chronic periarthritis.
Technique of Dr. Popov
PA Popov for a long time specialized in restoring the functions of the human body after the trauma. He paid special attention to connective tissue - the ligaments and tendons surrounding the joints and bundles of muscle fibers. The theory and practice of Dr. Popov is based on the fact that as a result of trauma, the elements of the joint complex or fragments of the broken limb take an incorrect position, and the connective tissue "remembers" this position and continues to support it even after healing the lesion. The same happens with an inflammatory disease, including a humeropathy periarthritis: a person spares the affected joint in order to avoid the pain that causes movement by hand. The ligaments fix this position and prevent it from changing even after the inflammation has been stopped.
This ability of ligaments to "remember" the right position and support it, Dr. Popov began to use for his own purposes, by training connective tissue and helping her to take the right position. For this he uses the methods of "small movements". The essence of this method is the gradual "loosening" of the stiffened in one position ligaments. For this, the patient is offered special complexes, during which he performs cautious, with a small amplitude, movement and at the same time closely watches his feelings. In the course of training a person should pick up those exercises, which he likes to do, and concentrate his efforts on them. However, this physical culture should in no case be accompanied by fatigue, tension or the appearance of pain. Normally, after exercising, a person experiences pleasant fatigue and relaxation.
You can begin classes only at the stage of complete remission or after the healing of the disease. To achieve a lasting positive result, you must practice regularly. The first changes for the better are not immediately apparent. In most cases, patients with pleural flap periarthritis should be engaged in the technique of PA Popov constantly, throughout his life.
A set of exercises with shoulder-blade periarthritis
The method of Dr. Popov implies that each person chooses the most effective exercises for himself. However, for this it is necessary to perform at least once the whole complex, observing the internal sensations. After each exercise we relax, relieving tension from the muscles of the back and shoulder girdle.
Warm up of binders
- Conveniently sit on the edge of the chair, straighten the spine, hands on your knees. We start slowly to tear off the front often feet from the floor, performing walking movements. We move smoothly, stroking the legs with the hands from the hip to the knees and just below in a circle - thus we gradually use the shoulder girdle. We keep the rhythm of breathing.
- Performing light pendulum-like inclinations from side to side, we describe the imaginary eight figures with the shoulder belt, with the shoulders alternately being pulled to themselves. Having described several circles in one direction, we carry out movements to another - from ourselves. The muscles of the back and shoulder girdle are as relaxed as possible.
- We grasp one hand with the other hand and stretch our arms upwards, straightening the spine and hands. If the pain is not possible to perform this action, then the hands are directed down to the floor, and just as we straighten them, sipping the shoulder girdle. The back is rounded and slightly deflected back, the thoracic and lumbar spine bends back. We return to the starting position and repeat the exercise several times.
- We do exercise 3, but we bring our hands closer together, already. When tilting forward, we want to inhale, back - exhale.
- Repeat exercise 1 - walking while sitting.
- Perform pendulum movements back and forth, hands relaxed at the same time, move in the same direction as the back, coming forward, slightly crossed. The back is not tense, we move freely. When moving back, carefully join the blades with each other. Forward - inhale, back - exhale.
- Smoothly raise your hands one after the other, the brush looks down, the whole body participates in the movement, the back stretches as if moving behind the moving hand. We add a turn with the head and neck towards the rising arm.
- We put the thumbs at the midpoint of the clavicle and perform circular movements with the elbows in front of us. Then we make the same movements in the opposite direction. Amplitude is increased gradually, observing the sensations of the body.
- We unfold the feet on the heels, directing the socks and knees to each other, and simultaneously slowly lean forward. Hands at the same time slip on the surface of the thighs and lower legs, the muscles of the back stretch a little. We unfold the stops in the opposite direction, directing the socks from each other - stand up, connect the shoulder blades, straighten the thorax, open the pelvis. Movement cautious, smooth. On the rise, inhale, when lowering down - exhalation.
- Exercise 1 - walking sitting.
- We put the thumbs on the middle of the clavicle, the arms are bent at the elbows. We are alternating the elbows forward and up, back and down. The transition between the movements occurs through the waist, the muscles of the back and shoulder girdle are actively working. Raising your arm up, turn your head in the opposite direction and stretch the interscapular muscles a little.
- Having relaxed the brushes, on the big circle we direct hands downwards before ourselves until the palms will not look outward in different directions, then we do the reverse movement. When the palms are below, we stretch our arms and shoulders, slightly springy;while the spine is fixed in a flat vertical position.
- We lift hands with the relaxed brushes, slightly bending the wrist, alternately upwards, lowering downwards. At the same time, we engage the muscles of the back and the whole body. Further, when the arm is raised, we bend it up at the elbow joint, straining the biceps arm muscle. Add the lifting of the arm bent at the elbow up, pointing up the elbow.
Tensioning of tendons
- We squeeze our fingers in the lock, put our hands in front of us and proceed to wave-like movements with our hands - from the elbow of one hand through the brush to the elbow of the other, first into one, then backwards. Then we perform circular motions, assembled into the lock by the hands, connecting to them the shoulder belt.
- We put one hand on the opposite shoulder, hold its elbow with the second hand. We lean forward and, rising upwards, we pull up the elbow to ourselves. Move down - inhale, up - exhale. We change hands, we repeat.
- Feet is placed widely, we put our hands on our knees. Alternately, we stretch our shoulders towards the opposite knee, leaning forward, moving in the rhythm of the pendulum.
- Returning your legs to their original position, perform circular motions with your shoulders upwards first forward, then backwards.
- We put our legs as wide as possible, we rest our hands on our knees, lean forward. Do not move your back, we direct alternately the shoulders to the opposite knees. Should only be used shoulder girdle. We lift the case up, again we move our shoulders.
This gymnastics promotes both the prevention of complications and the development of already formed contractures of the shoulder joint.
Complex of exercises( therapeutic gymnastics) with shoulder-flapping periarthritis
Shoulder or humeropathy periarthritis is a disease in which inflammation of surrounding shoulder joints occurs, including the ligaments, the joint capsule, and the tendons of a number of located muscles. Therapeutic gymnastics with periarthritis of the shoulder together with the medicamental treatment of this disease occupies a leading place in the treatment and rehabilitation. In this article you will find a set of special exercises, the implementation of which will help improve the condition for this disease.
Why is there a need for therapeutic gymnastics( LFK) with periarthritis of the shoulder?
with periarthritis of the shoulder without gymnastics is indispensable
regular exercise helps to reduce pain in the shoulder joint and surrounding tissues;
- helps to restore the previous( before the disease) volume of movements in the shoulder;
- increases muscular strength and tone of periarthritis-affected muscles.
Please note: these therapeutic methods should be used only after examination, diagnosis and in parallel with drug treatment. Apply the movements described below only after their approval by the attending physician. Self-medication can harm your body!
Complex of therapeutic exercises with shoulder plethorascic periarthritis
group exercises in therapeutic gymnastics( ASF)
The starting position is sitting on a chair.
Place your hands on your waist and spread your elbows to the sides. From this position, start - very smoothly and slowly, without jerking!- To make circular movements with shoulders back and forth.
Try to do the movements so that you do one circular motion for 60 seconds( forward), and then the same - in the opposite direction.
The starting position is the same as in the previous exercise. Put your hands on your waist and dilate your elbows in the sides, too, very smoothly and slowly move your shoulders forward as far as possible, and then - back and also to the maximum. Repeat this movement "back and forth" five or six times.
Starting position - sitting with the most wounded behind his back with a sick hand. Take a healthy hand with a sore hand behind your wrist, then gently and gently begin to pull the sick arm down and into the healthy side with a pointing on the butt on the healthy side.
Note: this must be done, avoiding pain and achieving only muscle tension. When you reach the maximum position of the hand, stop for 8-10 seconds at this point, and then inhale, try to strain your aching arm as much as possible and freeze in this position for another 10-12 seconds.
After that, exhale, while relaxing the patient's hand. At the same time, try to pull the patient a few centimeters in the same direction with a healthy hand, but also without causing pain, and at this point again hang for 7-10 seconds.
After this, perform another four - five cycles with stress-relaxation, during which try to pull your arm a little further, but without the appearance of pain.
LFK, aimed at the upper shoulder girdle
Sitting. Put the hand of the sick hand on the shoulder of a healthy hand, press the elbow against the chest, and with a healthy hand, grasp the elbow of the diseased limb and begin to gently pull the sick arm upwards. Take care that the patient's elbow does not come off his chest and as if riding along it. Tighten the aching arm to the sensation of maximum muscle tension, but not pain.
When the maximum point is reached, fix at this point for ten to fifteen seconds. After that, inhale, stretch the sick hand for seven to ten seconds, relax it on the exhalation, and with a healthy limb, pull the sick arm up a little more. Repeat this cycle of inspiration-exhalation with tension-relaxation, as in the last exercise - 5-6 times.
№5( simplified form)
Recommended for patients with severe restrictions of joint movements, and also when the hand is weakly diverted to the side.
The starting position - lying on the back on the floor, the painful arm is straightened at the elbow joint, and the palm looks up. From this position, taking a breath, raise your hand 2-3 cm up and maximally strain it, remaining in this position for seven to ten seconds. Then, on exhalation, lower your hand to the floor and completely relax it, after which you are in that relaxed state for 10-15 seconds.
Repeat this cycle of inspiration-stress and exhalation-relaxation 4-5 times.
And here's an interesting video of the complex of exercise therapy for this disease:
Note: the complex is not provided with all the exercises and exclusively for informational purposes. In order for the treatment of the humeroparous periarthritis to proceed correctly, it is necessary to have a full-time consultation with a rehabilitation physician or an instructor in physiotherapy exercises.
Recovery with pleural flapper periarthritis without exercise therapy is impossible
Periarthritis of the shoulder is an inflammation of the capsule of the shoulder joint, as well as the tendons adjacent to it and passing through it.
Pleropilatochnaya pererarthritis is one- and two-sided. Significantly affect the process of the disease and the increase in the symptoms of degenerative-dystrophic articular changes and the formation of foci of inflammation in the surrounding tissues. If the phenomena of regression are superimposed in arbitrary combinations, the disease progresses.Vkontakte
Various syndromes of its development are noted:
- with damage to the tendon of the long head of the biceps;
- inflammation of the tendon sheath of the biceps;
- tearing individual muscle tendon fibers.
The cause of the disease can be:
- osteochondrosis of the cervical spine;
- in women - the removal of the breast in connection with the development of a benign or malignant tumor.
The area of the joint becomes warmer than the surrounding areas by touch, inflammation raises the temperature and there is hyperemia of the tissues.
The amplitude of movement in the joint gradually decreases, the volume of movements in the direction up and back, is limited.
Symptoms of simple form of periarthritis:
- minor pain with hand rotation;
- if you try to get your hand behind your back, the pain intensifies.
If at this stage do not limit the load and start treatment, the humeroparous periarthritis can take an acute form with the following symptoms:
- Aching pain will intensify during night rest.
- With the slightest movement of the joint, pain is given to the arm area of the and the cervical region.
- Movement of the hand back-up-aside because of the sharp painfulness is almost impossible, and the movement of the shoulder does not cause any unpleasant sensations.
- There is swelling in the shoulder region.
- Subfebrile temperature of is observed, fever is manifested, general condition worsens, sleep is disturbed at night due to pain.
- The patient tends to give the anthology to the hand - press the bent arm to the chest.
In the acute stage of the disease, in the absence of treatment, the process becomes chronic. During it, acute pains are replaced by constant subacute, exacerbated with increased stress, and when rest there is discomfort, numbness in the shoulder joint.
In 1/3 patients with a history of arthritis of the shoulder joint, , the capsular appears, which is characterized as a "frozen shoulder syndrome".
Diagnosis of the disease
Diagnosis of the disease begins with examination, assessment of the clinical picture and palpation of the affected joint. The symmetry of the shoulder joints, muscular atrophy, presence of the bony protuberances is evaluated.
The patient is asked to move with his hand, rotating it in the joint, revealing the degree of tension and muscle tone. The volume of passive movements in this joint is determined.
After ascertaining the degree of functionality of the joint, an X-ray examination of is assigned. Sometimes it is necessary to additionally apply computer tomography or ultrasound examination to determine the extent of the lesion.
There are other methods that are connected with the diagnosis: arthroscopy and tomography.
Treatment of the disease at different stages of
The main drug therapy measures begin with the elimination of bouts of pain syndrome. To completely get rid of the disease, it is required, at a certain stage, to connect special exercises with humeropathy periarthritis. Otherwise joint mobility will be impossible to return .
Subsequently, drugs used in the treatment of arthrosis are prescribed: chondoprotectors and anti-inflammatory drugs.
Physiotherapy procedures - laser, magnetotherapy , - as well as manual effects are applied no earlier than 3-4 days after the end of the course of corticosteroids injections into the affected joint.
Simultaneously with traditional medicamental treatment compresses with dimexide are used. After the acute pain is removed, bischofite is added to the compresses.
A rapid effect occurs after hirudotherapy, but patients with leeches often experience allergic reactions.
Traditional methods of treatment
Many recipes for the treatment of this disease are available in the stores of traditional medicine. Preparations of this group are for internal and external use. Plus them that they have a small number of side effects and always a great choice.
Tasty and pleasant summer remedy. A handful of currant berries, black, insist on boiling water, and drink about 100-150 ml before eating. Very useful and vitaminizes the body.
Anyone who considers the already described drug similar to compote, you can offer a similar. Instead of currant berries, leaves will be used in it.Vegetable collection: leaves of currants, raspberries, cowberries and rose hips take in the same quantity approximately 35 g - currant leaves can be more - boil, insist 6-7 hours in a warm place or 3 hours in a thermos. Everyone drinks a day.
St. John's wort perforated taking is required cautiously, no more than 30 mg per day for 2 divided doses. For tincture, a teaspoon of dry raw material is poured into 150 ml of boiling water.
The same tincture can be made from nettle, but take it a day more than once.
They are applied in the form of compresses or used for grinding.
Quickly help to remove soreness warming compresses:
- from salt( brine proportions for compress: 10 g of salt per 100 g of water);
- from burdock leaves( it is not necessary to prepare a burdock leaf, it is enough to rinse it).
Compress is not used cold. To ensure that the heat is sufficient for a long time - usually the compress is placed before the sleep, the canvas soaked in a brine, or a heated burdock leaf, is closed first with a plastic wrap and then fixed.
For grinding, the following vegetable components are effectively used, on the basis of which alcoholic tinctures are made.
Plantain, birch leaves, mint, root of an ordinary dandelion, burdock leaves or roots, mint, chamomile, coriander.
All ingredients for tinctures are taken in equal parts.
Complexes of medical gymnastics
Before the beginning of classes, it is convenient to sit on a chair, lean back on the back. Movement should not restrain anything.
Hands at waist, elbows are diverted to the side. Slowly, elbows try to bring each other to a minimum distance.
From the starting position, from which the first exercise began, produce a symmetrical rotation of the shoulders.
Initial position: the elbow of a sick hand is pressed to the chest, a brush on the shoulder. With a healthy hand, pull the elbow from the side of the affected joint upwards. Do not lead to painful sensations. The exercise ends when the muscles begin to strain. The elbow on the chest should slide.
The complex of exercises Popova is positively acting on the humeroparate periarthritis. They are allocated special movements based on his observations of patients who had a history of degenerative changes in the joint and surrounding tissues.According to his theory fragments of the affected limb themselves take a position convenient for themselves, and the muscles and a group of ligaments support it even after healing."By memorizing" this position of the ligament of the altered joint does not allow it to recover in due measure and at the stage of remission.
Yu. V.Popov has developed small amplitude movements that gradually loosen these stiffened ligaments. Analyze his condition during classes on this method, the patient must himself.
Restoration is considered successful if after classes there is a pleasant relaxation and there is no tenderness in the joints.
The following exercises are included in the complex of Dr. Popov for the restoration of the shoulder joint.
- Hand on the shoulder, with a healthy hand, try to lift it as much as possible.
- The hand, lowered on the back of the thigh, is tried to bring to the waist with a healthy hand.
- The tendon is stretched in an inclination: hands lean against a wall, bend over 90º, slowly crouch.
- The arm rest on the wall, the shoulder should be set 30 degrees forward. Fingers "step" up the wall.
To strengthen the muscles of the
- Hands through the side slowly rise and fall.
- You need to press your back against the wall. Bend your arm 90 degrees to the elbow joint, and try to forcefully push against the wall.
- During the exercises for internal and external rotation, an expander is used. The expander is attached to the fixed object , a towel is placed under the elbow of the bent hand pressed to the side of the sick arm. Stretching the expander arm turn inside and out. The towel should remain in place.
Exercises for stabilizing the blade
It takes a slow push-up from the wall. In position: lying on your back, try to raise your shoulders as high as possible, holding your hands in front of you. The expander stretches behind the back.
All exercises are performed in an amount of 10 times, on average for 4-5 seconds.
A recovery complex can be started only after the disease has reached a state of remission. In this video you can clearly see the complex of Dr. Popov
An important factor in restoring the mobility of the shoulder joint is the regularity of the exercises. The course of therapeutic measures of the humeroparous periarthritis is long. To prevent a relapse of the disease, it is necessary to constantly engage in exercise therapy and limit excessive workload.
Shoulder-flank periarthritis - exercise complex
To prevent the development of a chronic process, doctors strongly recommend a complex of exercise exercises to patients suffering from shoulder-flapper periarthritis, which will help ease the condition and defeat the disease.
What movements are recommended?
For the speedy recovery specialists have developed special exercises with shoulder-blade periarthritis. It includes:
- Flexion and extension of arms( in the wrist joint), as well as circular movements of the hands.
- Compression and unclenching of brushes.
- Turns the palms up and down.
A very large role in the complex therapy of this form of pathology is played by therapeutic gymnastics
- Touching the shoulders with your shoulders.
- Raising the hands to the sides with the simultaneous rotation of the hands.
- Raising hands up( alternate).
- Pressing the palms onto a hard surface.
- Jerk hands.
- Circular movements around the shoulder joint( back and forth).
- Swing your hands.
- Starting behind the back with a simultaneous touch of the opposite shoulder blade.
Each of the prescribed exercises must be performed 6-10 times for half an hour three times a week( whenever possible - every day).
Basic Exercises of the
Exercise No. 1
I.P.- sitting on a chair, palms on the waist, elbows are divorced in the sides. Very slowly and slowly, circular movements of the shoulders are performed, one minute forward and backward. Exercise # 2
is the same as in the previous exercise. Slowly and smoothly, the shoulders move to the limit forward and back to the limit. Exercise should be repeated 5-6 times.
Exercise No. 3
IP sitting on a chair, a sore arm is wound up as far as possible behind the back. There, she clasps her healthy arm around her wrist and stretches to the opposite buttock( only to the sensation of muscle tension).The achieved position must be fixed for 7-10 seconds, then inhale maximum on the arm, and hold it for 10-12 seconds. Relaxation of the diseased limb is performed on exhalation. While she is relaxed, her healthy hand should be pulled a few more centimeters( toward the healthy buttocks), until there is a slightly painful muscle tension. For one approach, you should perform 4-5 exercises of stress - relaxation.
Exercise # 4
I.P.sitting. Brush the sick arm should be placed on the opposite shoulder, pressing the elbow to the body and clasping it with a healthy hand. Then gently and smoothly, you need to pull the elbow upward( as if sliding over your chest).After the elbow is pulled to its maximum height( without pain), in the achieved position, it should be delayed for 10-15 seconds, and then inhale as much as possible to strain the affected arm, resisting movement. The duration of such a voltage is 7-10 seconds, and then the patient's hand relaxes and rises a little more upward( up to a slight strain of muscles and soreness).Then it is necessary to fix the position again for 10-15 seconds, and repeat everything again, trying to raise the elbow one degree higher each time. Exercise should be repeated 5-6 times.
Exercise No. 5
This therapeutic gymnastics is recommended for patients with lean shoulder periarthritis in patients with severely limited mobility of the shoulder joint and poorly diverted to the side of the limb. This exercise can be performed in a standard and simplified version. The simplified version is performed in the prone position, the diseased limb is diverted to the side, straightened and placed palm up. It should be raised above the floor by 2 degrees and strongly strain your hand( it should be straightened at the elbow, the palm facing upwards).The voltage is held for 7-10 seconds, then for 10-15 seconds - complete relaxation. Then, on inhalation, the hand is raised 1-2 cm from the floor and tightens for 7-10 seconds. On exhalation - relaxation. You should perform about five cycles of relaxation - tension. The standard version of the exercise is the same as the simplified one, just lying on the couch, placing the sore shoulder on its edge.
Exercise # 6
It is prescribed for patients with a strong rotational limitation of the mobility of the shoulder joint. It is also performed in two versions. Simplified version: I.P.- lying on the back, the diseased limb is bent at the elbow and in the shoulder at an angle of 90 degrees, palm up. Without changing the position, it is necessary to strain the patient's arm severely, lifting the palm from the floor by 2 cm and so holding for 10-15 seconds, then 10 seconds of relaxation. Such an exercise is performed in 4-5 approaches. The standard version is also performed, only lying on the couch( the painful shoulder is closer to the edge).
Exercise # 7
Perfectly helps patients who have a poor arm rotation in the shoulder joint. LFK with a shoulder-flap periarthritis with a rotational restriction of mobility provides for this exercise in both simplified and standard versions. With a simplified version, the patient lies on his back on the floor. The painful arm should be bent in the shoulder and at the elbow at an angle of 90 degrees, turning the palm down. Without changing the position, the hand tightens, and the brush rises 1-2 cm from the floor for 10-15 seconds, followed by ten-second relaxation. It is recommended to repeat the exercise 4-5 times. The standard version is the same as the simplified one, just lying on the couch( the painful shoulder is closer to the edge, the arm is bent at 90 degrees, palm up).
Exercise # 8
I.P.- standing near a chair, leaning forward and leaning on a chair with a healthy hand. The patient's hand is down. She should be allowed to hang freely for 10-20 seconds, then start pendulum movements in a circle, forward and backward. The amplitude of movements is gradually increased, while not allowing obvious painful sensations, within 3-5 minutes.
Exercise No. 9
I.P.- standing facing the wall. The painful arm should be raised as much as possible without pain. On the wall, you should select a point, 10 cm above the point to which you can reach without effort with your fingers. Moving with your fingers, we move to the intended point, while trying to reach out with your hand.
Warning! When doing this exercise, you should not allow pain. To do this, you must follow the rule of alternating tension and relaxation.
Performing such an exercise daily, for 2-3 minutes, you can significantly expand the amount of movement in the patient's arm.
Recommendation: when performing this exercise, you do not need to actively roll your head up and watch your hand, since in patients suffering from instability of the cervical spine due to blood flow in the basilar artery, dizziness or loss of consciousness may occur.
Periods of therapeutic gymnastics
In this form of pathology, physical therapy classes are divided into two periods:
- Class I exercises are recommended for acute pain and severe limitation of shoulder mobility. At this time, the main task of exercise therapy is the removal of pain and relaxation of the muscles of the shoulder joint, as well as increasing its mobility. All exercises are performed with fixation of the shoulder blades( sitting, standing or lying down).
- When the pain subsides, it is possible to start practicing the 2nd period of exercise therapy with pleural shoulder periarthritis.] In this case, the patient is assigned exercises that help to restore movement along all the axes of the shoulder joint, as well as restore the muscle tone and strength of the muscles of the affected limb. Exercises of the second period are performed without fixing the shoulder blades sitting, standing( including the gymnastic wall) and lying on the back.
Note: for each patient an individual approach is necessary, taking into account his age, physical fitness and the degree of development of the pathological process.
All classes should be conducted daily, including without the participation of an instructor.
An easy method to combat the disease is a complex of exercises with the humeroscapular periarthritis
Shoulder periarthritis develops in a quarter of the population of the whole Earth, which means it is a widespread ailment. Symptoms of the humeroparous periarthritis can be observed in the same manner in both the male and female segments of the population.
To contribute to the development of this disease can be previous injuries, shoulder blows and strong physical activity. It can be concluded that the reason may be unusual work or overload.
For what it is necessary to carry out massage procedure
Massage should be done together with a set of exercises, because it helps to quickly get rid of the patient from pain, prevents the formation of a rough scar, removes bursitis, myositis, tendovaginitis and helps the muscles not to get atrophy.
Massage procedures should be done every day for 15-20 minutes, the course of which should be from ten to twenty visits.
If humeropathy periarthritis is diagnosed, massage procedures should be performed for at least three courses. The break between the courses should be between three and four weeks.
With clearly manifested pain, therapeutic exercises with shoulder-blade periarthritis begin to be performed after the anti-pain medication has worked, since the pain can more violate the movement of the joint, which is struck due to the progress of stiffness.
In the complex of exercises with shoulder-blade periarthritis, in most cases, exercises include elbow joints and wrist joints of the hand. At first it is worth doing exercises, lying down, and then already combine different positions of the body, namely standing, lying, sitting.
LFK with plechelo-flap periarthritis should result in the relaxation of certain muscles for which exercises were performed. The number of exercises should be selected in each case separately. For exemplary exercises that can be performed include the following.
Exercises in which the starting position is lying on the back and the pace is not fast
- Exercise 1. Arm bend at the elbow. Fingers on fists need to be squeezed and unclamped from ten to twelve times. Then shake the brush. Duration up to thirty seconds. The rate of breathing does not make a difference.
- Exercise 2. Arms bend at the elbow. Folds and folds of the wrist in the wrist joint four times, then rotate with circular movements of the brushes on, and from oneself before relaxing them four times. It is carried out slowly, the speed of breathing does not matter.
- Exercise 3. Place your hands along the trunk. Rotate your hands palms up and down six to eight times. The rate of breathing does not make a difference.
- Exercise 4. Place your hands along the trunk. The brush is located next to the shoulders - to inhale, return to the initial position, exhale. Duration from six to eight times.
- Exercise 5. Bend your arm at the elbow to get a right angle. Forearm to divide on the sides. You should try to touch the inside of the brush to the bed. Repeat from three to four times.
- Exercise 6. The brush is located next to the shoulders. The elbow is removed from the sides, so that it is placed horizontally - inhalation, then the initial position and exhalation. The exercise is repeated four times.
- Exercise 7. The brush is located next to the shoulders. Elbow in front - inhale, return to the initial position - exhale.
Charging for this disease is performed at any time of the day, as soon as a free minute has appeared. When there is a decrease in pain, the above complex should be supplemented with the following methods.
Techniques, the initial position of which is sitting on the chair
- Exercise 8. The legs are set at shoulder width, hands should hang. Elbows in a bent position - inhale, then unbend, after which the muscles are relaxed and are performed from three to five strokes and exhale.
- Exercise 9. A hand that does not hurt, rises forward - to the top - to inhale, lower down gradually relaxing and execute from three to five movements of movement, to exhale. To do, too, only with the affected hand.
- Exercise 10. A hand that does not hurt to lie behind your back, while the palm rises to the shoulder blade. To do, too, only with the affected hand. The rate of breathing does not matter.
- Exercise 11. The hands are on their knees. A hand that does not hurt to be diverted to the side. Stretch out and look at the palm. Hold the hand for five seconds, inhale, and return to the initial position, and exhale. The same movements are done with the second hand. Exercise should be done three to four times.
- Exercise 12. The legs are set at shoulder width, the brush is placed next to the shoulders - the breath is drawn. A hand that does not hurt should reach the knee of the next leg, which should be raised and exhaled. Repeat, too, only by changing your arm and leg and doing five to six times.
- Exercise 13. The legs are exposed to the width of the shoulders, hands are lowered. Do slowly in order not to exacerbate the pain, do movements around the joints of the shoulder in one and the other direction from six to eight times.
- Exercise 14. The legs are set at shoulder width. The head tilts forward, back and sides so that the ear can reach to the shoulders and turn its head to the sides. Do not quickly, twice, in the interval you need to make a stop for one second. If symptoms of dizziness begin to appear, then it is necessary to stop the exercise. Rotation of the head on the sides is advised, closing the eyes before it. After the movement of the cervical department to make a little breather.
Methods of treatment with folk methods
If a humeropathy periarthritis has been diagnosed, some remedies from traditional medicine may be useful. It is important to remember that any herbal medicine must necessarily be coordinated with a specialist so as not to get the situation into a deaf corner.
Crush one spoonful of St. John's wort and pour it with hot water in the amount of one glass. Infuse the resulting liquid for half an hour and apply one tablespoon four times throughout the day.
Take the dry nettle previously ground, pour it with water and stand on a water bath. The resulting remedy should be applied inside the spoon four times throughout the day.
Take 5 grams of black currant fruit to grind and pour a glass of hot water and stand for 20 minutes. The received infusion to use on a glass of a glass three times throughout the day.
Traditional medicine with humeroscapular periarthritis can be used as rubbing and massage. This will require a decoction of chamomile, peppermint, leaves of plantain and burdock root. If the burdock leaves warm, then you can use it for compresses that will help to remove inflammation and pain.
With a correct and adequate understanding of their situation and a clear adherence to all the advice of a specialist, exercise therapy with pleural flap periarthritis in combination with therapeutic agents leads to a complete return of the mobility of the shoulder joint. And also the use of recipes for folk medicine will also help restore the health of your joint, but you should not abuse it and in no case practice self-medication.