Video lfk with shoulder scapular periarthritis

Symptoms and treatment of humeroparathy periarthrosis

Pleuralopathy periarthrosis - treatment and symptoms Human shoulder has a large amplitude of motion.

Its structure differs sharply from other joints: it does not have an articular cavity, the head of the humerus is very large, and the surface of the scapula is flat and small.

Due to this design, the head moves with ease over this small surface.

Free movements of the joint are assisted by muscles, at the end of which tendons and a wide articular capsule are located.

Periarthritis periarthritis( periarthritis, capsulitis) is an inflammatory disease of the tendon of the shoulder and the capsule of the shoulder joint itself.

This inflammatory process does not affect the cartilage of the joint and the joint itself.

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Symptoms and manifestations of the humeroparous periarthrosis

The first symptoms of the disease appear gradually, not drawing the due attention from the patient. But over time, the pain intensifies, the turn of the shoulder becomes more difficult, then the person turns to the doctor.

  • The main symptoms of the disease
  • Pain in the shoulder joint, which worsen during work or raising hands up.
  • Pain starts to bother at night.
  • Most often, the disease occurs in right-handers on the right side, left-handers on the left side.
  • Limits the radius of the arm to the side and back.
  • With time, joint stiffness may develop. The pain increases when the patient tries to raise his hand, and the doctor at this time wants to fix his hand.
  • Touching the shoulder with your hand is also painful.
  • Gradually, in the absence of treatment aching pain turns into a gnawing or boring pain.

But the pain in the shoulder joint does not appear alone. It is always combined with a headache, pain in the scapula, neck, arm, fingers grow numb, that is, all the signs of cervical osteochondrosis on the face.

Causes of development of the humeroparasitic periarthrosis

The reasons for the development of the humeroparous periarthrosis have not yet been elucidated. But most experts in this area call the following factors:

  • Shoulder Injury
  • Uneven muscle tension of the shoulder girdle during hard work
  • Herniated disc of the cervical region
  • Hereditary factor
  • Metabolic disorder
  • Osteochondrosis of the cervical and thoracic spine.
  • In women, the disease can begin during menopause
  • But in most cases it is a long and unusual activity for shoulder joints: painting, throwing a ball and so on.
  • The pain makes itself felt not immediately, but 2-7 days after the load.
  • Left-sided periarthritis can begin after a myocardial infarction.
  • Right-sided periarthritis may be a consequence of liver disease.
  • In women, the disease can occur after removal of the breast.

The appearance of the patient is typical: he always holds a sick arm bent at the elbow and firmly presses it to his chest. The disease equally often affects both men and women.

Diagnosis of humeroparous periarthrosis

When a doctor calls for a plan of examination of the patient and the following diagnostic tools are used:

  • Radiography. The images clearly show deposits of calcium crystals over the shoulder joint and in places where the tendons attach to the bones.
  • MRI or computed tomography
  • The blood test increased ESR and C-reactive protein.
  • When palpation of the shoulder - soreness.
Thrombophlebitis of the veins of the hands, swelling, trauma of the cervical vertebrae, shingles, shoulder dislocation and infectious arthritis should be excluded.

To confirm the diagnosis, you can conduct a simple test: if an acute pain does not allow you to get your hand behind your back and you can not brush your hair with a hand, this is a humeropathy periarthrosis.

Periarthrosis humeroscopic diagnosis

Treatment of brachythe periarthrosis is long and complex. To medical and physiotherapeutic methods it is necessary to connect the spa treatment, physiotherapy exercises, phytotherapy and non-traditional methods of treatment with folk remedies.

Treatment of this disease requires the patient, patience, effort and consistency of action.

On how to treat the disease depends the progress of the disease, or a quick disposal from it.

First of all eliminates the cause of the disease:

  1. When the vertebrae are displaced, manual therapy is performed.
  2. In case of impaired blood circulation in the shoulder as a result of surgery on the mammary gland or myocardial infarction, a therapy is prescribed that improves blood circulation.
  3. In case of liver disease, a diet and enzymatic agents are prescribed.

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Exercises for cervical osteochondrosis can be found here.

Medical treatment

For the treatment of shoulder tendons in the acute period, anti-inflammatory non-steroid drugs are prescribed: ketoprofen, diclofenac, indomethacin, nimulide, meloxicam and their analogues.

Intraperitoneal region is injected with hormone preparations dipisan, flosteron, methyred

With intolerable pain in the synovial bag or in the area of ​​the tendon, an anesthetic mixture with the hormone

is injected. At home, compresses with bischofite or dimexide are applied to the joint area( in an acute period of illness bischofite is not used).

As well as a set of measures:

  • Physiotherapy
  • Laser therapy
  • Electrophoresis with pain medication
  • 5-7 hirudotherapy sessions( if there is no allergy)
  • Mud treatment
  • Sulfide or radon baths.
  • In the absence of allergy, apitherapy is applied
  • Massage course
  • Paraffin baths
  • Nonsteroid ointments and creams

One of the important conditions in the acute period of the disease is to provide peace for the arm and shoulder joint. But absolute immobilization of the joint will lead to stiffness. It is necessary to make movements by hand, limiting the load on the joint.

Two to three hours before bedtime, you need to wear a supporting collar that will unload the neck and take over the entire weight of the head.

With a thoughtless attitude towards the disease, periarthrosis is transformed into ankylosing periarthritis , deltoid muscle atrophy or osteoporosis of the head of the humerus can begin.

Prophylaxis of periarthrosis

To prevent deterioration, it is useful to do simple physical exercises. They are very simple, but they need to be dealt with daily, overcoming a small pain. Through severe pain, one should not be engaged.

  1. IP: lying on a healthy side. With a healthy hand, take your injured hand and put it behind your head. Hold this position for a few seconds, trying to increase the amount of movement, overcoming the muscle tension.
  2. ;standing. In the hands take a rubber bandage. Feet stand on the middle of a bandage, and the ends of a bandage of equal length clamped in fists. Raise your arms to the sides and slowly lower them. Another option: you need to raise your hands in front of you. Do not bend arms in elbows. Do each exercise at least 15 times.
    The complex of exercises you can expand, change, add new ones, but the main thing is not to stop classes. Targeted workouts will eliminate pain and transform your figure.
    The disease can last for months, delivering a lot of physical and moral suffering to the patient. And without specialized and timely treatment can lead to disability of the patient.

LFK with humeroscapular periarthrosis. Exercise at home

Complex of exercises( therapeutic gymnastics) with shoulder-lobed periarthritis

Shoulder or humeropathy periarthritis is a disease in which inflammation of the 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

    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 treatment 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-flapping periarthritis

Exercise No.1

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 control. 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 on inhalation try to maximally strain your aching arm 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 reaching the maximum point, 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 limitations of joint movements, and also when the sore arm is slightly diverted to the side.

The starting position - lying on the back on the floor, the sore 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-exhalation and exhalation-relaxation 4-5 times.

And here is an interesting video of the exercise therapy complex for this disease:

Note: the complex is not provided with all the exercises and solely 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 physician-rehabilitator or an instructor in physiotherapy exercises. Irreversible processes in the damaged joint: the capsule of the shoulder becomes inflamed and thickens

Symptoms and treatment of the periarthritis of the shoulder joint Irreversible processes in the damaged joint: the capsule of the shoulder becomes inflamed and thickens

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 a disease

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.
If you are concerned about compulsive pain in the shoulder - you need to urgently consult a doctor If treatment of the humeroparous periarthritis is not started in time, complications can occur in the form of an acute form of the disease. Its main signs:
  • sharp pain in the shoulder and neck;
  • intense pain at night;
  • it is impossible to move the hand up 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.

Therapeutic 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 - 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.

Therapeutic therapy includes the injection of hormones directly into the joint 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 medicines. 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-flapping periarthritis - a complex of exercises

To prevent the development of a chronic process, doctors strongly recommend a complex of exercises of physical therapy for patients suffering from humeropathy periarthritis, which will help ease the condition and defeat the disease.

What movements are recommended?

For an early recovery, the specialists developed special exercises with shoulder-blade periarthritis. It includes:

  1. Flexion and extension of hands( in the wrist joint), as well as circular movements of the hands.
  2. Squeezing and unclenching brushes.
  3. Turns the palms up and down.

    A very large role in the complex therapy of this form of pathology is played by therapeutic gymnastics

  4. Touching the shoulders with your fingers.
  5. Raising hands to the sides with a simultaneous rotation of the hands.
  6. Raising hands up( alternate).
  7. Pressing the palms onto a hard surface.
  8. Jerk hands.
  9. Circular movements around the shoulder joint( back and forth).
  10. Swing your hands.
  11. Holding hands behind the back with a simultaneous touch of the opposite shoulder blade.
  12. "Mill".
Note: these are the most basic exercises. Of course, only an expert after a careful examination of the patient can recommend one or another exercise of exercise therapy, given his capabilities and the degree of development of the pathological process.

Each of the prescribed exercises must be performed 6-10 times within half an hour three times a week( whenever possible - every day).

Basic Exercises of

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 No. 2 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 # 3

IP sitting on a chair, a sick hand 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 should 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

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

Such therapeutic exercises with shoulder-blade periarthritis are recommended for 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 2 degrees above the floor and tighten the arm( 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 No. 6

Assigned to patients with severe rotational restriction 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 No. 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 sofa( 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 # 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 because of a violation of blood flow in the basilar artery, this may cause dizziness or loss of consciousness.

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).
  • At stihanii pains it is possible to start employment or occupations of II period LFK at a humeroscapular 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 sessions should be conducted daily, including without the participation of an instructor.

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