Periarthrosis of the shoulder joint
Shoulder-bladder periarthrosis or periarthritis( PLP) is a whole group of diseases of the periarticular tissues of the shoulder joint, which have very similar symptoms. Therefore, they are united in one group. The word "periarthrosis" or "periarthritis" shows that only paranasal tissues are involved in the pathological process, the structures of the brachial junction themselves remain intact. The main complaints and manifestations in PLP is the pain in the shoulder area and the limitation of the amplitude of movements in it. Such a picture can arise when the joint capsule is damaged, the synovial shoulder bags( burs), the tendons of the muscles that are attached in this area.
It is very important to suspect the disease at an early stage, as every day it becomes more difficult for a person to move his hand, the amplitude of movements decreases, which can even become a cause of disability. If the symptoms are identified and treatment is started as early as possible, then you can completely get rid of the problem.
What is this
So, let's consider the main diseases that are included in the concept of PLP.
Tendonitis of the rotator cuff of the shoulder joint
This is a lesion of one or more muscle tendons that form a rotator cuff of the shoulder( over- and subacute, subscapular, small and large round muscles).Still this disease can be met under the name "impingzhment-syndrome".In this case, the pain appears only with active or passive movements of a rotational nature in the shoulder.
Structure of the rotator cuff of the shoulder joint
This inflammation of the synovial bag, which is under the acromial process of the clavicle, directly above the shoulder joint. With this pathology, pain occurs during lifting of the upper limb.
In this disease, the podkarmialnaya mucous bag not only becomes inflamed, but also lends itself to the process of calcification. Sometimes a pathological process involves a tendon located under the bursa. The pain disturbs the person constantly, amplifies at any movements in a brachium. With the progression of pathology, severe contracture of the shoulder joint may occur.
Tendonitis of long arm bicep head
This is a lesion of the biceps tendon at the site of its passage in the humerus of the humerus. In this case, there is pain in the shoulder with the slightest circular movements, and painful sensations disturb the person at night.
This disease can be found under the name "frozen shoulder".Due to the primary inflammatory processes, the joint capsule can be sclerized. The size of its cavity decreases, which negatively affects the condition of the shoulder joint. As the pathology progresses, the amplitude of movements is constantly decreasing, any movements become painful. Sharply worsening quality of life, a person becomes incapable even of self-service.
Due to chronic inflammation, the capsule of the shoulder is sclerosed, its cavity decreases, resulting in the impossibility of movement
This is a pain syndrome that occurs with cervical osteochondrosis. Due to the squeezing or irritation of the nerve roots that come out of the cervical spine, chronic pain occurs. It extends from the neck down to the shoulder area. Disturbs the patient not only at movements, but also in rest.
Thus, the humeroparous periarthrosis can be caused by one or several of the above-described diseases. To establish the true reason is not so important, and it is difficult to do this, because treatment for periarthrosis of the shoulder joint in each case is the same.
What are the reasons for all the above violations? Consider the most basic:
- cervical osteochondrosis;
- trauma to the shoulder region;
- excessive load on the joint( long physical work, other activities with increased activity of the shoulder joint, for example, dancing);
- permanent strong overloads of shoulder joints, for example, in people involved in sports, repair, gardening works;
- prolonged static loads of the shoulder joint, for example, holding hands in one position with office workers;
- surgery in the shoulder region in the past;
- endocrine and metabolic disorders.
In most cases it is necessary to deal with impingment-syndrome, therefore, the features of the clinic, diagnosis and treatment of the pathology of the rotator cuff of the shoulder are given below.
Because of persistent and excessive loads in the shoulder joint, the humeroparous periarthrosis of
Symptoms As a rule, most patients can not indicate the reason why their shoulder started to hurt. The pain develops gradually and unnoticeably for a person. Localized along the anterior and lateral surfaces of the humeral articulation, sometimes - along the posterior.
At the outset, painful sensations appear only when the high-amplitude movements: taking the hand to the side, the establishment behind the head and lifting forward. This leads to the fact that some patients do not even notice such a problem, since in everyday life there is no need to perform such movements.
As the pathology progresses, the pain intensifies, appears when even the usual movements are performed, the function of the shoulder joint appears. It becomes painful to carry out ordinary daily affairs, for example, to take the handrail on a landing or in transport. As a rule, it is at this stage that most people seek medical help. But sometimes you have to deal with the start-up PLP options, when the amount of movement in the shoulder does not exceed 10-15 degrees.
There are no external signs of the disease, in some cases there may be crepitation in the shoulder region during movements.
With humeroscapular periarthrosis, pain usually occurs with movements in the shoulder joint.
. Stage of periarthrosis of the shoulder joint.
Three stages are distinguished during PLP:
- The stage of "freezing".Characterized by the onset of pain syndrome in the shoulder joint, both in motion and at rest. The patient can not sleep on the side of the affected joint due to pain. But the amplitude of the movements is not broken. This phase lasts from 2 to 9 months. If you start treating the disease at this stage, you can quickly and effectively achieve a full recovery.
- Stage of the "frozen" shoulder. The intensity of pain is reduced, they are disturbed only by movement, there is no sign in rest. But the limitation of the volume of movements in the joint becomes noticeable. This phase can last from 3 to 9 months. If the treatment is complex, then, perhaps, it will be possible to stop the pathological process and resume mobility of the shoulder.
- The stage of imaginary well-being. Characterized by a significant reduction in the pain syndrome up to its complete disappearance. But at the same time, the possibility of movements in the shoulder joint is sharply and significantly limited. This phase lasts 1-2 years. Treatment only operative, if it is absent, then the joint completely loses the ability to move.
To establish the diagnosis of PLP is rather difficult, because you need to exclude a large number of pathologies of the structures of the shoulder joint.
- elucidation of specific complaints and identification of risk factors, possible causes specific to PLP;
- of the ultrasound of the shoulder joint;
- MRI or CT;
- determination of the amplitude of movements in the shoulder and ascertaining the degree of their limitation;
- standard laboratory tests of blood and urine.
MRI is a valuable and informative method for diagnosing pain in the shoulder
Treatment of brachythe periarthrosis
Treatment for pleural flush periarthrosis should be comprehensive and commenced as early as possible.Recommended reading: Why does the arm in the shoulder joint hurt?
With active pain syndrome without medication therapy is indispensable. Prescribe drugs from the group of analgesics and non-steroidal anti-inflammatory drugs. The "gold standard" is the use of diclofenac sodium. The course of treatment should not exceed 14 days. Other drugs are also used: meloxicam ibuprofen, indomethacin, celecoxib, etc.
If you can not get rid of the pain with NSAIDs, then resort to the use of glucocorticoid hormone anti-inflammatory drugs( Diprospan, Kenalog).They are injected with local anesthetics into the soft tissues around the shoulder( blockade).As a rule, from 6 to 10 such procedures are needed to completely get rid of the pain. In complex therapy, vitamins of group B are also used.
Physiotherapy is a very important element of the therapeutic program for PLP.It is correctly chosen exercises that are regularly performed, will increase the mobility of the shoulder and avoid the sclerosing capsule. Therapeutic gymnastics is selected individually for each patient by an experienced physiotherapist or rehabilitation physician.
Complex of therapeutic exercises with plechelopal periarthrosis:
The following methods are also used in complex therapy:
- various physiotherapeutic procedures by courses;
- post-isometric relaxation;
- treatment with folk remedies and other alternative therapies.
If all of the methods described above are not eliminated by PLP, or the disease is diagnosed at the last stage, then surgical treatment is resorted. Sometimes only an operation can return a person the freedom to move his hand.
Pleuralopathy 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 led to a sharp shift in the components of the shoulder joint;
- hypothermia associated with prolonged exposure to cold, humid air;
- chronic overload due to the peculiarity of life;
- blood flow disorder in this area;
- consequences of operative intervention on the mammary gland;
- pathological changes of neighboring organs( osteochondrosis, liver pathology, etc.).
The symptoms of humeropathy periarthritis may vary depending on the form of the disease.
In mild forms, the following symptoms are more common:
- is a non-intense pain in the shoulder region that occurs solely during exercise;
- insignificant restriction of mobility in the shoulder, for example, the patient is unable to draw a hand behind his back or pull it up;
- if you rotate a straight arm in the shoulder joint, then at some point there will be intense pain.
If you do not pay attention to these changes, then in half the cases there are acute symptoms of brachial periarthrosis:
- acute pain in the shoulder, which extends to the neck and the corresponding arm;
- pain becomes stronger not only with exercise, but also prevents a patient from sleeping;
- noted a significant limitation of mobility;
- sometimes the patient takes a forced position( the hand is pressed to the body and bent at the elbow), as the pain is reduced;
- occasionally observed systemic reactions, manifested by increased body temperature;
- on the background of insomnia worsens and the general condition of the patient.
In a third of patients who have not treated this condition, periarthritis passes into a chronic form. Manifestations in this case are much less pronounced, and gradually and completely pass by themselves. However, in a number of patients there are various kinds of complications, for example, ankylosing periarthritis, which sharply limits the mobility of the arm in the shoulder joint.
Treatment of humeropathy periarthritis should be started immediately after the onset of symptoms. For this purpose it is desirable to address to the doctor. However, not all people know which doctor heals this condition. On the one hand, there is damage to the joint, and it is necessary to consult an orthopedist or surgeon. On the other hand, the symptoms of the disease resemble the damage to nerve fibers, so patients often turn to a neurologist. You can also visit the physician's physician and physiotherapist. Remember that no matter what specialist you turn to, the doctor will help you make the right decision and make a treatment plan.
Drug treatment of humeropathy periarthritis includes several groups of drugs whose main goal is to eliminate pain symptoms and inflammatory changes. They include:
- non-steroidal anti-inflammatory analgesics - used in tablets, injections, ointments. Their action is symptomatic and helps to quickly alleviate the condition. However, it is undesirable to take them for a long time due to a large number of contraindications and side effects;
- glucocorticosteroids - are hormonal preparations and well eliminate inflammatory phenomena. For the treatment of periarthritis, drugs are prescribed for a very short period of time;
- anesthetics - used for local anesthesia( so-called Novocaine blockade).This exclusively medical manipulation is the local administration of a drug that blocks pain receptors. You can repeat the procedure several times a month.
In addition to medications, massage and physiotherapy help to cope with this disease.
Physiotherapeutic methods include:
- laser therapy;
- hardware massage;
- shock wave therapy;
- mud application.
All these techniques should be performed in outpatient settings, but sometimes there is no such possibility for the
patient. In this case, you can do with home procedures.
It is also possible to improve self-health and eliminate the symptoms of this disease independently.
For this, you can perform special exercises:
- Place your hands on the waist, then perform circular movements in the shoulder joints( simultaneously in different directions and alternately).When doing this exercise, you should limit the amplitude of the movements.
- In the same position, move your shoulders back and forth.
- Place the hand of the sick hand on the opposite shoulder. A healthy hand should pull the opposite elbow up. Carrying out this exercise, you must be careful and not make sudden movements.
- Combine the brushes behind your back( a painful hand from below) and gradually pull the aching arm downward.
If it is difficult to carry out the whole complex on your own, you can contact the physician of the exercise therapy department, who will show gymnastic exercises, and also check the correctness of their performance.
You can reduce the severity of the symptoms of humeroparous periarthritis and folk remedies. There are quite a few recipes, among which the most effective are:
- Infusion of nettle( a spoon of dry raw materials per half-liter of water) should be taken orally on a tablespoon. This tool will help reduce the severity of inflammatory phenomena.
- An infusion of St. John's wort is prepared in this way and take 15 ml three times a day.
- Mix 30 g of salt and 300 ml of water. With the resulting solution soak the matter and apply a compress on the shoulder.
- For grinding, you can use a tincture of marigold mixed with broths of herbs( burdock, chamomile, mint, coriander).After that, you should wrap your shoulder with a warm kerchief or scarf.
- Fresh burdock leaf can be heated and applied to the area of the affected shoulder. It is advisable to perform the procedure at night.
How to treat the periarthrosis of the shoulder joint, should undoubtedly solve the patient himself. But even if he chose self-therapy, it is preliminary advisable to consult a doctor to clarify all contraindications.
Symptoms and treatment of periarthrosis of the shoulder joint
Pleuralopathy periarthritis is a fairly old disease, but despite this, it is still being studied by doctors of medical sciences and professors. The disease of the shoulder joint develops gradually due to damage to the interarticular bags or due to cervical osteochondrosis.
- 2 Causes of
- development 3 Symptoms of
- 3.1 First( freezing)
- 3.2 Second( frozen)
- 3.3 Third( thawed)
- 4 Correction of the disease
- 4.1 Home correction
- 4.2 Use of medicines
- 4.3 Spa treatment
- 4.4 Surgical intervention
- 5 Prevention
Classification of the disease
Periarthrosis of the shoulder joint has several stages of the disease development. All of them differ from each other in symptoms and duration of development. So, the forms of development that the periarthrosis of the shoulder have a scapular:
It lasts from 3 months to a year, usually conservative methods are used for treatment;
. Similarly to the previous stage, the stage has a developmental period of 3 months to one year. There is already a need for a comprehensive approach in the provision of medical correction;
Such periarthritis has a duration of education from one to two years. Treatment in this case is long and serious.
Causes of development of
Brachial periarthrosis, as well as scapular periarthritis, can develop independently, and can unite in a complex ailment, when all interarticular space is affected. Development of the disease occurs gradually, the patient immediately and does not understand why suddenly he had pain in the shoulder. And, of course, he has no idea that he has periarthrosis.
The disease can occur due to severe physical exertion, due to various injuries of the shoulder joint. Also, with sedentary work and constant restriction of arm movements, you can earn a periarthrosis shoulder blade.
Each stage of the ailment has different symptoms. They differ from each other in the severity of unpleasant sensations and possible consequences.
First( freezing )
Periarthrosis of the shoulder joint in this case is manifested by the appearance of unexpected pain. A person does not understand why she originated. Usually discomfort appears at rest. During the movement of the arm, the periarthrosis of the shoulder blade weakens its pressure and the person feels better. But at this time he discovers that the movements have become chained and the joint has a limitation in mobility.
The second( frozen)
The periarthrosis of the shoulder joint of this phase is also called sticky. The patient feels a significant improvement in status compared with the previous stage, however his movements are severely limited. A person can not make a circular rotational motion with his hand because the shoulder blade of the scapular joint is as if frozen and constrained.
Periarthrosis shoulder blade in this phase of development and does not cause pain, but there is a complete limitation of movements of the shoulder of the shoulder joint. A man can not even raise his hand up.
Like any other joint disease, periarthrosis shoulder blade should be treated, otherwise you risk getting a restriction of the usual movements for life.
Correction of the disease
Depending on the stage of development of the humeropathy periarthrosis, the treatment is selected strictly individually.
Correction at home
Quite a lot of people consider themselves well-savvy in medicine and begin independently to treat a scapular periarthrosis. It is worth recalling that such actions can lead to an unexpected result. Instead of a complete cure, you can only hurt yourself. When the periarthrosis begins to move to the next stage, the person will begin to feel some relief and think that his methods are effective. However, after such cases, doctors have to carry out more serious treatment of the shoulder of the scapular periarthrosis.
Home treatment can be performed with pain medication. Shoulder periarthrosis requires the removal of inflammation of the joint. For this, you can do compresses on the affected area. It is worth remembering that the shoulder of the scapular joint is inflamed and can not be heated. Periarthrosis is best treated with herbal packs that remove pain and inflammation. These include: calendula, St. John's wort, string, oregano.
Use of medicines
When you contact a doctor and make a diagnosis, the treatment of scapular periarthrosis depends on the stage of the disease. In the first stage, physiotherapy, physiotherapy, massage and manual therapy are usually prescribed.
If such measures do not have a positive effect on the periarthrosis of the shoulder scapula, the doctor may prescribe medications. These include painkillers and various gels. Also, ingestion of anti-inflammatory drugs is possible.
After the medical treatment, it is always recommended to carry out so-called rehabilitation. For this, the patient is sent to a sanatorium, which specializes in the treatment and rehabilitation of the musculoskeletal system, including the scapular periarthrosis. Excellent help radon baths, as well as therapeutic mud.
Usually periarthrosis of the shoulder joint is always successfully treated with a conservative method. However, the surgical view of correction also has a right to exist. It is used only in the most critical cases, when ossification begins extensively between the joints of the shoulder.
The best cure for any disease is its prevention. Periarthrosis is no exception. Especially if you are at risk.
It is recommended that you visit your doctor periodically to diagnose and detect the presence of the disease at an early stage. Prophylactic gymnastics is also necessary.
When cervical osteochondrosis is detected, it must be treated immediately, otherwise periarthrosis will soon be threatened.
Follow the posture. Lead the right way of life. Refuse bad habits and go for a healthy diet.
If you follow all the rules and measures of prevention, periarthrosis is completely safe for you.
In summary, it should be said that every person can be prone to the development of joint disease. Learn as much as possible about what is a humeroscapular periarthritis, symptoms, and also treatment of this disease.
Monitor your health, say "no" to the sick joints!
Periarthrosis of the shoulder joint is an inflammation of the periarticular tissues, affecting the muscles, tendons, ligaments located in the immediate vicinity of the joint structure.
In the absence of treatment, rapidly passes into a chronic form with frequent periods of exacerbation. Moreover, the inflammatory process from the muscles can quickly spread to the constriction and cause bursitis, arthrosis, arthritis, tendonitis. Shoulder bladder periarthritis affects and humerosuction.
The causes of the beginning of the periarthrosis of the shoulder
The causes of the pathology include:
- overvoltage of the shoulder. Often they suffer from people whose occupations are associated with frequent raising of hands or limbs to the side - masons, builders, ballerinas, professional volleyball players, tennis players, rowers. The disease manifests itself on the part of the working hand, therefore it is often one-sided;
- myocardial infarction;
- any type of shoulder injury - fractures, bruises, bruises, tears and a complete rupture of the tendons;
- problems in the cervical spine - intervertebral hernia, protrusion of vertebral bodies, cervical osteochondrosis.
Predisposing factors contributing to the development of the disease:
- diabetes, obesity and other gross disorders of metabolic processes;
- of bile duct and liver disease;
- disorders in the endocrine system - menopause, the period of the female menopause;
- congenital inferiority of connective tissue;
- vascular pathologies, especially diseases of peripheral blood lines;
- frequent microtrauma of the joint;
- work or living in damp premises;
- age-related changes in the body;
Symptoms of the beginning of the periarthrosis of the shoulder joint
Drawing pain in the shoulder
The first symptom that manifests the onset of the disease is pain, wearing, pulling character. Its intensity is uneven. Painful sensations increase dramatically when the arm moves upward, often go in tandem with showing. The entire symptomatic picture subsides with complete rest of the limb in its original position.
Since the work capacity at this stage is almost not affected, the sick person rarely applies for qualified medical help, while making a mistake! In the late stages of periarthritis is treated very hard. The achieved therapeutic effect can be unstable, shortening the periods of remission. Therefore, with the first "bells" of the disease it is necessary to find time for a thorough examination.
Symptoms of periarthrosis of humerus and humeroscapular periarthrosis of
. A little later, a crunch is added to the sharp pain and tingling. It is caused by the deposition of soy, most often calcium salts. The deposits are localized in the area of the affected tendon apparatus.
Pleuralopathy periarthrosis has an almost identical symptomatic picture with periarthrosis of the shoulder joint, but there are some differences. Let's enumerate them:
- pain bothers and at night when the limb is in complete rest;
- discomfort does not pass after warm-up, as it happens with arthrosis;
- in the morning hours there is a feeling of numbness on the part of the lesion;
- there is a muscular dystrophy that provides movement in the humeroscapular region. The appearance of visible changes in the muscular corset speaks of the far advanced stages of the disease.
The treatment of these two pathologies has a similar curative plan, which provides for a comprehensive approach.
First of all, non-steroidal anti-inflammatory drugs are prescribed. These include Ibuprofen, Indomethacin, Nimid, in the acute period they are prescribed in tablet form. The course of treatment with tablets should not exceed 10 days, and then, if the patient has an anamnesis there are no diseases of the gastrointestinal tract.
In the presence of these diseases, non-steroidal anti-inflammatory drugs are prescribed only under the supervision of a doctor and with great care. You can use a local treatment with anti-inflammatory and warming ointments, gels, creams, such as Volteren, Rescuer. They help relax the inflamed muscles and release the nerve endings from the clamps.
To prevent the formation of scarring in the affected area should take a resorption drugs "Aloe", "Fibs", "Vitreous Body" and preparations with a high content of vitamins gr. B, nicotinic acid.
In severe pain syndrome, the use of pain relievers is indicated. With unbearable pain and a pronounced symptomatic picture, intraarticular blockades with novocaine and hormonal agents are made. They allow you to stop an attack of pain in a few hours.
Surgical treatment of periarthrosis
The reason for the surgical intervention may be the inefficiency of conservative complex treatment. It happens that, despite all the efforts made, unpleasant feelings bother the person. Often, people who are able-bodied age, whose career or earnings are hampered by manifestations of the disease, are being treated for surgery.
The essence of the operation is pumped in the removal of one or more fragments of tissue. In the postoperative period, a massive course of restorative therapy is prescribed. The operation is not a complicated procedure, recovery is quite fast.
Auxiliary treatment of shoulder periarthrosis
Physiotherapy with periarthrosis of the shoulder joint
The following are the auxiliary methods of treatment of shoulder periarthrosis:
- physiotherapy .The complex of exercises is selected by a specialist;
- hirudotherapy .Leeches apply on the shoulder, neck, shoulder blades;
- physiotherapy .Of the physiotherapy procedures, magnetic, laser therapy, acupuncture, warming up, electrophoresis with Lidase and other resolving drugs are most often prescribed. Heat applications are well proven, because they not only relieve spasm of muscle fibers, but also contribute to reducing the inflammatory process. The most often used treatment is warm paraffin, wax;
- massage .It is especially indicated for those people who have periarthrosis associated with osteochondrosis. Massage movements reduce pain syndrome not only in the shoulder, but also in the subscapular, cervical, subclavian area, clavicle.
Traditional treatment of shoulder periarthritis
Unconventional treatment of the disease is quite common among people with ailment. For these purposes, use a slightly warmed on a water bath gruel from the roots of horseradish. To do this, you should pass the washed roots of the plant through a meat grinder, put it in gauze and apply as a compress to the painful areas. Such compresses are done twice a day. Root of horseradish, sometimes replaced with freshly picked, slightly heated leaves of burdock.
For grinding, use the pharmaceutical infusion of calendula or strong broths of chamomile, mint leaves, plantain, burdock.
Pleuralopathy periarthrosis - symptoms and treatment
The disease develops gradually, for several months and even years. Pain in the shoulder area is initially not strong, appearing and amplified when it rotates, raising the hand by more than 60 degrees. If there is no load, there is no pain or it is insignificant. With the development of the disease, pain increases and worries both during and without the load, and especially at night.
They have aching, drilling or gnawing character, sometimes they are given to the scapula and neck. There is a positive symptom Dauborn - with the rotation of the shoulder to the inside and the lateral arm lead there is pain in the shoulder joint.
The examination shows a slight swelling and redness of the skin in the shoulder area. Touching the affected joint is painful.
But even with very severe pain, the pendular movements of the hand are kept in full."A characteristic symptom is the difficulty of laying a hand behind your back."When the movement occurs in the shoulder joint, a crunch is heard.
Professional humeropathy periarthritis has a chronic form, with periods of exacerbation and remission( symptom fading).
Shoulder-bladder periarthritis should be distinguished from periarthritis, arthritis, including rheumatoid and artosome arthritis.
For the diagnosis of brachial periarthrosis, it is necessary to make an X-ray and perform laboratory and instrumental diagnostics:
- X-ray. Periarthrosis is characterized by the presence of changes not in the joint itself, but in the tissues surrounding it. So, in them deposits of salts which during process of treatment should disappear or at least decrease are marked.
- Laboratory diagnostics. In the general analysis of blood, as well as in biochemical studies, there are no abnormalities.
- Instrumental diagnostics. Studies of the affected area using ultrasound and MRI methods make it possible to diagnose and exclude other types of diseases with very high probability( rupture of tendons, bursitis, tendinitis).
For severe pain, analgesics and anti-inflammatory drugs are used. In periarticular tissues are injected with injections of anesthetics and corticosteroid hormones.
Waxing and warming are also effective.
Joint immobilization should not be used, as this can lead to the development of persistent contracture.
Only with very severe pain it is allowed to put your hand in a bandage bandage, but even in this case it is necessary to move it periodically.
Hip periarthrosis( cosksoperiartroz, hip tendo bursitis)
For this disease, eating disorders of the surrounding tissues and their structure are characteristic. Has subacute onset and recurrent course with exacerbations, which are provoked by hypothermia. For the hip joint, periarthrosis is a rarity, much more often arthrosis develops here. Mostly sick women 30-60 years.
For patients with hip periarthrosis characteristic is the presence in the present or the past of humeroparous periarthrosis.
The main cause is overload of the tendon, which is due to atrophy of the quadriceps femoris and static overloads of the spine. Such loads can be caused by such reasons as prolonged sitting or standing due to professional activity, or different lengths of the lower extremities.
There are different types of coksoperiartroz. There are calcifying and non-calcifying periarthrosis. Also there is a so-called syndrome of a springing or clicking hip.
With a clicking hip syndrome, dry clicks are heard during movement, which are sometimes accompanied by mild pain. In this case, there is a short sense of the obstacle, the springing movement of the thigh and leap over the barrier.
Coxoperiarthrosis develops on one side, but unlike periarthal periarthrosis, with hip localization, the pain reaches a maximum within a few days. There is lameness, pain in the back or waist region. The patient feels an increase in pain at the moment of tearing the leg off the ground. Patients complain of pain in the groin, deep in the gluteal region or in the posterior-external part of the thigh.
With this disease, all kinds of movements in the joint are limited: rotation, bending and retraction. On examination, you can see swelling and redness in the area of a large trochanter.
Trochantritis must be distinguished from arthrosis of the hip joint( coxarthrosis) and acute coxitis. Since the principles of treatment for these pathologies vary, then an accurate diagnosis is necessary.
In order to make a diagnosis, it is necessary to conduct laboratory and X-ray studies:
- X-ray. On the X-ray images, it is often possible to see calcifications of various sizes. They are located not in the joint itself, but above the neck of the femur. Actually, the x-ray is not done to confirm the diagnosis of periarthrosis, but in order not to miss the development of arthrosis.
- Laboratory diagnostics. In the general analysis of blood, there is sometimes an increase in ESR.All other indicators are within the age limit. The blood test for rheumatic tests also does not exceed normal values. It must be passed in order not to miss the development of rheumatoid lesions of the joint or the muscles of its surrounding.
Treatment of hip periarthrosis is aimed at restoring metabolic processes and blood circulation in tissues. Acute pain medications are prescribed in the acute period, and after stabilization of the condition, methods such as acupuncture, shock wave therapy, magnetotherapy, exercise therapy, diet, and sanatorium treatment are used.
It is also recommended to limit the load on the affected joint.
Of medicament preparations with trochanteritis, anti-inflammatory drugs are prescribed. If the cause of the disease is an infection, it is possible that the doctor will treat the disease with antibiotics.
Prevention of arthrosis and periarthrosis
First of all, it is proper nutrition, regular but not excessive physical exertion, hardening and elimination or maximum reduction of occupational hazards. Prevention of secondary arthrosis and periarthrosis is the treatment of the underlying disease.
Shoulder pain, shoulder pain, humeroscapular periarthrosis treatment in Blagoveshchensk
Shoulder bladder periarthrosis is a syndrome characterized by pain and stiffness in the shoulder joint, associated with various by nature diseases. Frequency - 80% of all cases of pain of the shoulder joint. The predominant age is over 40 years. The predominant sex is male. Shoulder-fluked pain syndrome refers to the muscular syndromes in the arm region.
Shoulder bladder periarthrosis( arthrosis of the shoulder joint, adhesive capsulitis or "frozen shoulder" syndrome) often develops gradually, not noticeable for the patient. Women suddenly find that they can not fasten and unfasten the bra themselves, since this movement( drawing) of the hand behind the back causes them pain in the shoulder( shoulder joint) and arm. In severe cases, with severe pain in the shoulder joint and arm, the patient is not able to bring the spoon to his mouth with this hand, so it can be disturbed by pain in the shoulder.
A patient with arthrosis of the shoulder joint has a sleep disorder, as he can not find a comfortable position for the arm during sleep, so that his shoulder does not ache from pain.
Causes of arthrosis of the shoulder joint( humeroparous periarthrosis)
- Load on the shoulder joint, especially non-standard movements( eg whitewash)
- Neurological manifestations of cervical osteochondrosis
- Tendonitis of the supraspinatus, long head of the biceps, muscle
- Subacromial bursitis
- Traumatic injury "rotator cuff "of the shoulder
- Previously calcified periarthritis
Pleuralopathy periarthrosis is a condition difficult to accessEsja correction conventional medical methods of treatment. One of the reasons for this is the duration of the disease until the onset of corrective osteopathic treatment. Often patients suffer years and months of pain, drowning it with a huge number of analgesics and anti-inflammatory drugs. But taking these medicines does not stop the inflammatory process in the periarticular tissues, nor the dystrophic changes in them. Therefore, when such a patient comes to a session with an osteopath, the specialist is no longer faced with local manifestations of cervical osteochondrosis, or even with far-reaching, but still local manifestations of the humeroparous periarthrosis, but with a serious disease of the whole organism.
Clinical picture of the humeroscapular periarthrosis
The pain in the shoulder is characteristic, intensifying at night. Asymmetry, typically right-sided defeat( in right-handers).Soreness in palpation of the shoulder joint. Features of the movement in the shoulder joint: with the withdrawal of the elbow bent at the elbow - the painful sector corresponding to 45-135 ° of abduction, indicating the defeat of either the supraspinatus or subacromial bag;tenderness when leaning in the shoulder joint against the backdrop of the physician's resistance to retreatment - defeat of the tendon of the supraspinatus;absence of soreness with the above described lead in the background of resistance - subacromial bursitis;pain with external rotation of the shoulder, performed against the background of the counteraction to movement - defeat of the tendons of the subacute and / or small round muscles;pain with internal rotation of the shoulder, performed against the background of counteraction - defeat of the tendon of the subscapular muscle;pain when bending at the elbow against the backdrop of resistance to movement - a sign of the defeat of the biceps arm muscle.
Clinical manifestations of brachyopathy periarthrosis can be caused by the damage of various tissues surrounding the shoulder joint.
There are three variants of this disease:
- predominantly capsular-ligamentous tendon
- predominantly muscular
Despite the known similarity( pain in the humerus area, limitation of mobility in the shoulder joint), these variants have a number of differences.
From a clinical point of view, the first option is characterized by a more limited area of pain spread, usually occupying the shoulder and shoulder area, as well as the predominance of contracture in the shoulder joint region. The clinical expression, which is the limitation of the volume of active and passive movements in the joint, the crunch during movements in the shoulder joint and radiologically revealed periarticular calcifications.
The second variant is characterized by a broader zone of pains: the area of the shoulder joint, the forelegs, the area of the scapula. Muscle soreness corresponds to limited muscular densities( trigger points).At the same time, the degree of restriction of active movements is more significant than passive. The changes listed above relate mainly to the supra- and subacute, large round, deltoid and trapezius muscles.
The third( mixed) version of the humeroparathic periarthrosis is characterized by a combination of clinical features characteristic of the first two variants.
Treatment of humeroparous periarthrosis
Osteopath( manual therapist) is used to correct the entire cervical spine with the predominant application of soft muscle and energy techniques. Carefully conducted traction traction of the cervical vertebral-motor segments. Great importance is attached to working with the fascia of the chest, the shoulder joint area and the upper limb. This work is combined with articulatory "development" of joints along all axes of motion with a gradual increase in the amplitude of motion in physiological directions. These manipulations help restore normal function of the joint and its ligamentous apparatus. Particular attention is paid to the painful trigger zones of the shoulder joint and scapula.
Shoulder-fluked pain syndrome and contracture are traditionally considered as the result of inflammatory and degenerative changes in periarticular tissues. As reasons for their occurrence, a lot of space is assigned to violations of the function of centers of sympathetic innervation of the shoulder girdle, spondylogenic dystrophies of the upper limb, traumatic neuritis and just shoulder injuries. There are various methods of conservative treatment of humeroparous periarthrosis, in which the most diverse physiotherapeutic methods of influencing the affected joint are traditionally prevalent. As a result, many patients who have been in treatment for a long time are forced to interrupt and continue to be treated either by domestic means or by random specialists. These attempts can continue until there is a spontaneous cure in a few months or even years, which, by the way, is also characteristic of this disease.
The variety of the clinical picture of the humeroparathic periarthrosis is largely due to the changes that occur as a result of cyclic, unbalanced work of short shoulder rotators, which leads to dynamic discongrugation of the articular surfaces of the humeroscapular joint. As a result, the resulting foci of impact of the intra-capsular and periarticular structures undergo inflammatory and degenerative changes, involving a rich proprioceptorial field of intra- and periarticular formations. This, in the first place, is characterized by a marked pain syndrome, which causes anxiety in patients even at night. Daily overcoming of contractures of the shoulder joint by patients with domestic and professional loads is very painful and contributes to pain and limited movement.
Given all the variety of causes leading to this pathology, it is natural to include mechanisms of self-regulation and balancing of the whole organism. This task can only perform osteopathic treatment. The osteopath physician( manual therapist) can not only find the root cause of the process, but also in several sessions to relieve the pain syndrome. The reason for brachial periarthrosis, as a rule, is not at the place where the patient feels pain. Understand the problem and help can only a doctor osteopath( manual therapist).This is proven by practice, since the treatment of this pathology is, first of all, an osteopathic specificity.
Treatment of humeroparous periarthrosis
"Warm up" - do not get carried away too much, it may become hard, but if you feel relief from the 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 according to the project administration's decision]
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( humeropyritis periarthrosis) has not been determined to date. 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 the damage to various tissues surrounding the shoulder joint. Shoulder-flap periarthrosis 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