How is periarthritis of the shoulder treated?

Written by Li Jin
Orthopedics
Updated on September 03, 2024
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Periarthritis of the shoulder is mainly caused by degenerative changes in the soft tissues around the shoulder joint, chronic damage due to long-term overexertion, poor posture, and other factors, leading to symptoms such as shoulder pain and limited mobility. For the treatment of periarthritis of the shoulder, it is important to first rest and keep warm to prevent cold exposure. When symptoms of pain and limited mobility occur, symptomatic treatment with anti-inflammatory and pain-relieving medication, blood-activating and stasis-dissolving traditional Chinese medicine can be used to improve symptoms. Additionally, treatments such as hot compresses, physical therapy, massage, pain point blockades, and functional exercises for the shoulder joint can be employed. These methods play an active role in improving symptoms and delaying the progression of the disease. In cases where conservative treatment is ineffective or functional impairment occurs, surgical treatment can also be considered.

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Written by Cheng Bin
Orthopedics
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Exercises for Periarthritis of the Shoulder

For the exercise methods of periarthritis of the shoulder, there are various exercise methods for patients with periarthritis of the shoulder in clinical practice. For instance, it is appropriate to gradually perform exercises such as pull-ups, but it is important to progress slowly and not be too vigorous at once, as this may cause potential damage to the shoulder joint capsule. Another exercise involves the "wall-crawling" movement to enhance the mobility of the shoulder joint and prevent stiffness. Additionally, for patients with severe pain from periarthritis of the shoulder, some medical treatments can be combined, such as using topical plasters that activate blood circulation and relieve stasis, oral non-steroidal anti-inflammatory and blood-activating drugs, as well as local treatments like heat application, small needle knife therapy, or injection therapy.

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Written by Lv Yao
Orthopedics
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Symptoms of Periarthritis of the Shoulder

Periarthritis of the shoulder refers to aseptic inflammation of the ligaments, joint capsules, and tendons around the shoulder joint due to chronic strain. This condition is characterized by localized pain, limited mobility, and typically rest pain. There is limited ability to perform movements such as abduction, elevation, and extension during active motion, and an increase in pain during passive movement. It is also necessary to rule out injuries to the rotator cuff or labrum to diagnose periarthritis of the shoulder.

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Written by Dai Ru
Orthopedics
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The harms of periarthritis of the shoulder

Periarthritis of the shoulder, also known as frozen shoulder or "fifty-year-old's shoulder", as the name suggests, most commonly occurs around the age of 50 and is more frequent in women than in men. Periarthritis of the shoulder is merely one clinical manifestation of certain conditions and represents a vague diagnosis. Current clinical research suggests that a significant portion of periarthritis is caused by rotator cuff injuries. The main risk of periarthritis of the shoulder is that it can cause pain in the shoulder and impair the joint's mobility. In cases where significant rotator cuff injuries are ruled out, conservative treatment is primarily adopted for periarthritis of the shoulder. This includes oral anti-inflammatory pain relief medications, local blockade treatments, and enhanced functional exercises for the shoulder joint.

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Written by Lv Yao
Orthopedics
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How is periarthritis of the shoulder treated?

Periarthritis of the shoulder refers to the symptoms of local pain and restricted movement caused by aseptic chronic inflammatory reactions in the tendons, ligaments, and joint capsules around the shoulder joint. Appropriate immobilization and rest are necessary when periarthritis of the shoulder occurs, and physical therapy methods such as infrared lamps and physiotherapy can be used to alleviate the local inflammatory response. It is also important to perform appropriate functional exercises to prevent the shoulder joint from becoming stiff due to prolonged immobilization. If the pain symptoms are severe, non-steroidal anti-inflammatory pain relief medications can be chosen for symptomatic treatment to relieve pain. (Medications should be used under the guidance of a doctor.)

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Written by Lv Yao
Orthopedics
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How to treat periarthritis of the shoulder?

Periarthritis of the shoulder generally refers to the aseptic inflammation around the shoulder joint, which is common in middle-aged and elderly women. It is caused by chronic strain of the shoulder joint, affecting the surrounding muscles, tendons, joint capsules, and ligaments. First, it is important to rest and you can promote blood circulation around the area with appropriate physiotherapy, such as hot compresses and acupuncture, to facilitate the repair of the damaged area. At the same time, appropriate exercise should be carried out to avoid stiffness of the joint that can occur with prolonged immobility or passive restraint.