How to treat periarthritis of the shoulder?

Written by Lv Yao

Orthopedics

Updated on September 29, 2024

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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.

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Written by Qiu Xiang Zhong

Orthopedics

1min 10sec

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Symptoms of periarthritis of the shoulder

Periarthritis of the shoulder generally occurs in people over 40 years old, with the most common symptom being pain in the shoulder joint. Initially, there may be a soreness and pain in the shoulder, which is milder during the day and often worsens at night. The pain may intensify with changes in weather or after exposure to cold. In later stages, the pain may gradually spread around the entire shoulder joint and may involve the neck, scapular area, deltoid muscle, upper arm, or the lateral side of the forearm. Periarthritis not only causes shoulder pain, but also leads to restricted movement of the shoulder. This manifests as difficulties in simple actions that require raising the arms, such as combing hair, dressing, or scratching an itch. In advanced stages of periarthritis, there may also be muscle atrophy in the shoulder, particularly in the lateral deltoid muscle, which intensifies the movement disorders of the shoulder joint, resulting in difficulties in lifting the upper arm and extending it backward. Shoulder pain is not solely caused by periarthritis and should not be self-diagnosed. If shoulder pain occurs, it is advisable to seek medical treatment at a hospital.

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Written by Li Jin

Orthopedics

1min

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Diagnostic methods for frozen shoulder

Patients with frozen shoulder can be diagnosed based on symptoms, physical examination, X-ray, magnetic resonance imaging (MRI), and other tests. An MRI of the shoulder joint, in particular, can determine whether there is inflammation around the shoulder joint and can be an effective method for identifying the location of the lesion and for differential diagnosis. Patients with frozen shoulder should first focus on rest and maintaining good posture. They can also use non-steroidal anti-inflammatory drugs (NSAIDs) to alleviate pain. Additional treatments may include applying heat, undergoing physical therapy, massage, trigger point injections, or performing functional rehabilitation exercises for the shoulder joint. Generally, these treatments can achieve good results. If conservative treatments are ineffective or if there is a functional impairment, surgical methods may also be considered for treatment.

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Written by Su Zhen Bo

Orthopedics

1min

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Early symptoms of frozen shoulder

The patient is suffering from periarthritis of the shoulder, which is a type of aseptic inflammation. In the early stages, the primary symptom is a subjective feeling of pain in the shoulder, which tends to worsen at night. The skin and muscle tissues around the shoulder become adhesive and hardened, and touching the area can distinctly feel stiffness and hardening. At the same time, the range of motion in the shoulder joint decreases, and moving the joint can intensify the pain. Diagnostic clarity can be achieved through MRI scans and ultrasound examinations. In the early stages, topical plasters that reduce swelling and relieve pain can be used, along with acupuncture and moxibustion, and the application of analgesic medications. It is also necessary to strengthen shoulder joint function training under the guidance of a rehabilitation physician. Pendulum movements of the shoulder joint and arc movements can help alleviate pain and increase the range of motion of the shoulder joint.

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Written by Lv Yao

Orthopedics

45sec

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Causes of Periarthritis of the Shoulder

Periarthritis of the shoulder is caused by chronic strain on the shoulder, leading to aseptic inflammation of the muscles, ligaments, and even the joint capsule surrounding the shoulder joint. Symptoms include localized pain and limited mobility, often seen in middle-aged and elderly women. Once periarthritis of the shoulder occurs, it is important to determine the cause. During treatment, it is important to rest and engage in appropriate functional exercises. Because if rest periods are overly prolonged during the treatment of periarthritis of the shoulder, it can lead to limited range of motion in the shoulder joint. Therefore, appropriate functional exercises should also be performed during the rest and physical therapy process.

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Written by Wang Cheng Lin

Orthopedics

1min 5sec

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Early symptoms of periarthritis of the shoulder

The early symptoms of periarthritis of the shoulder are pain in the shoulder and limited movement of the shoulder joint, especially the action of raising the arm, which is clearly restricted. Therefore, for the treatment of this condition, it is encouraged that patients engage in functional exercises early on. If one fears the pain and dares not to move the shoulder joint, it will lead to stiffness of the joint and atrophy of the surrounding muscles. Generally speaking, periarthritis of the shoulder is a self-limiting disease with a typical duration of about one year. If you can raise your shoulder and perform normal activities within a year, then there will be no residual sequelae afterwards. However, if within a year, the shoulder joint becomes stiff and its movement becomes limited, then after a year, the symptoms of shoulder pain will significantly improve, but there will be some loss of range of motion in the joint. Therefore, for all patients with periarthritis of the shoulder, early functional exercise is encouraged to avoid symptoms such as joint effusion, joint stiffness, and muscle atrophy.