Exercises for Periarthritis of the Shoulder

Written by Cheng Bin
Orthopedics
Updated on September 10, 2024
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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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How to treat periarthritis of the shoulder?

Periarthritis of the shoulder refers to a sterile inflammation caused by chronic strain on the muscles, ligaments, or joint capsule around the shoulder joint, characterized by localized pain and limited mobility of the shoulder joint. For those experiencing periarthritis of the shoulder, it is advised to undergo physical therapy and rest, keep the area warm, avoid cold exposure, and engage in appropriate functional exercises to prevent joint stiffness due to the pain and limited mobility in the shoulder joint. Thus, with systematic treatment, this type of sterile inflammation in the shoulder joint can generally be alleviated.

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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 Cheng Bin
Orthopedics
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Where does periarthritis of the shoulder hurt?

Usually, patients with periarthritis of the shoulder mainly exhibit pain around the shoulder joint area, and severe cases may affect the normal function of lifting the shoulder. This is mainly due to long periods of excessive fatigue, friction, and irritation, causing aseptic inflammation around the shoulder area, which manifests as pain. Common treatments aim to alleviate the patient's pain symptoms. For instance, topical ointments that promote blood circulation and remove blood stasis can be used, as well as oral non-steroidal anti-inflammatory pain relief medications to ease patient's pain. For cases with specific pain points, localized injections can also be performed, along with functional exercises such as wall climbing actions to exercise the mobility of the shoulder joint and prevent joint stiffness.

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Written by Wang Cheng Lin
Orthopedics
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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.

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Written by Su Zhen Bo
Orthopedics
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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.