How to treat periarthritis of the shoulder?

Written by Lv Yao
Orthopedics
Updated on September 30, 2024
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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 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 Cheng Bin
Orthopedics
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What is periarthritis of the shoulder?

The so-called periarthritis of the shoulder is often caused by prolonged excessive stretching and irritation around the shoulder, external injuries, or exposure to cold, leading to aseptic inflammation in the shoulder area. Patients typically exhibit significant pain symptoms in the shoulder area, and in severe cases, it can cause local muscle atrophy and joint stiffness, which are characteristic of periarthritis of the shoulder. For the treatment of periarthritis, conservative measures can be actively pursued, such as applying topical ointments that invigorate the blood and dispel stasis, taking oral non-steroidal anti-inflammatory and analgesic medications, and medications that invigorate the blood and dispel stasis. Small needle knife surgery can also be considered. Activities like wall climbing can be performed to exercise the mobility of the shoulder joint. (Note: The use of medications should be under the guidance of a professional doctor.)

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Written by Li Jin
Orthopedics
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How is periarthritis of the shoulder treated?

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 Li Jin
Orthopedics
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What should I do about periarthritis of the shoulder?

Periarthritis of the shoulder commonly occurs in middle-aged and elderly patients. The causes of the disease are mainly due to degenerative changes in soft tissues, chronic injuries caused by long-term overexertion, poor posture, or improper treatment recovery after shoulder injuries. Patients with periarthritis of the shoulder may experience pain and limited movement in the shoulder. It is important to rest, keep warm, and use anti-inflammatory and analgesic medications. Traditional Chinese Medicine that promotes blood circulation and removes stasis can be used to improve symptoms and promote recovery. Additionally, treatment can include hot compresses, physical therapy, massage, pain point blockade, and exercises to enhance the function of the shoulder joint. These methods can actively improve symptoms. If conservative treatment is ineffective or if functional impairments occur, surgical treatment may also be considered.

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Written by Xie Yi Song
Orthopedics
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Shoulder periarthritis symptoms

In daily life, periarthritis of the shoulder often has the following symptoms and manifestations: The first is movement impairment. This is manifested as limited movement in various directions of the shoulder joint, including outward extension of the upper limbs, actions such as chest-expanding, taking off clothes, as well as significant difficulties in lifting and rotating. This can present as an inability to flexibly comb hair, wash face, and dress or undress. This is a key point in distinguishing frozen shoulder from other shoulder disorders. The second is pain. It manifests as pain in one shoulder joint without obvious trauma, which can be a dull pain or sharp, knife-like pain, often worsening at night and even causing awakening due to pain. The pain can radiate to the neck, back, forearm, and hand. The third is tenderness. Most patients with the condition widely experience tender points upon pressing around the affected joint. Muscle stiffness and atrophy may occur. The muscles around the shoulder, such as the deltoid and supraspinatus, can become stiff during the onset, and disuse atrophy may occur in the later stages.