Causes of Periarthritis of Shoulder

Written by Lv Yao
Orthopedics
Updated on September 27, 2024
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Periarthritis of the shoulder is mainly caused by chronic damage and degeneration of the joint which leads to chronic wear and tear, as well as aseptic inflammation in the tendons, ligaments, and joint capsule around the shoulder joint, resulting in pain and limited mobility around the shoulder. To diagnose periarthritis of the shoulder, it is first necessary to rule out limited mobility of the shoulder joint due to trauma, such as injuries to the rotator cuff and other related conditions. Imaging studies like MRI can also be used to clarify and rule out rotator cuff injuries and other conditions, and a clear diagnosis can be made in conjunction with physical examination and etiology.

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Written by Cheng Bin
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How to exercise with frozen shoulder

In clinical practice, there are various exercise methods for patients with periarthritis of the shoulder. The main purpose of these exercises is to restore the normal range of motion of the shoulder joint, thereby fully restoring the patient's normal functions. Patients with periarthritis can perform exercises like climbing walls by touching the wall or gradually pulling up on a horizontal bar to strengthen shoulder functions. Additionally, it is necessary to actively apply local heat, minimize local irritation, persistently use topical ointments that activate blood circulation and remove blood stasis, and take oral non-steroidal anti-inflammatory and blood-activating drugs to treat and improve the symptoms of shoulder pain effectively. (Specific medications should be used under the guidance of a doctor.)

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Written by Lv Yao
Orthopedics
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Causes of Periarthritis of Shoulder

Periarthritis of the shoulder is mainly caused by chronic damage and degeneration of the joint which leads to chronic wear and tear, as well as aseptic inflammation in the tendons, ligaments, and joint capsule around the shoulder joint, resulting in pain and limited mobility around the shoulder. To diagnose periarthritis of the shoulder, it is first necessary to rule out limited mobility of the shoulder joint due to trauma, such as injuries to the rotator cuff and other related conditions. Imaging studies like MRI can also be used to clarify and rule out rotator cuff injuries and other conditions, and a clear diagnosis can be made in conjunction with physical examination and etiology.

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Written by Li Jin
Orthopedics
1min home-news-image

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 Li Jie
Orthopedics
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How to massage for frozen shoulder

The disease known as periarthritis of the shoulder is also called frozen shoulder, adhesive capsulitis, or fifty-year-old shoulder, as it most commonly appears in middle-aged and elderly people around the age of 50. It is characterized by spasms, tension, and adhesion in the shoulder muscles, and sometimes may also involve dysfunction of the shoulder joint. Thus, for the treatment of periarthritis of the shoulder, massage techniques are generally employed. The purpose of the massage is primarily to relieve muscle tension, adhesions, and to relax the patient mentally. The technique must be gentle and not violent; local muscles can be massaged. On the affected side of the shoulder periarthritis, it can be found that the muscles are particularly tense. Massaging tender points gently can help relax these tense muscles, but one must ensure not to use rough techniques. Additionally, local acupoint massage of the shoulder can be performed, such as massaging common acupoints like Jianjing and Quyuan, which can also help alleviate pain. Simultaneously, combining these with physical therapy measures such as heat therapy, moxibustion, and acupuncture can yield better results.

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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.