Diagnostic methods for frozen shoulder

Written by Li Jin
Orthopedics
Updated on September 11, 2024
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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
1min 15sec home-news-image

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 Cheng Bin
Orthopedics
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How to exercise for frozen shoulder

Typically, there are several methods for exercising with patients suffering from periarthritis of the shoulder. For example, wall climbing motions can be performed to exercise the mobility of the shoulder joint. Exercises can also be done on horizontal bars. The objective is to restore normal joint mobility and prevent joint stiffness. Additionally, patients with periarthritis of the shoulder often experience severe pain. Local pain points can be treated with an injection block, or topical plasters that invigorate the blood and break up stasis can be used. Treatment also includes oral non-steroidal anti-inflammatory drugs and drugs that invigorate the blood and break up stasis. Furthermore, it is necessary to reduce physical activity, avoid exposure to cold, apply local heat, and use acupuncture and electrotherapy. Gradually, recovery will be achieved.

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Written by Cheng Bin
Orthopedics
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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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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 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.