Where does periarthritis of the shoulder hurt?

Written by Lv Yao
Orthopedics
Updated on January 30, 2025
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Periarthritis of the shoulder generally refers to a sterile inflammatory response due to chronic strain in the tendons, ligaments, and joint capsule around the shoulder joint, commonly seen in middle-aged and elderly women, and is a self-limiting disease. Clinically, it is referred to as frozen shoulder, or fifty shoulder. With the occurrence of periarthritis of the shoulder, there will be pain around the shoulder joint, particularly where the tendons and ligaments attach, with the pain covering a wide area and notably manifesting as resting pain at night. In the early stages of periarthritis, it should be managed with rest and appropriate physical therapies, including infrared therapy, among others, to alleviate inflammation and relieve pain. When necessary, oral non-steroidal anti-inflammatory and pain relief medications may be used to ease the symptoms, along with appropriate functional exercises to prevent shoulder joint stiffness due to prolonged immobility. (Specific medications should be taken under the guidance of a physician.)

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Written by Lv Yao
Orthopedics
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Is periarthritis of the shoulder serious?

Periarthritis of the shoulder refers to the aseptic inflammation of soft tissues such as tendons, ligaments, and joint capsules around the shoulder joint due to chronic strain, which results in symptoms like pain and limited mobility of the shoulder joint. It is commonly seen in middle-aged and elderly women. Therefore, the severity of shoulder arthritis should be analyzed based on specific symptoms and the extent of functional impact. It is recommended to visit the orthopedics department of a reputable hospital for consultation. Treatment should be chosen based on the pain level and the extent of joint impact, in order to alleviate pain and restore function.

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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 Guan Yu Hua
Orthopedic Surgery
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How to exercise for frozen shoulder

Periarthritis of the shoulder, commonly presents with shoulder pain, stiffness, or worsening of pain with movement. This condition is frequently seen in individuals around 50 years old, more often in women than men, and commonly among physical laborers. Without timely treatment, it can exacerbate the functional mobility of the shoulder joint, making everyday tasks like combing hair, dressing, washing the face, or placing hands on hips difficult. In severe cases, it could even affect elbow mobility. Early intervention typically involves exercise; despite discomfort, it is essential to persist and may require analgesics or drugs that promote blood circulation and stop bleeding. Exercises like "wall climbing," using horizontal bars, or stretching within doorframes aim to equalize the range of motion between the affected limb and a healthy shoulder joint. Both active and passive movements, such as swinging the arms forward and backward for 50 repetitions each morning, can provide relief. The process should be gradual and progressively intensified. If self-directed exercise proves ineffective, interventions like injections can be administered by a physician, which relieve pain by detaching the sticky interactions among ligaments, muscles, and tendons in the shoulder area, thereby easing the symptoms over time. Continuous pain may persist for a while; alternatively, brachial plexus or cervical plexus anesthesia followed by manual reduction can significantly reduce pain and gradually alleviate symptoms.

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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 Cheng Bin
Orthopedics
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Symptoms of periarthritis of the shoulder

Patients with periarthritis of the shoulder typically exhibit symptoms of pain around the shoulder joint, which may affect their ability to lift their arms normally. This can interfere with daily activities such as washing the face or combing hair, which are common clinical symptoms of periarthritis of the shoulder. Once periarthritis of the shoulder is diagnosed, it is necessary to actively treat it. Treatments can include using topical plasters that activate blood circulation and relieve stasis, and taking oral non-steroidal anti-inflammatory and analgesic medications to alleviate pain. In cases with significant pain points, localized injections can be administered, and combined with physiotherapy methods such as acupuncture, electrotherapy, and cupping. It is also important to actively engage in exercises like wall climbing to improve shoulder joint function. (Medication should be used under the guidance of a doctor.)