Peripheral inflammation of the shoulder joint is a degenerative, inflammatory lesion of the shoulder joint capsule and soft tissue around the joint. Its clinical manifestations are: it is more common in middle-aged and elderly people over 45 years old. In the early stage, it is mainly pain, day and night, and in the late stage, it is mainly functional dysfunction, and the movements such as abduction, external rotation and posterior extension are the most obvious.
Shoulder peripheral inflammation is also known as shoulder leakage wind, 50 shoulder , frozen shoulder, referred to as periarthritis , which is a common disease with shoulder joint pain and inconvenient movement as the main symptoms. The incidence rate of this disease is around 50 years old, and the incidence rate in women is slightly higher than that in men, and is more common in physical laborers. If effective treatment is not received, it may seriously affect the functional activities of the shoulder joints and hinder daily life. In the early stage of this disease, the shoulder joints showed paroxysmal pain, which was often induced by weather changes and fatigue. Later, it gradually developed into persistent pain and gradually worsened. It was light and severe during the day, unable to sleep at night, and unable to lie on the affected side. The active and passive movement of the shoulder joint in all directions was limited. When the shoulder is pulled, it can cause severe pain. The shoulder joint may experience extensive tenderness and radiate to the neck and elbows, and may also experience varying degrees of deltoid muscle atrophy.
The full name of periarthritis of the shoulder joint is periarthritis, which usually occurs at the age of 50, so it is also called "fifty shoulders".
The cause of periarthritis of the shoulder is not clear, the condition progresses slowly, the main symptoms when the disease occurs are pain and limited shoulder movement. Most patients can relieve their condition through shoulder joint exercises, and some patients can heal themselves after exercise. When the patient is treated, he can combine some sedative drugs and anti-inflammatory and analgesic drugs such as anti-inflammatory and painkiller , inflammatory and painkiller , etc. If the symptoms are severe and there is muscle spasm, you can also use hydrocortisone acetate 0.5 ml and 1% procaine 2 ml for local blocking treatment. If the symptoms are in the biceps tendon sheath, intrathecal injection is required. Anti-inflammatory and inflammatory pain Xikang has good analgesic effects, but some of them have side effects on the stomach after taking it, which can stimulate the gastric mucosa and cause stomach pain , burning sensation, nausea, nausea, etc. In severe cases, it can also cause gastric bleeding. Therefore, taking the drug after a meal can reduce the side effects of the drug. Patients who are not suitable for use can use enteric-coated tablets instead.
Shoulder Peripheral inflammation is a degenerative and inflammatory lesion in the shoulder capsule and soft tissue around the joint. Its clinical manifestations are: it is more common in middle-aged and elderly people over 45 years old. In the early stage, it is mainly pain, day and night, and in the late stage, it is mainly functional dysfunction, and the movements such as abduction, external rotation and posterior extension are the most obvious.
Exercise is more convenient and easy to learn than taking medicine and does not cause side effects, so it is widely popular among patients. Common exercise methods include: wall climbing, squatting, etc.
The patient with the wall climbing method is upright facing the wall and close to it. Put the palm of your hand on the sick side on the wall and slowly crawl up the wall with your fingers until your shoulders hurt. Repeat the above and try to make each height exceed the previous one until the shoulder joint can be fully lifted.
Squatting method: Grab the crossbar or branch that is equivalent to the height of the chest with your hands. The patient squats slowly, so that the diseased shoulder joint passively lifts up. When the shoulder is painful, stop squatting. Repeat this and try to gradually increase the squat.
In traditional Chinese medicine, this disease is called "shoulder wind" and "shoulder condensation", which belongs to the category of numbness . It is often caused by old age, body deficiency, wind, cold and dampness, and the meridians are blocked; or it may be damaged by falling, blood stasis is left in the body, qi and blood are not in operation, and the meridians and tendons are not in effect, which leads to the disease.
Frequently used traditional Chinese medicine prescription
1. Raw hawthorn licorice soup
50 grams of raw hawthorn, 50 grams of mulberry, 225 grams of mulberry branch 25 grams, 225 grams of black plum 20 grams, 220 grams of white peony html, 20 grams of stimulating grass, 220 grams of vinegar made yuan Hu 20 grams, 215 grams of turmeric 15 grams, 215 grams of cinnamon twig 15 grams, 215 grams of Weilingxian 15 grams, 215 grams of vinegar made Xiangfu 15 grams, 215 grams of licorice 10 grams. Take it in water and take it warmly, 2 doses per day, 1 month is a course of treatment. During the medication period, stop taking other drugs or treatments except for practicing exercises. Relax the tendons and unblock the meridians, remove stasis and relieve pain, and smooth joints. Mainly treats periarthritis of the shoulder.
2. Baishao Decoction
400 grams each of white peony and sandy dragon, make 350 grams each of Macadamia, safflower , peach kernel , and weilingxian, frankincense , myrrh, bone crumb , 5 plus peel , Fangji , Pueraria root, raw licorice each. Grind the above medicine into very fine powder, put it in capsules, each pill contains 0.2 grams of raw medicine, and take 3 pills orally for adults, 3 times a day, and take it with warm water. Half a month is one course of treatment, rest for 3 days, and then take another course of treatment. Mainly treats periarthritis of the shoulder.
3. Astragalus Angelica Soup
60 grams of Astragalus, Angelica 20 grams, 12 grams of cinnamon twig, 20 grams of white peony, 216 grams of roasted licorice html, 10 grams of jujube, 120 grams of Weilingxian, 26 grams of pangolin html, 212 grams of windproof html, 2 centipedes, 10 grams of ginger, 212 grams of Qianghuo html. 1 dose per day, decocted in water. Replenish the stomach qi, unblock the meridians, and dispel cold and dampness. It is mainly used to treat periarthritis of the shoulder joint. For cold pain, add 10 grams of Sichuan grass and Wu grass; for phlegm and dampness, add Pinellia 212 grams and Gallbladder Nanxing 10 grams; for those with long-term deltoid atrophy, add 0.3 grams of Macadamia. Local treatment can be combined with acupuncture.
