Rescue "fifty shoulders", not to be missed

Middle-aged people with shoulder-to-shoulder work and family burdens, when they were about 50 years old, many people found that their shoulders seemed to be "picked up" - even when brushing their teeth and combing their clothes, they suffered from shoulder pain. Unable to complete these simple daily activities. In severe cases, it will hurt when sitting still during the day, and it will be awakened when you sleep in the middle of the night. In this case, it is likely that we have suffered from the commonly known "fifty shoulders", also known as frozen shoulders, adhesive joint capsules.

In the face of this situation, the shoulders do not dare to move, because a movement will hurt, but if you do not move, the pain condition will not be relieved for a long time, but it will become more and more painful. So how do you break this deadlock? How can we move to help the recovery of the "fifty shoulders"?

Case

Ms. Liu, 50 years old, usually works at the desk office. It is difficult to lift the right shoulder forward and cannot be fully raised. The entire right arm has the feeling of soreness and numbness, the dressing action is affected, and the arm cannot be placed. Behind; when sitting down during the day, I feel that my arms are sore. When I sleep at night, I feel the pain of my arms. Occasionally, when I suddenly pull the shoulder joints, I feel unbearable pain. At the time, there was intense pain in the right shoulder. About a year ago, there was a pain problem in the left shoulder and shoulder joints. Later, after physical therapy and exercise, there was no pain in the left shoulder and the range of motion was basically normal. Therefore, before paying more attention to the shoulder joint exercise activities and warmth measures.

Simple small check>>>

Shoulder joint mobility check

Simple small check>>>

Standing posture, the right shoulder lifting activity is limited, can reach about 90, and there is pain;

On the back, the right shoulder abduction activity is limited, can reach about 60, and there is pain;

Supine, the right shoulder inward rotation is limited, can reach about 10, and there is pain;

On the back, the right shoulder is limited in rotation and can reach about 10 and pain.

Why is this happening?

According to the patient's right shoulder movement limitation and the symptoms of right arm pain, combined with the mobility test of the shoulder joint and other examination results, it may be analyzed that it may have a commonly known "fifty shoulders", that is, the shoulder inflammation in the narrow sense. . "Fifty shoulders", the incidence is more common in people over 40 years old, 50 years old, the incidence of women is slightly higher than that of men, the incidence of left shoulder joints is more common, and multiple cases of diabetes. Although the current understanding of its etiology is not very clear, the main shoulder factors include: degenerative changes in soft tissue such as muscle tendons around the shoulder joint, causing weak tolerance of the shoulder to the external force; long-term posture is incorrect or high Intensity labor causes strain of soft tissue, causing chronic inflammation leading to adhesion of the shoulder joint capsule; shoulder fixation after upper limb trauma is too long, shoulder microcirculation is poor, adhesion of the shoulder tissue occurs, and so on. In addition, there are other reasons other than shoulders, such as shoulder discomfort caused by cervical disease. "Fifty shoulders" patients, the shoulders are mainly paroxysmal pain at first, most of them are chronic attacks. As the disease progresses, the pain gradually increases and can spread to the neck and upper limbs. When the shoulder is accidentally pulled or collided, it often happens. Feeling the pain of tearing; the pain at rest and in the evening is obvious; the movement of the shoulder joints is restricted in all directions, the lifting of the arms is difficult, the brushing, combing, akimbo and other movements are completed, the entire shoulder joint is stiff, like being Frozen together, so it is also called "freezing shoulders."

Sports rehabilitation advice

(1) Passive release of the shoulder joint

The first thing to do is to ask the professional to relax the muscles and ligaments around the shoulder joints and relieve the stiffness of the joints. These contents are more professional and will not be described in detail here. We focus on the following active exercises.

(2) Active practice to improve shoulder mobility

After passive loosening/relaxation of the relevant tissue structure around the shoulder joint, the patient's shoulders will become more flexible. At this time, hot iron can be used to perform some active exercises that can be done independently. Or, in the case where the patient's shoulder symptoms are mild, it is also possible to practice these exercises to improve the mobility of the shoulder joint.

Patient's effect after practice

Although the range of motion for lifting the shoulders has not returned to the normal range, it has been significantly improved compared to before, and can reach about 120. The patient subjectively felt that the shoulder activity was more flexible than before.

important hint

The above exercise exercises are mainly for the rehabilitation exercise of "fifty shoulders". It is not suitable for all the rehabilitation exercises of shoulder pain. Because of shoulder pain caused by other reasons, the exercise of shoulder joints will be counterproductive and aggravate the pain. Extend the healing process.