Pain arising in the shoulder area, misunderstanding of the causes of the alarming discomfort of people. They try to find the explanation of his condition, noting the different causes – incorrect position during sleep, overwork, but emerging signs signal the occurrence of the disease.
Periarthritis – what is it
The disease is caused by damage to the capsule around the joint. Periarthritis is neurodystrophic disease periarticular tissues. Based on the localization of the inflammatory process there are varieties of disease. What is the periarthritis of the shoulder joint? An inflammation of the ligaments, tendons, muscles around the shoulder joint. The disease affects men and women.
Causes of humeroscapular periarthritis
The malady is common. You can highlight the causes of periarthritis of the shoulder joint:
- Great exercise. They are typical for the athletes, or members of some construction trades.
- Hypothermia. Can disrupt normal blood flow to the tissues and their defeat.
- Mechanical trauma. Sometimes it leads to rupture of ligaments and inflammation.
- Endocrine diseases. Diabetes mellitus, menopausal changes in the body can trigger shoulder and shoulder-blade periarthritis.
- Disease of the internal organs and peripheral vessels. Left-hand periarthritis of the shoulder can occur after myocardial infarction or angina. The withering away of certain vessels is a violation of microcirculation in the tissues of the left side of her body, and then to their inflammation.
- The liver dysfunction may cause diminished perfusion in the right part of the body and the appearance of the right-hand periartropatii.
- Pathology of the cervical spine. Frozen shoulder syndrome is often a consequence of degenerative changes in the cervical spine (degenerative disc disease). Inflammation of the capsule of the shoulder joint may be the result of age-related changes of the tendons and ligaments.
- Cancer. To provoke scapulohumeral arthritis, tumors near the shoulder in the lungs, mammary glands.
Frozen shoulder – symptoms
Clinical manifestations depend on the stage of the disease. Common symptoms include:
- the presence of pain, ache;
- the restriction of movement.
There are three phases of disease:
- simple initial freezing;
- frozen sticky;
The symptoms of humeroscapular periarthritis in the initial stages begin to manifest with pain that is worse at night. Towards the morning begins to ache bone, but after sleep comes relief, the symptoms disappear. A sudden short sharp pain occurs in the waking state. Lasts for a period of two to nine months. We felt a little uncomfortable during attempts to raise the hand.
In the frozen phase the change symptoms: sharp pain subsides, shoulder aches. There comes appreciable restriction of movements – it is impossible to raise the arm up, much to get back, to touch the bones of the fingers of the spine. Patient feels better when a hand pressed firmly against the body. The surgery requires an enhanced development, if this is not done – there may come a syndrome of frozen shoulder. According to the ICD (the new classification) assigned code M75.0 the name Adhesive capsulitis of the shoulder. Starts muscle atrophy. The duration of this period varies from three to nine months.
Pain symptoms in the unfrozen phase are absent. The acute course of the disease follows a chronic periarthrosis. Growing restriction of movement, there may be complete blockage of the joint. The duration of this period ranges from one year to two years. The lack of timely treatment promotes the development of inflammatory processes in cartilage and bone tissue.
Diagnosis of humeroscapular periarthritis
Medical examination of the patient begins with a comparison of the symmetry of both parts of the body, protrusions of bones: there may be slight swelling of the front of the shoulder. The survey continues with palpation of the shoulder muscles for the presence of voltage and pain in the muscles. The patient is instructed to perform a rotational movement and spreading the hands to assess the degree of mobility of the shoulder, tension, and muscle tone.
Subsequent diagnosis of periarthritis of the shoulder joint are necessary for diagnosis. It may include:
- ultrasound examination;
- magnetic resonance or computer tomography;
- analysis of synovial fluid.
The x-ray method helps to see the deposition of salt crystals on the cartilage tissue. Magnetic resonance imaging is prescribed to exclude the presence of osteoporosis of the cervical vertebrae. The viscosity of periarticular fluid allows you to define the inflammatory process. Differentiation used to detect other pathologies: arthrosis, thrombosis, tumors, myocardial infarction, cholecystitis. Determining the cause is an important element in successful treatment.
Frozen shoulder – treatment
How long will pain patient depends on the time of diagnosis, the complex of the means employed. To cure the patient in the beginning, at home with the help of «folk methods» by homoeopathy, physical therapy (physical therapy) and manual therapy. The treatment of shoulder periarthritis medicine offers medical, with the use of electrophoresis, physiotherapy, point, a needle stick, the mud. To assign surgery to do the surgery are resolved in advanced cases, the blocked shoulder.
Exercises with scapulohumeral periarthritis
Early treatment will eliminate the need to use drugs. Gymnastics in scapulohumeral periarthritis are shown in the initial phase. It should be under the supervision of a specialist. There is a set of exercises for postisometric relaxation. It is intended to return the joint former position, return the inflamed tissue elasticity. Its meaning lies in the alternation of muscular effort until the shoulder gets sore, and passive stretching. To improve the result will help the swimming.
Massage therapy for scapulohumeral periarthritis
There are additional ways of treatment: it is recommended to do massage for the periarthritis of the shoulder joint to relieve constant tension, improve blood supply and prevent atrophy of the muscles, increase their elasticity. Positive feedback from patients received shock wave therapy. It increases blood circulation and nutrition of the muscles, eliminates inflammation.
The treatment of shoulder periarthritis drug
Most cases require the use of injection drugs. Drug treatment of humeroscapular periarthritis includes the use of procaine blockade for the relief of pain. Prescribe anti-inflammatory drugs, painkillers, hot compresses of Dimexidum. Positive and quick result is the introduction of hormonal injections of corticosteroids in periarticular tissue.
Prevention of the disease includes:
- daily exercise;
- proper nutrition;
- hold proper posture (especially important for children).
Periarthritis of the shoulder joint – treatment of folk remedies
Stop getting sick at home is possible in the initial phase of the disease. The treatment of shoulder periarthritis of folk remedies involves the use of medicinal herbs to improve blood circulation in the muscles, eliminate inflammation and relieve pain. At home recommended herbal homeopathic remedies (nettle, St. John’s wort, calendula, horseradish) for cooking, warming compresses and internal use.
Video: frozen shoulder – exercises Popova