Causes of Periarthritis of the Shoulder

Written by Lv Yao
Orthopedics
Updated on September 02, 2024
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Periarthritis of the shoulder is caused by chronic strain on the shoulder, leading to aseptic inflammation of the muscles, ligaments, and even the joint capsule surrounding the shoulder joint. Symptoms include localized pain and limited mobility, often seen in middle-aged and elderly women. Once periarthritis of the shoulder occurs, it is important to determine the cause. During treatment, it is important to rest and engage in appropriate functional exercises. Because if rest periods are overly prolonged during the treatment of periarthritis of the shoulder, it can lead to limited range of motion in the shoulder joint. Therefore, appropriate functional exercises should also be performed during the rest and physical therapy process.

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Written by Lv Yao
Orthopedics
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Where does periarthritis of the shoulder hurt?

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 Su Zhen Bo
Orthopedics
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Early symptoms of frozen shoulder

The patient is suffering from periarthritis of the shoulder, which is a type of aseptic inflammation. In the early stages, the primary symptom is a subjective feeling of pain in the shoulder, which tends to worsen at night. The skin and muscle tissues around the shoulder become adhesive and hardened, and touching the area can distinctly feel stiffness and hardening. At the same time, the range of motion in the shoulder joint decreases, and moving the joint can intensify the pain. Diagnostic clarity can be achieved through MRI scans and ultrasound examinations. In the early stages, topical plasters that reduce swelling and relieve pain can be used, along with acupuncture and moxibustion, and the application of analgesic medications. It is also necessary to strengthen shoulder joint function training under the guidance of a rehabilitation physician. Pendulum movements of the shoulder joint and arc movements can help alleviate pain and increase the range of motion of the shoulder joint.

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Written by Li Jin
Orthopedics
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Diagnostic methods for frozen shoulder

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 Lv Yao
Orthopedics
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How to exercise for frozen shoulder

Periarthritis, also known as frozen shoulder in clinical terms, is generally caused by chronic strain leading to aseptic inflammation of tendons, ligaments, and joint capsules around the shoulder joint. This results in symptoms of pain and limited mobility, particularly pain at night, with both active and passive movements likely to be restricted. In such cases, besides rest and physiotherapy, and the use of topical non-steroidal anti-inflammatory and analgesic medications, it is also essential to engage in appropriate functional exercises for the shoulder joint to avoid with the goal of restoring its function. For instance, the shoulder joint should perform active bending, stretching, and abduction movements, as well as circumduction movements of the shoulder joint. These exercises aim to restore the function of the ligaments and tendons surrounding the shoulder joint.

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Written by Lv Yao
Orthopedics
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Causes of Periarthritis of Shoulder

Periarthritis of the shoulder is mainly caused by chronic damage and degeneration of the joint which leads to chronic wear and tear, as well as aseptic inflammation in the tendons, ligaments, and joint capsule around the shoulder joint, resulting in pain and limited mobility around the shoulder. To diagnose periarthritis of the shoulder, it is first necessary to rule out limited mobility of the shoulder joint due to trauma, such as injuries to the rotator cuff and other related conditions. Imaging studies like MRI can also be used to clarify and rule out rotator cuff injuries and other conditions, and a clear diagnosis can be made in conjunction with physical examination and etiology.