How is periarthritis of the shoulder treated?

Written by Li Jin
Orthopedics
Updated on September 03, 2024
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Periarthritis of the shoulder is mainly caused by degenerative changes in the soft tissues around the shoulder joint, chronic damage due to long-term overexertion, poor posture, and other factors, leading to symptoms such as shoulder pain and limited mobility. For the treatment of periarthritis of the shoulder, it is important to first rest and keep warm to prevent cold exposure. When symptoms of pain and limited mobility occur, symptomatic treatment with anti-inflammatory and pain-relieving medication, blood-activating and stasis-dissolving traditional Chinese medicine can be used to improve symptoms. Additionally, treatments such as hot compresses, physical therapy, massage, pain point blockades, and functional exercises for the shoulder joint can be employed. These methods play an active role in improving symptoms and delaying the progression of the disease. In cases where conservative treatment is ineffective or functional impairment occurs, surgical treatment can also be considered.

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Written by Lv Yao
Orthopedics
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Symptoms of Periarthritis of the Shoulder

Periarthritis of the shoulder refers to aseptic inflammation of the ligaments, joint capsules, and tendons around the shoulder joint due to chronic strain. This condition is characterized by localized pain, limited mobility, and typically rest pain. There is limited ability to perform movements such as abduction, elevation, and extension during active motion, and an increase in pain during passive movement. It is also necessary to rule out injuries to the rotator cuff or labrum to diagnose periarthritis of the shoulder.

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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 Li Jin
Orthopedics
1min 1sec home-news-image

How is periarthritis of the shoulder treated?

Periarthritis of the shoulder is mainly caused by degenerative changes in the soft tissues around the shoulder joint, chronic damage due to long-term overexertion, poor posture, and other factors, leading to symptoms such as shoulder pain and limited mobility. For the treatment of periarthritis of the shoulder, it is important to first rest and keep warm to prevent cold exposure. When symptoms of pain and limited mobility occur, symptomatic treatment with anti-inflammatory and pain-relieving medication, blood-activating and stasis-dissolving traditional Chinese medicine can be used to improve symptoms. Additionally, treatments such as hot compresses, physical therapy, massage, pain point blockades, and functional exercises for the shoulder joint can be employed. These methods play an active role in improving symptoms and delaying the progression of the disease. In cases where conservative treatment is ineffective or functional impairment occurs, surgical treatment can also be considered.

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Written by Lv Yao
Orthopedics
51sec home-news-image

Is periarthritis of the shoulder serious?

Periarthritis of the shoulder refers to the aseptic inflammatory reaction caused by chronic strain on the tendons, ligaments, and joint capsule around the shoulder joint, characterized by local pain, swelling, and even limited mobility. The typical symptom is resting pain, and pain occurs during both active and passive movements. If periarthritis of the shoulder occurs, it is advisable to visit the orthopedics department of a formal hospital for appropriate treatment. Besides resting, it is also suggested to engage in proper functional exercises and physiotherapy to prevent stiffness of the shoulder joint. Periarthritis of the shoulder can be very painful and significantly affects the movement of the entire shoulder joint. The symptoms are quite severe, but with systematic treatment, function generally can be restored.

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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.