Diagnostic methods for frozen shoulder

Written by Li Jin
Orthopedics
Updated on September 11, 2024
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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 Cheng Bin
Orthopedics
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Shoulder periarthritis is what?

The so-called periarthritis of the shoulder is a sterile inflammation of the shoulder region caused by overexertion, straining stimuli, exposure to cold, or external injuries. It is primarily characterized by pain around the shoulder, especially during shoulder lifting, where the pain becomes more pronounced and can seriously affect the patient's normal shoulder-lifting function. This condition often occurs in middle-aged and elderly patients. Common treatments for periarthritis of the shoulder include rest and protection, local heat application, and local injection treatment for specific pain points. Additionally, topical ointments that invigorate blood and dissipate stasis can be used, along with oral non-steroidal anti-inflammatory and analgesic drugs to alleviate the patient's pain symptoms.

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Written by Cheng Bin
Orthopedics
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Exercises for Periarthritis of the Shoulder

For the exercise methods of periarthritis of the shoulder, there are various exercise methods for patients with periarthritis of the shoulder in clinical practice. For instance, it is appropriate to gradually perform exercises such as pull-ups, but it is important to progress slowly and not be too vigorous at once, as this may cause potential damage to the shoulder joint capsule. Another exercise involves the "wall-crawling" movement to enhance the mobility of the shoulder joint and prevent stiffness. Additionally, for patients with severe pain from periarthritis of the shoulder, some medical treatments can be combined, such as using topical plasters that activate blood circulation and relieve stasis, oral non-steroidal anti-inflammatory and blood-activating drugs, as well as local treatments like heat application, small needle knife therapy, or injection therapy.

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Written by Lv Yao
Orthopedics
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How to treat periarthritis of the shoulder?

Periarthritis of the shoulder refers to a sterile inflammation caused by chronic strain on the muscles, ligaments, or joint capsule around the shoulder joint, characterized by localized pain and limited mobility of the shoulder joint. For those experiencing periarthritis of the shoulder, it is advised to undergo physical therapy and rest, keep the area warm, avoid cold exposure, and engage in appropriate functional exercises to prevent joint stiffness due to the pain and limited mobility in the shoulder joint. Thus, with systematic treatment, this type of sterile inflammation in the shoulder joint can generally be alleviated.

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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.

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Written by Cheng Bin
Orthopedics
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How to exercise for frozen shoulder

Typically, there are several methods for exercising with patients suffering from periarthritis of the shoulder. For example, wall climbing motions can be performed to exercise the mobility of the shoulder joint. Exercises can also be done on horizontal bars. The objective is to restore normal joint mobility and prevent joint stiffness. Additionally, patients with periarthritis of the shoulder often experience severe pain. Local pain points can be treated with an injection block, or topical plasters that invigorate the blood and break up stasis can be used. Treatment also includes oral non-steroidal anti-inflammatory drugs and drugs that invigorate the blood and break up stasis. Furthermore, it is necessary to reduce physical activity, avoid exposure to cold, apply local heat, and use acupuncture and electrotherapy. Gradually, recovery will be achieved.