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 Xie Yi Song
Orthopedics
1min 12sec home-news-image

Shoulder periarthritis symptoms

In daily life, periarthritis of the shoulder often has the following symptoms and manifestations: The first is movement impairment. This is manifested as limited movement in various directions of the shoulder joint, including outward extension of the upper limbs, actions such as chest-expanding, taking off clothes, as well as significant difficulties in lifting and rotating. This can present as an inability to flexibly comb hair, wash face, and dress or undress. This is a key point in distinguishing frozen shoulder from other shoulder disorders. The second is pain. It manifests as pain in one shoulder joint without obvious trauma, which can be a dull pain or sharp, knife-like pain, often worsening at night and even causing awakening due to pain. The pain can radiate to the neck, back, forearm, and hand. The third is tenderness. Most patients with the condition widely experience tender points upon pressing around the affected joint. Muscle stiffness and atrophy may occur. The muscles around the shoulder, such as the deltoid and supraspinatus, can become stiff during the onset, and disuse atrophy may occur in the later stages.

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Written by Lv Yao
Orthopedics
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Is periarthritis of the shoulder serious?

Periarthritis of the shoulder refers to the aseptic inflammation of soft tissues such as tendons, ligaments, and joint capsules around the shoulder joint due to chronic strain, which results in symptoms like pain and limited mobility of the shoulder joint. It is commonly seen in middle-aged and elderly women. Therefore, the severity of shoulder arthritis should be analyzed based on specific symptoms and the extent of functional impact. It is recommended to visit the orthopedics department of a reputable hospital for consultation. Treatment should be chosen based on the pain level and the extent of joint impact, in order to alleviate pain and restore function.

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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.

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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 Cheng Bin
Orthopedics
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Symptoms of periarthritis of the shoulder

Patients with periarthritis of the shoulder typically exhibit symptoms of pain around the shoulder joint, which may affect their ability to lift their arms normally. This can interfere with daily activities such as washing the face or combing hair, which are common clinical symptoms of periarthritis of the shoulder. Once periarthritis of the shoulder is diagnosed, it is necessary to actively treat it. Treatments can include using topical plasters that activate blood circulation and relieve stasis, and taking oral non-steroidal anti-inflammatory and analgesic medications to alleviate pain. In cases with significant pain points, localized injections can be administered, and combined with physiotherapy methods such as acupuncture, electrotherapy, and cupping. It is also important to actively engage in exercises like wall climbing to improve shoulder joint function. (Medication should be used under the guidance of a doctor.)