Where does periarthritis of the shoulder hurt?

Written by Lv Yao
Orthopedics
Updated on January 30, 2025
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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 Wang Cheng Lin
Orthopedics
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How to diagnose frozen shoulder

How is periarthritis of shoulder diagnosed? Periarthritis of shoulder is a self-limiting disease that mainly affects middle-aged and elderly women. The primary symptoms are pain in the shoulder accompanied by limited mobility of the shoulder joint. So how is periarthritis of shoulder diagnosed? Firstly, medical history is very important. Diagnosis is determined based on the medical history. Additionally, an MRI of the shoulder joint can be performed to clarify whether there is adhesion of the muscles and tendons within the joint, which causes limited mobility of the shoulder joint, in order to further confirm the diagnosis. Thus, the diagnosis of periarthritis of shoulder is based first on the medical history and the characteristics of the onset of the disease, and also on the MRI of the shoulder joint to confirm the diagnosis.

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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 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.

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Written by Wang Cheng Lin
Orthopedics
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Early symptoms of periarthritis of the shoulder

The early symptoms of periarthritis of the shoulder are pain in the shoulder and limited movement of the shoulder joint, especially the action of raising the arm, which is clearly restricted. Therefore, for the treatment of this condition, it is encouraged that patients engage in functional exercises early on. If one fears the pain and dares not to move the shoulder joint, it will lead to stiffness of the joint and atrophy of the surrounding muscles. Generally speaking, periarthritis of the shoulder is a self-limiting disease with a typical duration of about one year. If you can raise your shoulder and perform normal activities within a year, then there will be no residual sequelae afterwards. However, if within a year, the shoulder joint becomes stiff and its movement becomes limited, then after a year, the symptoms of shoulder pain will significantly improve, but there will be some loss of range of motion in the joint. Therefore, for all patients with periarthritis of the shoulder, early functional exercise is encouraged to avoid symptoms such as joint effusion, joint stiffness, and muscle atrophy.

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Written by Dai Ru
Orthopedics
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The harms of periarthritis of the shoulder

Periarthritis of the shoulder, also known as frozen shoulder or "fifty-year-old's shoulder", as the name suggests, most commonly occurs around the age of 50 and is more frequent in women than in men. Periarthritis of the shoulder is merely one clinical manifestation of certain conditions and represents a vague diagnosis. Current clinical research suggests that a significant portion of periarthritis is caused by rotator cuff injuries. The main risk of periarthritis of the shoulder is that it can cause pain in the shoulder and impair the joint's mobility. In cases where significant rotator cuff injuries are ruled out, conservative treatment is primarily adopted for periarthritis of the shoulder. This includes oral anti-inflammatory pain relief medications, local blockade treatments, and enhanced functional exercises for the shoulder joint.