Shoulder-shoulder periarthritis is called inflammatory processes around the shoulder joint. The joint itself remains he althy. This term is no longer found in the International Classification of Diseases, since it does not indicate either localization or the circumstances that led to changes in tissues. It was revealed that most often a painful condition is one of the symptoms of cervical osteochondrosis, protrusions and hernias in the intervertebral spaces of the cervical spine. Injuries to the shoulder joint lead to illness, which affects the ability to work and quality of life.
The treatment plan for humeroscapular periarthritis depends entirely on the underlying cause.
Reasons
It is the developing degenerative processes that lead to pain and limited movement. The causes of humeroscapular periarthritis are classified into traumatic and non-traumatic.
Traumatic periarthritis
Here we are talking about a wound, a blow, ohexcessive stress on the joint. Lifting weights of more than 5 kg is fraught with sprains, if hitherto a person has not had to load untrained muscles in this way. Such a picture can often be observed when a novice ignorant of the sport suddenly takes on heavy shells without prior preparation and warm-up.
Thermal effects in the form of hypothermia or overheating can also cause disturbances.
Features of professional activity, which lead to microtrauma, act destructively on the joint. Immediately come to mind such professions as a loader, carpenter, athlete. But it turns out that housewives, hairdressers, seamstresses are no less prone to such problems. Only in this case, every day the number of microtraumas increases, until at the critical moment the disease makes itself felt with quite distinct pains that do not give rest either at night or during the day, driving a person into a frenzy.
Usually, the diagnosis and treatment of humeroscapular periarthritis is not difficult, as the person easily recalls the situation that caused the injury.
Non-traumatic periarthritis
Here we are talking about compression of nerve roots and groups of vessels in cervical osteochondrosis. This leads to the rapid development of muscle immobility. Over time, muscle fibers atrophy, transform into connective tissue, which is irreversible.
With a previous myocardial infarction, when the supply of essential substances becomes insufficient, due to impaired blood supply, with a stroke, with violations of the internal organs,for example, liver or gallbladder, diseases of the lungs and pleura, humeroscapular perarthrosis is a consequence or symptom, the nature of which must be examined.
Here it is impossible to talk about measures related to the treatment of humeroscapular periarthritis until the cause that provoked dystrophic phenomena in the area of the joint capsule is clarified. After all, the fight against symptoms is useless and brings only a temporary improvement in the condition.
Symptoms
In general, two types of discomfort can be distinguished - pain and stiffness in movements. Their intensity and duration vary depending on the stage and degree of the disease:
- A simple shape. A slight pain is felt when the outstretched arm is moved to the side. Rotation around its axis occurs with resistance. Usually the disease proceeds unnoticed within one month and goes away on its own with respect for a state of rest and sufficient rest. Despite the mild symptoms of humeroscapular periarthritis, treatment is important precisely in the debut of the pathology. A speedy and complete recovery is guaranteed.
-
Acute stage. It can either be the next step of a missed first step, or it can be a sudden onset condition. The pains become intense, give to the forearm, neck. Hand movements are limited by sharp pain sensations. The aching pain intensifies at night, which is the most unpleasant. It is impossible to sleep because of the torment, which leads to psychological and physical suffering. Consciousnessthe patient is directed to find a comfortable position of the hand, there is a loop on the problem. Subfebrile temperature is observed. A visual examination of the shoulder may reveal slight swelling.
- Chronic stage. As a rule, it occurs due to the lack of proper treatment. The pain syndrome becomes less pronounced. The pain is characterized as aching. Sharp, awkward movements lead to "lumbago" in the shoulder area. The stage is long: we are talking about months and even years. Often, ailments gradually disappear even without qualified assistance, and the patient forgets about what he has suffered. These are the symptoms of humeroscapular periarthritis. Treatment and diagnostics must be timely at least at this stage, otherwise the next stage begins, after which it is almost impossible to restore he alth.
-
Ankylosing. This form of the disease can occur both independently and act as an epilogue to a progressive disease. The pains are both aching of low intensity, and sharp, cutting. There is such a phenomenon as the “frozen shoulder” syndrome. This is when the range of motion is limited even sometimes without pain, it is simply impossible. Stiffness extends to the entire working arm, to the movements of the hands and fingers. The shoulder feels firm to the touch, as if the muscles are in good shape.
Important to remember! The more neglected the disease, the more costly it will be to get rid of in terms of money and time.
Diagnosis
Before applying all known methods of treatment of humeroscapular periarthritis, it is necessary to putcorrect diagnosis. If the disease is caused by cervical osteochondrosis, then it is a priority to start treatment with it, and only then systematically carry out local manipulations. In cases where myocardial infarction or breast surgery is to blame, it makes sense to restore the blood supply to nearby tissues.
The possibilities of modern diagnostics will help you get an examination as soon as possible. Take tests, consult a specialist, such as an orthopedist or traumatologist, undergo magnetic resonance imaging. MRI today is the most informative way to detect degenerative processes, hernias and protrusions in the spine.
Treatment
It is necessary to take a comprehensive approach to the treatment of periarthritis of the shoulder joint. It will not be possible to get rid of the annoying problem with just pills, lying on the couch and eating harmful goodies. You need to completely change your lifestyle. Give up everything that is harmful in favor of quality food, active recreation, good sleep, proper regimen, nutrition and distribution of activities for the day.
Traditional medical prescriptions can be combined with non-traditional ones. Many people confirm the benefits of the application, but there will definitely be no harm. But if you do home treatment, shoulder-shoulder periarthritis cannot be defeated. So you can only lose precious time and start the disease.
Medication method
Non-steroidal anti-inflammatory drugs are taken as the basis for standard therapy:
- "Diclofenac";
- "Ibuprofen";
- "Nimesulide";
- "Lornoxicam";
- "Ketoprofen".
They can be used strictly according to the doctor's prescription, both orally, in the form of ointments, and as injections, intramuscularly. It is better to prefer injections, as this is more effective, and at the same time it will protect the digestive system, unless the attending physician has other instructions in each case.
When "heavy artillery" is required for the medical treatment of humeroscapular periarthritis, steroid drugs, that is, hormones, are resorted to.
Pain blockades
In the clinic, pain relief procedures using Lidocaine, Novacaine, hydrocortisone emulsion, Kenalog or Diprospan are feasible. The technique is quite complicated and is carried out only by specialists with special skills.
Treatment is carried out in courses consisting of 5 procedures. The intervals between blockades are 3-5 days, but this depends on the prescriptions of the attending physician.
Physiotherapy
All physiotherapy manipulations are conventionally divided into two types:
- Applicable during the period of exacerbation. Relieve pain, relieve general condition.
- Applicable during remission. Contribute to the healing of the patient.
During an exacerbation:
- High intensity magnetotherapy. It turns out the effect of the magnetic field.
- Diadynamic therapy.
- Electrophoresis with anesthetics.
- Decimeter wave therapy.
- Extracorporeal shock wave therapy.
During periods of remission:
- Paraffin-ozocerite applications.
- Electrostatic shower.
- Cryotherapy.
exercise therapy
The benefits of exercise in the treatment of humeroscapular periarthritis can hardly be overestimated. Moderate physical activity is an integral part of a he althy person's life. If, due to pathology, physiotherapy exercises were included in the course of treatment, then you should not abandon this useful activity when everything is over. As practice shows, people who do exercises for the back every day, gymnastics in the morning, do push-ups, discomfort in the shoulder ceases to bother forever.
Dr. Popov offers his specially developed technique, taking into account all the nuances. The following features of his methodology stand out:
- Exercises are performed only during remission or as a preventive measure, that is, after the cure.
- Exercise should not cause pain or uncomfortable tension. The patient must be extremely attentive to his feelings.
- A set of exercises is selected individually, according to the stage and intensitymanifestations.
- Patients should not make sudden jerks. Movements should be smooth and with a small amplitude.
- Feeling tired is a completely normal reaction of the body.
In the treatment of humeroscapular periarthritis, Popov recommends practicing simple movements, that is, rotation, swinging, stretching. Even a patient of retirement age can master such gymnastics.
Folk remedies
Very effective (together with the above components of the plan to combat the disease) lotions, ointments, decoctions for oral administration, prepared from natural products according to recipes for folk treatment of humeroscapular periarthritis:
- Tea from St. John's wort. A tablespoon of herbs is poured with one glass of boiling water and insisted for at least one hour. Consume one tablespoon twice a day.
- Dried nettle tea. A tablespoon of herbs is poured with a glass of boiling water and insisted for one hour. Take one spoon three times a day.
- Decoction from the collection of periarthritis. You will need: currant leaves - 1 tablespoon, raspberries and lingonberries - 1 teaspoon each, rose hips - 1 teaspoon, water - 400 ml. Pour all the ingredients of the healing drink with water and bring to a boil. Infuse for 6 hours and drink within one day.
- Mixture of honey, garlic and lemon. You will need: honey - 200 g, lemon - 2 pcs., Garlic - 2 pcs. Turn everything into a mushy state in a convenient way,then mix. Consume 1 teaspoon several times a day.
- Burdock leaf can also be used to treat humeroscapular periarthritis. It is heated, applied to a sore spot, fixed and left overnight.
- Saline compress. Take 200 grams of water and dissolve 20 grams of ordinary s alt in it. Moisten the cloth in the solution, apply to the sore spot, wrap with cling film, and then with a warming bandage. Leave for at least an hour.
- Alcohol tincture of calendula. It can be bought ready-made at a pharmacy. Smooth soft movements rub the sore spot, avoiding strong pressure.
- A decoction of equal parts of chamomile, coriander, mint and burdock root is insisted, and then rubbed on the shoulder with light massage movements. In conclusion, it is recommended to warm with a woolen bandage (for example, a scarf) and leave it overnight.
Massage
In a set of measures to get rid of the disease, massage is indispensable. Manual practice has unsurpassed benefits during the treatment of humeroscapular periarthritis. Patient reviews are only positive, which confirms the effectiveness of the procedure.
Massage is carried out during remission. The process involves the collar zone, deltoid and large muscle, pectoral muscle, shoulder.
The session lasts no more than half an hour. It is recommended to carry out daily procedures for the best result. In total, three courses of massage will be required with breaks of several weeks.
Operationalinterference
Many doctors offer minimally invasive surgery. The operation is performed through small punctures, which guarantees a short rehabilitation period. A special flexible splint is applied, which can be removed while changing clothes, taking a shower.
Shoulohumeral periarthritis is a protracted disease that requires a huge amount of strength and patience. It is impossible to recover from it with one trip to the hospital. Fulfillment of all the doctor's recommendations, scrupulous completion of all procedures, compliance with the restrictions associated with the new rules of he althy eating and lifestyle will certainly lead to the restoration of the lost freedom of movement, he alth and joy of life!
