Frozen shoulder. Symptoms and treatment of folk remedies, medication, medications, massage at home. Causes, terms of recovery, effects, photo

Frozen shoulder - definition of medicine, including various inflammatory and degenerative changes in the central nervous system tissue and articular defining the work of the shoulder joint.

Symptoms of the disease are characterized by painful aching sensations, which are amplified while moving, disturbance of motor function of the shoulder joint. Treatment is determined by pathology medical treatment, a course of exercise and physical therapy.

The causes and mechanisms of disease development

Scapulohumeral periarthritis refers to a group of diseases of the musculoskeletal system of the human. development mechanism of the emergence of different inflammatory and degenerative changes in the tissues of the shoulder joint. Organic lesions most commonly affected joints are not.

The direct factors that provoke the emergence and development of frozen shoulder include:

1. Changes in age-related. Inflammatory processes often occur in the elderly, due to physiological wear of the articular surface.
2. Unusual load on the shoulder joint. Heavy and frequent exercise, especially the unprepared person is the destruction of the articular surfaces.
3. Problems with blood flow to the joint and surrounding tissues. functioning blood disorders often appear against a background of external organic diseases, such as myocardial infarction or angina pectoris. The problem leads to deterioration of the joint supply of necessary nutrients and oxygen, which provokes inflammation and friability. Also decrease blood supply arises from the surgeries on the shoulder joint.
4. Mechanical injury to the soft tissue hand or shoulder. In most cases, the injury is slight, but it is capable to provoke the occurrence of macro- and micro-traumas that are accompanied by rupture of the tendon tissue, hemorrhage or edema.
5. Entrapment of neural fibers within the cervico-brachial plexus. It characterized by the occurrence of muscle spasm, which leads to compression of the blood vascular surfaces therefore - to a deterioration in blood flow.

Scapulohumeral periarthritis also called cardiovascular pathologies, diabetes and hormonal disruptions within the body.

Can trigger the development of the disease external hypothermia.

The risk group includes men aged 25 to 45 years, whose work is directly related to physical activity and committing acts monotonic by hand.

Symptoms of frozen shoulder

In many cases, the main symptoms are slow in nature and occur after 3-10 days after the onset of inflammatory and degenerative process. Signs of disease characterized by pain and stiffness in the movements that allows you to diagnose a painful process faster.

Features of the disease depends on the clinical form, depending on which symptoms are the following groups:

1. A simple form. Characterized by the insignificant pain when trying to raise or fold his hand. The pain intensified when rotating arm, in a quiet state - disappear. Symptoms last about a week and go without treatment or go into an acute form.
2. The acute form. It occurs in the absence of a simple form of treatment, but also appears due to external stimuli. Characterized by worsening symptoms, whose exacerbation often occur in the morning or in the evening. In addition to the sharp pain is felt fever, swelling appears. The acute form can last up to several weeks. Without the lack of therapy occurs in chronic.
3. The chronic form. It is characterized by the appearance of aching pain, which differ periodic amplification, especially at night or the morning of the day. Unlike other types of symptoms of chronic diseases do not pass on their own and require long-term therapy. Without treatment, chronic periarthritis can last up to several years.
4. Ankylosing or adhesive form. Characterized by simultaneously dull and aching pain in the shoulder joint. Disease processes at this stage leads to bone intergrowth, which causes limitations in mobility, performance is lost.

Pathology may be unilateral or bilateral. Often it develops the first type of the disease.

Diagnostics

Frozen shoulder, symptoms and treatment of which depends on the timely treatment always needs to be properly identified. Diagnostic procedures include history, external examination and functional evaluation of the musculoskeletal system. In order to detect muscle tension is conducted palpation of the shoulder muscles and the performance of physical exercise by the patient.

If necessary, confirm the diagnosis, the following diagnostic methods:

1. Radiography. When X-ray is done three separate image with which the doctor an opportunity to more accurately study the main cause of the pain. Also, a special contrast agent is administered, if necessary, helping to detect damaged areas.
2. Computer or magnetic resonance tomography. If X-rays are detected pathology of the skeletal system, using a tomographic method the physician receives more detailed information on the joints, which also helps to assess the level of damage.
3. Ultrasonography. One of the most simple and painless diagnostic method to which advantages include rapid results.
4. Magnetic resonance imaging. In the absence of information content to other diagnostic techniques, MRI can accurately estimate the muscle, bone or tendon of the patient hand.

Specialists often use invasive techniques, such as arthroscopy or arthrography, which allows not only to detect the pathological process, but also possible to remove it from spreading.

therapies

If you experience symptoms of periarthritis, an urgent need to contact your doctor. This allows you to choose the right method of treatment and reduce the risk of unpleasant complications.

Frozen shoulder, symptoms and treatment of which depends on the severity of the ongoing process, at any stage requires a long therapy:

• reception of drugs wide exposure;
• physiotherapy;
• physiotherapy;
• massage.

Experts recommend a variety of manual treatment as postisometric relaxation, which eliminates muscle spasms and accelerate regeneration of articular tissues. The method involves the voltage of the muscle fibers, followed by holding tone for 10 seconds, after which the muscle relaxation occurs.

During the occurrence of acute symptoms, the patient is contraindicated sudden movements scoring hands, wearing weights and an assumption of supercooling.

Therapeutic exercise is most often assigned only after the elimination of acute pain. For the purpose, the rapid cure, the patient is prescribed individually composed diet which assumes avoiding greasy, spicy or salty foods. You should also limit yourself to eating sweets.

Nutrition should be a fraction, about 5-6 times in fact. Recommended dishes prepared with fresh and natural products. Following dietary standards will strengthen the muscular system and accelerate the impact of existing treatments.

Neglecting the therapeutic rules are not excluded complications such as joint fusion, which can only correct surgery. Pariartrit rarely leads to disability.

In most cases, the prognosis of shoulder joint periarthritis is favorable character. Since the disease therapy takes months, and in severe cases and years, in order to achieve sustainable results, the patient must have patience.

medicines

drug treatment involves the development of individual evidence, taking into account the age, medical history and other characteristics of the patient. The main goal of treatment with medication is relieving and eliminating the negative symptoms, so the drug is not usually appointed at the initial stages of the disease.

If there is marked inflammation and soreness are observed, the patient is discharged the following groups of products:

• non-steroidal antiinflammatory agents: Indomethacin, Ketorol, Voltaren;
  
• painkillers drugs: Analgin, Ibuprofen, Nimesulide;
• muscle relaxants: Mydocalm, Ditilin, Arduan;
• hondroprotektory: Struktum, Don arthritis.

Frozen shoulder, symptoms and treatment which in severe stages of different painful sensations, is acute. In such case the patient is assigned injecting anti-hormonal agents - corticosteroids. Such exposure can quickly eliminate the discomfort inside the joint and stop the inflammation development.

If the main therapeutic methods do not help eliminate the symptoms, a specialist appoints injecting novocaine blockade of joint tissues and spinal department. Impact novocaine allows for several hours to eliminate pain and cramps.

Besides injections and tablets of drug therapy involves the use of special ointments or gels that reduce discomfort and facilitate health. Most often assigned Diclofenac, Naiz or ointments containing menthol.

To improve the flow of blood, the patient is recommended to use oil-based red pepper.

When frozen shoulder, in addition to the basic treatment, use of vitamin must be connected complexes and trace minerals, the use of which helps to strengthen the immune system, which will reduce the severity of disease symptoms.

Physiotherapy and its application in different periods of the disease

By means of physiotherapy treatments can eliminate the development of the inflammatory process, indirectly reduce pain and improve circulation within the articular tissues.

Basic physiotherapy techniques:

1. The high-frequency magnetic therapy. Characterized by using an alternating magnetic field, thus reducing the blood vessels to expand and provide the necessary assistance antiinflammatory. Based on the type of disease, magnetic held from 5 days up to 1 week on a daily basis.
   
2. Shock wave therapy. Based on the application of high-acoustic-wave pulses of different amplitudes. Using the method promotes rapid healing of damaged tissue and tendon surfaces. It also improves blood circulation and oxygenates the necessary areas. The course is assigned for 1 week and includes daily use.
3. Detsimetrovolnami therapy. The technique involves the use of UHF short length, thereby providing universal penetration therapeutic effect in the tissue structures. Detsimetrovolny promote dissolution of inflammation within the joint. Method performed every day for 1 week.
4. An infrared laser. Modern treatment for frozen shoulder using laser devices. It allows enhance the metabolic processes within the body and to stimulate blood circulation. A distinctive feature of the procedure is the almost complete absence of risk and complications. It is used up to 1 week on a daily basis.
5. Electrophoresis with novocaine. Required drug substance is injected directly into the joint tissue by a low amperage. The course involves daily visits to a specialist for 1-2 weeks.

In addition to the basic techniques of physiotherapy effects, there are also other ways to cure the disease, such as acupuncture, therapy stones and leeches.

In the acute phase are particularly effective:

• high-frequency magnetic therapy;
• an infrared laser;
• shock wave therapy.

During remission the patient appointed electrophoresis with novocaine, neck massage treatments, shoulders and arms, as well as paraffin-ozokerite applications.

Physiotherapy

Physiotherapy is one of the most important conditions for the rapid recovery of the patient. Any technique therapeutic physical training aimed at the normalization of blood flow, oxygen saturation of the muscle tissue and the resorption of stagnation.

Together with the common gymnastic complexes for prophylaxis and therapy well suited swimming and specialized water gymnastics. These classes allow to normalize the tone of the muscle fibers and increase the volume of the motor inside the damaged joint.

Approximate set of exercises

There are many complex exercise, to effectively eliminate the negative symptoms and restore motor-support apparatus. One of these is a system of exercises to see a doctor P. BUT. Popova.

Table of exercises by the method of Peter Popov:

The initial position of the body	performance technique
Standing position; legs apart at shoulder width; hands raised above his head	All the forces to stretch his arms upward, keeping the feet on the floor; do exercise in sequence or separately
Arms stretched out to the sides at shoulder joint	Rotate the torso, along with the position of the head left and right, trying to keep the position of the hands
Arms stretched out to the sides at shoulder joint	Blurred circular movements back and forth; carpal and elbow joints to keep in direct state
Hands over his head, joined at the elbows	Slowly take your hands back
Hands over his head, connected to the elbows; right arm bent at the elbow and hanging over his head	Gently take the left arm hang back and give as far as possible to the blades; repeat with your right hand
The left hand on the right shoulder joint	Right hand to take the left elbow, take it to the right so that the left hand was behind his back

List of gymnastic recommendations is best done 3 to 5 times a day. A set of exercises can be incorporated into a morning workout and before going to bed to do to help get the most relaxing effect. The daily, patients are able to achieve stable period of remission.

Performing gymnastics prohibited during the acute phase flow stiff shoulder, as well as strong joint pain. Also contraindications include a fever and blood pressure.

Folk remedies for the treatment of

Scapulohumeral periarthritis, and treatment of symptoms which are characterized in the initial stages smooth flow, often accompanied by pain. In this case, the use of traditional medicine has a beneficial effect on the relief of the pathological processes.

Popular folk methods:

1. Warm salt bath. Applying warm saline bath provides effective impact at joint pains, improving the circulation and the healing process scar surface.
2. Massage treatments with natural honey. The use of heated honey allows to reduce pain and provide a warming effect, which is useful in inflammation of the tissues. It is best to apply a massage before bedtime.
3. Broth-based chamomile. Camomile infusion or decoction eliminates inflammatory effect on the surrounding tissue of the joints. Particularly useful integrated reception not only broths, but also tea and chamomile bath.
4. Compresses from the leaves of burdock. Dressings of burdock possess a significant reduction of the inflammatory process.
5. Packs of kale. Have anti-inflammatory effects on the outer shoulder tissue.

When frozen shoulder is strictly prohibited fasting. Recommended intake of healthy and rich in minerals useful food. Especially necessary to use products containing large amounts of calcium.

Any non-traditional methods of treatment for frozen shoulder can not replace the traditional complex therapy and exercise. To effectively reduce the negative symptoms and eliminate further recurrence, complex therapy recommended through various methods.

Registration of the article: Lozinski Oleg

Video of frozen shoulder

Frozen shoulder, causes and treatment: