Falling asleep and frozen shoulder are two different diseases altogether, and they have many differences, not only in symptoms but also in treatment.

1. Etiology

Frozen shoulder is also known as fifty shoulders, so frozen shoulder is a shoulder joint and its tissues around the joint of chronic injury or aging, these surrounding soft tissues occurred chronic inflammatory reaction thus manifested as pain around the shoulder activity inconvenience and so on.

Fallen pillow belongs to muscle sprain, mostly due to the night sleep posture is not right, the cervical spine for a long time in a kind of excessive hyperextension or hyperflexion state, resulting in one side of the neck muscle tension for a long time, thus causing muscle sprain, usually in the morning after getting up to find that the head can't be turned to the side.

2. Symptoms

1. Impaired mobility

Frozen shoulder is an impaired mobility of the periapical region, which is manifested by the inability to raise and abduct the forearm, especially when the impaired mobility is more pronounced during rotation.

The fall of the pillow is the cervical spine's mobility obstacle, when the head turned to a certain position, after the head, can not be in the continue to turn, or the pain is obvious.

2. Pain

Frozen shoulder pain tends to be worse at night, and some people even come to the hospital in the middle of the night because they are awakened by the pain during sleep. Its pain can be radiating and can radiate to the forearm and hand, among others.

The pain of a fallen pillow occurs in the morning when you wake up and feel pain in the cervical spine when it turns and is crooked to one side. Its pain can also be radiating, but it radiates more towards the shoulder (the source is different).

3. Pressure pain

Widespread compression pain may be present in the frozen shoulder.

Falling pillows usually have no obvious pressure pain.

3. Treatment

The treatment of frozen shoulder is mainly self-exercise of the shoulder joint, and the use of non-steroidal anti-inflammatory drugs can be considered during the acute pain period. In addition, for some traumatic diseases such as combined rotator cuff tear, surgery can be considered when conservative treatment is ineffective.

Falling pillow is a self-limiting disease, even without any treatment, it can slowly heal itself. In severe cases, localized hot compresses, or topical medications can be used. Pillows can be acupuncture (point and click) pillows points, often the effect is obvious!

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A man in his 40's came into the clinic complaining of discomfort and stiffness in his neck when he woke up in the morning, he couldn't nod or twist his head anymore and wanted to come to the hospital to have it looked at, and that he needed to twist his shoulders to see the rearview mirror when he was drivingAfter careful examination, the patient was diagnosed with cervical small joint disorder, also known as "falling pillow". After careful examination of the patient, diagnosed as cervical spine small joint disorders, that is, the people say "pillow", after cervical muscle massage, the patient's cervical spine range of motion significantly improved, stiffness has been reduced a lot.

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There was also a woman in her 50s who complained that she could not lift her right shoulder when brushing her teeth every day and had obvious pain for about three months. Recently, she needed her husband's help in putting on her underwear, and asked whether she needed to take an X-ray. This patient did not need to undergo radiographic examination, and was finally diagnosed with frozen shoulder, and was instructed to take functional shoulder exercises and oral pain medication, and was cured two months later.

With these two cases, let's look at the difference.

1. Different onset times

Falling sleepers usually have an onset of less than 24 hours, often with an acute onset in the morning, and the correct diagnosis should be questioned if the condition does not resolve in more than 48 hours. The history of frozen shoulder is long, often several months, and the disease progresses slowly.

2. Different clinical manifestations

Falling pillow lesion site in the cervical spine, the pathological basis is a small joint disorder, mainly manifested as stiffness, tightness of the posterior cervical muscle groups, cervical spine activity is limited. Frozen shoulder lesions in the shoulder joint, mainly due to the shoulder joint, mainly due to the shoulder joint, chronic strain, research and development of chronic strain, mainly manifested in the shoulder joint range of motion becomes smaller, especially external rotation lifting, internal rotation and extension and other movement activities are limited.

3. Different treatment methods

Fallen pillows are usually relieved significantly after massage is given, and even without treatment, they are usually relieved within 48 hours. Frozen shoulder mainly depends on the patient's own functional exercises, such as climbing the wall, shoulder joint drawing circles, localized hot packs, and if necessary, closed and other treatment methods.

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　　We may have had such an experience, is to wake up in the morning, found their neck and head is difficult to twist left and right, and forced to twist and rotate will also appear neck, shoulder pain, but generally three or five days will naturally recover. This is often encountered pillow, the cause of which lies in the incorrect sleeping position caused by short-term muscle strain.

　　Today we need to know not only what is a pillow, but also what is frozen shoulder, and the difference between them. Falling asleep is actually a kind of shoulder and neck pain, and frozen shoulder is mostly in the middle-aged and elderly people, a common disease, patients suffering from frozen shoulder often have the symptoms of falling asleep, that is, also have shoulder and neck pain. Although their symptoms have some similarity, but the difference is also more obvious:

　　First, the difference in signs. The pain in the neck and shoulder area caused by falling pillow does not have obvious pressure points, that is to say, just the neck can not be twisted, and the shoulder can not be lifted, but it will not affect the free movement of the shoulder joints. Frozen shoulder is different, not only the shoulder joints can not move freely, the shoulder can not be pressed, pressing will appear obvious pressure pain symptoms.

　　Second, the pain site and the pain is different. The part of the pillow discomfort symptoms, mainly in the neck and pillow, and easy to frequently appear, the pain is like an electric shock, the fingers will also appear numbness. Frozen shoulder is mostly to shoulder pain symptoms, and the pain is strong at night, the pain is a dull pain or cut-like pain.

　　Third, the triggering factors are different. Fallen pillow is usually caused by neck trauma or improper sleeping posture. Frozen shoulder is mainly caused by cold shoulder, driving cold air blowing against the shoulder and so on.

　　Fourth, the difference of X-ray film examination. Patients with pillow fall may have changes of osteophytes and intervertebral foramina on the X-ray film of the cervical spine, while the cervical X-ray film of patients with frozen shoulder does not have obvious changes, or just some features of cervical spine aging.

　　Whatever the cause of neck and shoulder discomfort, once it occurs, we should be vigilant, some cases may not be caused by a single problem, the possibility of complications also exists, and need to be treated in a timely manner.

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The symptoms caused by a fallen pillow and frozen shoulder are different, as are the areas that cause pain and the factors that trigger it!

have a stiff neck after sleeping

Fallen pillow, the scientific name of cervical spine small joint micro-misalignment, is the cervical spine articular synovial joint position is not normal, resulting in the loss of neck motility movement, neck movement is limited.

It may be accompanied by tension and pressure in the neck muscles, and limited neck movement may be manifested by the inability to lower the head, tilt back, or turn in a certain direction!

frozen shoulder

Frozen shoulder, periarthritis of the shoulder joint, is mainly characterized by pain in the front of the shoulder joint, difficulty in lifting the shoulder joint and extending it backward, and obvious pressure pain around the shoulder joint!

This is mainly due to chronic injury to the shoulder capsule and scarring, resulting in adhesion of the shoulder capsule to the acromioclavicular and rostrocaudal ligaments and difficulty in downward movement of the humeral head.

confusions

Cervical spondylosis compresses the cervical nerves, which can affect the muscle groups that lift the upper arm, causing pain that can lead to the onset of symptoms similar to those of frozen shoulder! Frozen shoulder does not directly cause neck pain and can be recognized!

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Falling asleep can cause neck and shoulder pain, while people with frozen shoulder can feel pain in the shoulder. There may be people who categorize the two as one, thinking that they are the same and just have different names. In fact, falling asleep is different from frozen shoulder. So, what is the difference between a fallen pillow and frozen shoulder?

Sleeping in the wrong position can lead to muscle strain, but it can be recovered in a short period of time. Frozen shoulder, on the other hand, is also a muscle pain, but it requires long-term treatment to recover. This is the main difference between the two. In addition, the two can also be judged in the following three ways:

1, Symptoms

Falling sleep can cause pain in the neck and shoulder area, but there are usually no pressure points. People who have fallen asleep cannot move their neck and shoulder area freely and their movement is impaired. For example, the neck cannot be twisted and the shoulders cannot be lifted. Although they can not move normally, but the function is still normal. The shoulder joint of a person with a fallen sleeper can be abducted. In addition, a person with a fallen pillow may experience pain and a feeling of electrocution because the associated nerve roots are compressed. There may also be numbness in the fingers.

People with frozen shoulder will have pressure points in the shoulder and feel pain when pressing on one of the tendons or joints in the shoulder. Shoulder joint movement is restricted. The patient will feel pain in the shoulder that worsens at night.

2. Past medical history

A person who falls off the pillow will feel discomfort in the neck and occiput. One pillow fall may cause multiple pillow falls in the future, or it may lead to a neck injury.

And people with frozen shoulder feel pain in the shoulder. Cold in the shoulder is the main cause of the disease. For example, when driving a car, the shoulder can get cold and cause the disease to flare up.

3、Photographic examination

The two can also be differentiated by looking at the test results that come out of an x-ray. By looking at the x-rays, it is possible to see that the cervical spine of a person who has fallen asleep may have osteophytes and the intervertebral foramina may be smaller. In contrast, a person with frozen shoulder does not have these changes in the neck, and may not have significant changes or may only show aging in the cervical spine.

Whether it is a fallen pillow or frozen shoulder, as long as there is discomfort in the body, you should go to the hospital in time for examination and treatment. Some people may think that a fallen pillow does not need treatment, and can be recovered with just a few days of rest. However, the muscle strain related to the person who falls asleep, if the number of times, then it will have serious effects, so, fall asleep is also need to go to the hospital for examination.

To summarize, there are three ways to differentiate between a fallen pillow and a frozen shoulder: symptoms, past medical history, and radiographs. There is a difference between the two, but whatever the difference, once it occurs, it should be examined and treated.

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Pathologically speaking, the falling pillow mostly takes neck muscle strain, cervical spine small joint disorder as the pathological change; the pathological change of frozen shoulder is the aseptic inflammation of soft tissues around the shoulder joint.

Symptomatically, pillow fall is based on the morning after the neck pain, activity is limited, shoulder joint activity is not abnormal; frozen shoulder symptoms are shoulder joint pain, activity is limited, but no pain in the cervical spine, cervical spine activity is normal

frozen shoulder

Short for periarthritis of the shoulder, commonly known as fifty shoulders and frozen shoulders. This disease occurs in middle-aged people around 50 years old. Because of the external wind-cold, dampness, muscle damage under external force, it can make the local soft tissues, including the joint capsule, rotator cuff, ligament, bursa, muscle tendons, chronic aseptic inflammation, unlike the inflammation caused by bacterial infection, there is no increase in body temperature, no local redness, swelling, heat, and there is no peripheral white blood cell count increase, neutrophils increased and other symptoms. However, it has the local tissue congestion, increased exudation, late mechanization and adhesion pathological process that chronic inflammation has. According to Chinese medicine, frozen shoulder is a chronic disease caused by wind, cold and dampness attacking the tendons and veins around the shoulder. Injury to the tendons and veins around the shoulder, resulting in blood and qi blockage and pain.

How to relieve frozen shoulder

1. Scapula inward movement. Patients take a sitting or standing position, first relax the shoulders, and then gradually put both shoulder blades inward and downward force, prompting both shoulder blades close to a little, do not shrug your shoulders during the exercise.

2. Pendulum movement. Take a sitting or standing position, shoulders relaxed, hand holding a mineral water bottle, and then swing forward and backward, the amplitude from small to large, to relax the shoulder joint.

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3. Stick exercise. The patient can lie down, palms up, hold both ends of the stick, and then gradually lift up to the limit of the angle, stay for about 10 seconds and then slowly put down; palms up, hold both ends of the stick, and then both elbows are bent at 90 degrees, and then gradually move the stick to the direction of the joints of the restricted angle, stay for about 10 seconds, and then slowly relax.

4. Shoulder abduction exercise. The patient can take a sitting position, shoulder relaxation, put the arm of the restricted joint on the table, elbow bent at 90 degrees, and then gradually raise the forearm upward, until the restricted angle, stay about 10 seconds, and then slowly put down. Note that you must wait for the previous 3 exercises to finish before doing this exercise.

have a stiff neck after sleeping

The main cause is muscle sprain, for example, because of sleep pillow is not suitable, so that the head and neck in the over-extension or over-flexion state, such as a long time to sit in a long-distance car has been facing the wind and squinting at the scenery, and so on. In addition, the external wind and cold, so that the back of the neck and blood stagnation are prone to lead to "pillow".

There are two simple ways to prevent "falling asleep".

One is to choose a pillow that meets physiological requirements. When lying on the back, the pillow can maintain the curvature of the neck curve, the edge of the pillow should be kept in a curved shape, can not be a slope; pillow height should be in line with the individual's shoulder width, lying on the back when the pillow height of about a fist, lying on the side of the pillow height should be a fist plus two fingers.

Secondly, you should pay attention to the correct sleeping position. The correct sleeping position is to lie on the back mainly, the left and right side of the bed as a supplement. To ensure that the pillow when lying on the back to maintain the physiological curvature of the neck, so that the chest in the supine to maintain smooth breathing, the whole body muscles can be better relaxed, which is also conducive to deepening the depth of sleep.

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