What are the symptoms of frozen shoulder?

When it comes to frozen shoulder many people will turn pale, not that the disease will be so dangerous, but its persistent pain, limited activities, affecting daily life and sleep. It makes many patients nervous and even irritable and depressed.

Let's first learn about frozen shoulder, also known as frozen shoulder, fifty shoulder, periarthritis of the shoulder. It is a chronic specific inflammation of the shoulder joint capsule as well as the surrounding ligaments, tendons and bursa, with gradual pain in the shoulder joint, aggravated by pain at night, and accompanied by limitation of movement around the shoulder joint.

The disease is more common in women than in men, and is mostly prevalent around the age of 50. Especially people with heavy physical labor are relatively more likely to have more severe joint injuries and are more likely to cause this particular type of aseptic inflammation.

Of course, cervical spondylosis accompanied by shoulder pain that has not been effectively treated for a long period of time, enthesopathy, sprains and contusions, trauma, strains that have not been effectively treated, long-term maintenance of poor posture, and wind-cold sensations can lead to long-term spasm of the shoulder muscles, which can prevent qi and blood from flowing and thus lead to the emergence of inflammatory foci.

The main symptom of frozen shoulder, the first is pain, especially to the latter part of the night, many patients woke up with pain, 2 o'clock in the middle of the night can not sleep to the neighborhood to pull the bar, the activities of all. This can also be said to be the first major problem plaguing patients with frozen shoulder.

The next thing is limited mobility, which may start with limited dorsal extension, abduction, and later forward flexion. Many people are unable to dress themselves, especially women.

Then there is the fear of cold, one patient had to wear long sleeves even in the middle of summer, and even opening the window with a bit of wind made him feel cold. This is why the pain is generally so bad in the second half of the night.

There is also muscle compression around the shoulder, as the pain is braked in most patients, so there is bound to be muscle atrophy over time.

So what's the best way to treat frozen shoulder?

The easiest way to do this is what is often referred to as working out on your own at home, pulling the bar and climbing the wall with your fingers. Acupuncture, massage is also commonly used. In fact, the effect of these treatments is too slow, and often patients give up because of the pain and slow results.

The best way is shockwave plus suspension treatment with large joint release and ultrashort wave pain relief. It can relieve pain and speed up the recovery of joint function in a short time.

There is another method, a closed shot. This requires a certain amount of skill and experience to get into the tendon sheath where the inflammation is. Unfortunately, few people can do this nowadays, and closed treatment is not advocated nowadays.

Frozen shoulder is a very torturous disease, do not procrastinate, the problem immediately go to the treatment will take a short time, the effect is good.

I'm Dr. Lee from the Rehabilitation Department. Click the upper right corner to follow me, stay away from sub-health and enjoy a healthy life.

(April 8, 2018 Dr. Tsang has questions and answers)

Frozen shoulder is the old term for what is now called "adhesive capsulitis" because of the inaccurate definition of the term and the discrepancy with the pathologic changes.

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What are the causes of frozen shoulder?

1. Joint tissue degeneration:It occurs most often in middle-aged and older adults over the age of 40, with chronic hyperactivity, or a history of trauma, and these age-related, tissue traumas can cause tissue lesions.
   

2. Combined cervical spondylosis:Middle-aged and elderly people because of the cervical spine aging degeneration, compression of the nerve after the shoulder pain, making the patient to reduce the activity of the affected limb, long-term will cause local key adhesions.

3. Combined diabetes:Poor glycemic control in diabetic patients can damage the tiny arteries in the shoulder joint and even harden and occlude them, ultimately leading to insufficient nutrient supply to the shoulder joint and finally necrotic adhesions in the shoulder joint.
   

What are the symptoms of frozen shoulder?

• Joint inflexibility occurs afterJoint stiffness, persistent pain around the shoulder joint, impaired mobility in all directions, passive position of the shoulder due to pain, etc.. For example, shoulder activities such as lifting your arms, holding your hands flat, scratching your back, and brushing your hair can trigger significant pain.
  

How is frozen shoulder treated?

• The disease is self-limiting, usually around 12-24 monthsself-healingLibyan Arab JamahiriyaSixty percent of patients do not fully recover to a normal level of shoulder function.

• The main purpose of treatment is to relieve pain: ① physical therapy, acupuncture, massage, etc. can significantly improve the symptoms; ② pain can not be relieved, can be injected locally to relieve pain; ③ regardless of the duration of the disease, short, light, heavy, should be carried out on a daily basis for the independent activities of the shoulder joint, to ensure that the function of the future normal, it is recommended that commonly used "rotary disk" exercises Shoulder joint (as below); ④ Surgery: this can only be judged by professional doctors, so I will not repeat here.

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Frozen shoulder is also known as periarthritis of the shoulder, with frozen shoulder will gradually produce pain in the shoulder, and the activity function is gradually lost, mainly manifested as chronic specific inflammation of the shoulder joint capsule and its surrounding ligaments, tendons and synovial membrane damage. So, what are the performance characteristics of frozen shoulder?

1、Fear of cold in the shoulder. This is due to the fact that frozen shoulder is a chronic inflammatory disease, the blood vessels in the shoulder are constricted and the blood supply is insufficient due to the action of inflammatory factors. As a result, the muscle cells cannot carry out normal metabolism, and the heat production is insufficient, so the shoulders of patients with frozen shoulder will feel a kind of cold from the inside out.

2. Severe pain in the shoulder. Due to the continuous ischemia and hypoxia of the muscles, the muscles atrophy further, and the muscles are unable to provide the corresponding functions and are more prone to be damaged at the same time. Therefore, when performing some abduction, external rotation, internal rotation, etc., although it can be accomplished, you will feel a muscle tear-like pain.

3. Restriction of shoulder movement. Due to the further development of the disease, the muscle atrophy will involve the joint capsule and the soft tissues of the joint surface, causing adhesion between them. In this case, abduction and uplift, internal and external rotation and other movements can not be accomplished, which may even seriously affect the normal daily life of patients with frozen shoulder.

4、Apparent pressure and pain sensation. Most patients with shoulder arthritis can obviously feel pain in the dark places around the shoulder joint, and the pain is mostly found in the biceps, scapula acromion.

5. Muscle spasm and atrophy. Due to prolonged ischemia of the muscles, degenerative atrophy of the muscles has already occurred in the frozen phase of shoulder arthritis. At this time, due to the almost complete loss of muscle function, the pain is reduced instead.

The above five points are the common clinical symptoms of shoulder arthritis, which should be seen in the outpatient clinic if they occur.

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Frozen shoulder is not a specific disease, but a series of diseases that are characterized by shoulder pain and limitation of shoulder joint function. Currently, there are many types of frozen shoulder, including shoulder impingement, calcification of supraspinatus tendon, tendovaginitis of the long head of biceps, frozen shoulder, and rostral synostosis. The clinical manifestations of each type of frozen shoulder are also different. The following is a brief description of the symptoms of each disease.

Shoulder impingement: A chronic pain disease caused by the impingement and friction between the muscles and ligaments under the acromion and the top of the acromion when the shoulder joint is abducted. This disease is characterized by pain when the shoulder joint is abducted at 60°~80°, or a feeling of shoulder joint impingement, and the need for internal and external rotation in order to continue to lift the upper arm. The pain is more severe at the site of impingement or friction, and the pain point is usually around the acromion. The pain is often worse at night than during the day.

Calcification of supraspinatus tendon, the severity of the symptoms varies according to the size of the calcified tissue and whether it causes inflammation or not; it is classified into chronic, subacute and acute onset. The pain caused by calcification of supraspinatus tendon is mainly pins and needles pain on the lateral side of the shoulder; in the acute stage, the pain is gradually aggravated and may be accompanied by muscle atrophy, oral painkillers cannot achieve the effect of pain relief, which affects the sleep and life, and the shoulder joint basically loses the ability of abduction. With the reduction of inflammation and shoulder exercise, the pain gradually decreases, but the symptoms may recur.

Biceps long head tenosynovitis: the long head of biceps muscle walks in the intertrochanteric sulcus of the humerus, and is subjected to repeated friction and damage when the shoulder joint is abducted, adducted and rotated, and is prone to adhesion and inflammation, which causes pain in the shoulder joint. Shoulder pain is more obvious in the anterior side of the shoulder, especially in the intertrochanteric sulcus of the humerus, and the pain is more severe at night than during the day, affecting sleep and life.

Frozen shoulder. Epidemiologic studies show that the most common population is middle-aged and elderly people over 40 years old, the incidence of women is higher than that of men, and the incidence of the left shoulder is more than that of the right shoulder. The main clinical manifestations are shoulder pain, which is aggravated with the progression of the disease, as well as limitation or loss of abduction, extension and rotation of the shoulder joint. The pain mainly occurs in the anterolateral aspect of the shoulder, and may radiate to the elbow, hand, and scapular region, but there is generally no sensory impairment. Persistent pain not only interferes with sleep, but may also lead to muscle spasm and atrophy. Pressure pain is felt in front of, behind and around the shoulder, especially in the area of the long head of the biceps tendon. The pain increases when the shoulder is abducted, rotated or extended. When the frozen shoulder is not treated and exercised for a long period of time, the muscles around the shoulder will undergo wasting atrophy, and the atrophy of the muscles may also lead to spasm of the surrounding blood vessels, resulting in insufficient blood supply to the affected side of the upper limb, and blood circulation and sensory abnormalities in the endings of the affected limb.

The symptoms of frozen shoulder can be seen directly in the definition of the disease. Although it is a collective term for a group of diseases, the characteristics of the symptoms and the relevant examinations allow us to establish the category of the disease and to treat it accordingly.

Answer: Xiang Yi, Practicing Physician

Welcome to Apricot Island for more interesting health facts!

What is frozen shoulder?

Frozen shoulder is also known as periarthritis of the shoulder, commonly known asFrozen shoulder, fifty shoulder, leaky shoulder, frozen shoulder, etc.It is a chronic injurious inflammation of the tissues surrounding the shoulder joint, including muscles, tendons, bursa and joint capsule, with soreness and heaviness of the shoulder as well as limitation of movement and stiffness as the main clinical symptoms.

Clinical manifestations of frozen shoulder

• Pain around the shoulder

Frozen shoulder pain is mostly confined to the deltoid muscle and adjacent areas, but once the pain induces muscle spasm, the pain can be more extensive, and sometimes it can also radiate along the back of the upper arm to the elbow. At the beginning of the shoulder is paroxysmal pain, most of the chronic episodes, and then the pain gradually intensified or a dull pain, or cut-like pain, and persistent, climate change or after exertion often make the pain aggravated. There is a clear relationship between the pain and movement and posture, and with the prolongation of the course of the disease, the scope of the pain gradually expands.

• Joint dysfunction

Restriction of functional shoulder joint motion is another feature of frozen shoulder. Generally, limitation of shoulder joint activity occurs 3-4 weeks after pain symptoms become obvious. Early limitation of shoulder joint kinetic activity may be due to pain and muscle spasm, while late limitation of shoulder joint activity is due to adhesion and spasm of the joint capsule, ligaments and other soft tissues, etc. The shoulder joint is obviously stiff and shows all-round limitation of joint functional activity.

Moreover, as the disease progresses, the pain gradually decreases, but the degree of limitation of joint movement becomes more and more serious, and the limitation of shoulder joint movement is generallyLimitations in abduction, supination and internal and external rotation are more pronounced。

• indentation

In most patients, significant pressure points can be palpated around the shoulder joint. In the biceps long and short head tendons, supraspinatus muscle attachment points, the anterior and posterior border of the deltoid muscle and the subacromial bursa. There is obvious tenderness at the rostral process, especially in the long head tendon groove of the biceps tendon, and most of them show widespread tenderness in the periapical soft tissues, and the absence of tenderness points is rare .

• Muscle spasms and atrophy

Early spasm of the deltoid muscle, supraspinatus muscle and other peripheral shoulder muscles may occur, and in the late stage, wasting muscle atrophy may occur, with typical symptoms such as inconvenience in lifting the shoulder peak and unfavorable backward bending. At this time, the pain symptoms are reduced.

• X-rays and laboratory tests

Routine radiographs were mostly normal, with osteoporosis seen in older patients or those with longer disease duration, but no bone destruction, and signs of calcification of the supraspinatus tendon and subacromial bursa were also seen.

Frozen shoulder is a common shoulder disease in our orthopedic practice. Especially the majority of patients are also aware of the disease of frozen shoulder. So as long as the shoulder pain will be thought to be this disease. In fact, there are still many diseases that cause shoulder pain. Never blame frozen shoulder for all the shoulder pain and mobility problems.

1. Interpretation of the definition of frozen shoulder

Frozen shoulder, also known as frozen shoulder, is now commonly called adhesive capsulitis. As the name suggests, it is a condition in which the capsule of the shoulder joint adheres and stiffens for a variety of reasons, resulting in joint pain and impaired movement in all directions. This definition conveys an important message to us that a frozen shoulder must have limited motion in order to be called a frozen shoulder. If there is only pain in the shoulder joint, but no limitation of motion, then it is basically not frozen shoulder.

2. What are the symptoms of frozen shoulder?

1. Frozen shoulder has different degrees of active and passive limitation in all directions. The active limitation here means that the patient's movement is limited when he moves the shoulder joint by himself. Passive limitation of motion means that the shoulder joint is limited in motion even with the help of external force. The patient is often unable to comb his/her hair or wash his/her face. It is as if the shoulder joint is frozen. The term "frozen shoulder" describes this symptom. 2, pain around the shoulder joint. Generally speaking, in the early stage of the disease, the patient can still say where the pain is, with the progress of the disease, the scope of the pain is gradually expanding, and the patient is not too clear about the specific parts of the pain. Severe patients will wake up at night when they turn over and move their shoulders. 3. Most books on this disease say that it is a self-limiting disease. Generally 1 year to 2 years will be self-healing. But as far as my personal observation is concerned, very few people can recover to the level before the disease.

3. Treatment of frozen shoulder

1, first of all, I think we should focus on prevention. Avoid injury to the shoulder joint. Avoid braking the shoulder for too long.2. Once the above symptoms appear in the shoulder, consult a doctor in time. Because there are many reasons for shoulder pain and activity limitation, the treatment is also different. So the diagnosis must be correct before treatment.3. Physiotherapy, acupuncture, massage and other therapies can be carried out in the early stage of frozen shoulder. For those with severe pain, you can apply topical Fitalin ointment and take oral non-steroidal painkillers (ibuprofen, indomethacin, meloxicam) to relieve the symptoms. If the pain point is very obvious and the pain is intense, you can carry out the pain point closure treatment, which can significantly relieve the symptoms. 4, functional exercise. This is very important, patients need to daily active shoulder joint activities. The activity is limited to not cause shoulder pain. Remember, must insist. 5, for the long course of the disease, conservative treatment is ineffective patients can try adhesion release surgery under anesthesia.

Diagnosis and treatment of frozen shoulder!

In the case of frozen shoulder, first of all, the time of its onset, age. Diseases are mostly prevalent in women around 50 years old, and frozen shoulder has a clear staging. Mainly divided into three phases, respectively: acute pain period, adhesion period, recovery period, phasing is gradual, acute pain often leads to shoulder joint activity is limited, prolonged pain, shoulder joint activity is unfavorable, there will be the second phase of muscle adhesion, when the pain occurs, we can use acupuncture treatment, the initial phase of the pain to eliminate, to prevent muscle adhesion.

3. A definitive diagnosis can be made after other diseases have been ruled out. Especially in women during menopause. For his pain range. In the acute pain stage, female patients complain of anterior shoulder pain, especially the long and short head attachment of the biceps muscle in front of the shoulder joint is prone to pain, accompanied by unfavorable flexion and extension of the shoulder joint, and obvious pressure pain. In the adhesion stage, there is obvious activity limitation, the most common is that the back of the hand does not come back, that is, unfavorable movement of the hand to the back, and the shoulder cannot be lifted. Moreover, the pain is more obvious at night.

4. For patients with frozen shoulder, the preferred treatment, acupuncture and massage. Acupuncture can quickly relieve the pain of frozen shoulder, can relax the muscle ligaments and prevent muscle adhesions.

5. For acupuncture treatment of frozen shoulder, there are several main points to pay attention to. First, staging and typing. According to the patient's pain area activity to consider which period he is in, you can target the treatment. Second, if there are adhesions in the patient, we have to consider more. The relaxation of the muscles above and below the scapular post, especially the relaxation of the lower part of the scapular post of the large round muscle, small round muscle, can be very good to relieve the activity limitation of frozen shoulder. Third, acupuncture points still vary from person to person and from disease to disease. I personally prefer to use long needle penetration method of treatment.

Hi, there are five main symptoms of frozen shoulder:

I. Shoulder pain. The onset of the pain is paroxysmal at first, after which it gradually increases and can be affected by the weather.

Second, shoulder joint activities are restricted. It can be found that shoulder joint activities-supination, abduction, external rotation and internal rotation-are limited, and when the condition worsens, it can cause adhesion of the joint capsule and periapical soft tissues, and the periapical joint limitation is even more serious.

Third, the affected area is afraid of cold, the patient will subconsciously focus on the protection of the affected area.

Fourth, the pressure pain is obvious. There is marked tenderness around the shoulder joint.

Five, muscle atrophy and muscle spasms can occur.

If any of these symptoms manifest themselves, then the patient should pay attention. Some people may think that frozen shoulder is a minor disease that will get better even without treatment. This is definitely a wrong perception, because there are many causes of frozen shoulder, and the symptoms as well as the degree of each patient vary greatly, so if the disease is easily ignored, then there is a good chance that more serious symptoms will occur.

Frozen shoulder is a common orthopedic disease, and people suffering from frozen shoulder are in great pain once they have an attack. Frozen shoulder is characterized by shoulder joint pain and activity inconvenience, and is most common in people over 40 years of age, with a slightly higher incidence in women, and mostly in manual laborers. Therefore, we should look at this disease correctly, even if you have already suffered from frozen shoulder, you should have a positive treatment mentality.

Harms of frozen shoulder: First, the patient's shoulder joint activities are restricted, affecting work and life. Second, the patient's shoulder is often sore. Third, it affects the patient's sleep. Fourth, if the patient has frozen shoulder on one side, the other side will also be affected after a long time. Fifth, the affected part of the patient will be very afraid of cold and need to focus on protection.

When it comes to the symptoms of frozen shoulder, the first thing that comes to mind is shoulder pain, but in actual clinical medicine it's not that simple.

First of all, shoulder pain does not mean frozen shoulder!

If you have shoulder pain after a traumatic shoulder injury, is there a rotator cuff injury to consider at this time?

If there is no trauma to the shoulder pain, at this point it is important to consider whether it is shoulder impingement syndrome, dorsal shoulder fasciitis, etc.

Also acute cholecystitis attacks can cause back pain in the right shoulder.

So shoulder pain isn't exclusive to frozen shoulder, there are so many other little people who also experience shoulder pain at the same time.

Secondly, what are the symptoms of frozen shoulder?

1. Pain

It is indeed shoulder pain, and the pain is also characterized by many other features: for example, the pain is often worse at night, making it impossible to sleep; there is pressure pain in the anterior and posterior part of the shoulder, under the acromion, and at the deltoid muscle stop; the pain is aggravated by abduction, external rotation, and posterior extension of the upper arm; and sometimes the pain radiates to the elbow, the hand, and the scapular region, but there is no sensory impairment.

2. Activity barriers

The shoulder joint is the joint with the largest range of motion and movement among all the joints in the human body, and a very typical feature of frozen shoulder is that the motion of the shoulder joint is limited in all directions; thus, it greatly shows the inconvenience in life, including washing face, combing hair, wearing clothes and taking off sleeves are all limited in different degrees, which is the most crucial point of difference!

3. Muscle atrophy

If you have a chronic frozen shoulder and don't actively exercise, you can easily develop muscle wasting atrophy (deltoid atrophy).

Finally, the treatment of frozen shoulder is mainly through exercise, conservative treatment, most people can gradually get better and cured. For a few people who have not benefited from long-term non-surgical treatment, surgical treatment may be considered.

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Hello! Thanks for the invitation!

Symptoms of frozen shoulder include symptoms such as pain in the shoulder (chronic progressive pain), limitation of motion (restricted movement of the joint in multiple directions) and secondary muscle spasm and atrophy (deltoid, supraspinatus, etc.).

It's important to note in particular that just because you have shoulder pain doesn't necessarily mean you have frozen shoulder.

Shoulder pain is a very common symptom and ranks second among skeletal muscle disorders, after low back pain. There are many causes of shoulder pain, the most common being rotator cuff injury, which accounts for 23% of the causes of shoulder pain, while frozen shoulder only accounts for about 5%, and other causes of shoulder pain include cervical spondylosis and fasciitis of the back of the shoulder.

So, the absolute majority of shoulder pain is not necessarily frozen shoulder, but could be something else.

Frozen shoulder is defined as a chronic non-specific inflammation of the ligaments, tendons and synovium surrounding the shoulder joint, also known as frozen shoulder, so limited movement in the shoulder joint is a very important feature in the diagnosis of frozen shoulder.

However, on the flip side, having limited shoulder motion doesn't necessarily mean you have frozen shoulder.

If your shoulder pain does not get better for a long time, it is still recommended that you go to the hospital and have your doctor give you a specific diagnosis and treatment according to the situation.