Why are people around the age of 50 prone to shoulder periarthritis? What should I do if scapulohumeral periarthritis is committed?

Why is scapulohumeral periarthritis called "fifty shoulders"?

Why are people around the age of 50 prone to shoulder periarthritis? What should I do if scapulohumeral periarthritis is committed?

Why is scapulohumeral periarthritis called "fifty shoulders"? After middle-aged and elderly people, their physical fitness gradually declines, physical activity decreases, and shoulder exercise is less. In addition, due to the dysfunction of autonomic nervous system and endocrine system, blood circulation slows down, part of capillary network is closed, and blood supply is not smooth, which leads to the decline of shoulder soft tissue metabolism and degeneration. At this time, any harmful stimulation to the shoulder can lead to systemic inflammatory degeneration, inflammatory exudation, fibrous tissue proliferation, adhesion between tissues, and further painful contracture or disuse atrophy, which is manifested as limited shoulder and arm movement and muscle atrophy.

The symptoms and prevention of fifty shoulders are unconscious and are often found when you do the following actions, such as:

How to prevent fifty shoulders? How to avoid fifty shoulders: no lifting weights, no hanging elbows?

The biggest feature of the food in the freezer is that it is frozen into a hard state. Fifty shoulders are called "frozen shoulders" and "frozen shoulders" because they will be hard, lose elasticity like frozen shoulders, and are difficult to move, just like frozen shoulders. If ignored, the angle of motion of shoulder joint will be more and more limited, and even affect the ability of daily life.

Reluctantly holding your arms high above your head and taking heavy objects from a height are the most likely to cause injury and pain to the supraspinous muscles, leading to shoulder joint adhesion, 50 shoulders. It is suggested that if you want to pick up something tall, you should pad it with a chair or ladder first to avoid holding your arms high and moving in parallel to take it down.

When using the computer at ordinary times, you should have a moderate rest and pay more attention to your posture. Your elbow should be gently placed on the desktop to type, so that your shoulders can be in a relaxed posture. Don't type with elbow height's shoulder hanging, which will make your shoulder tense and uncomfortable, and increase the chance of suffering from fifty shoulders.

When cleaning at home, such as sweeping the floor and sucking the floor, it is often necessary to stretch your arm forward repeatedly. Over time, injuries will accumulate, leading to premature deterioration of shoulders. It is suggested to make good use of scientific and technological household appliances, such as automatic vacuum cleaning and sweeping robots, to reduce the stress on the shoulder joint.

What caused scapulohumeral periarthritis? Strictly speaking, the etiology of scapulohumeral periarthritis is still unclear, which may be related to the following three factors:

1. Diseases other than shoulder joint, such as pneumonia, coronary heart disease, cholecystitis, etc. Reflexively cause shoulder pain and make shoulder joint dysfunction. The above diseases are easy to occur in middle-aged and elderly people over 50 years old, which explains the question of the subject well.

2. Orthopedic diseases, such as cervical spondylosis and upper limb fracture, need to fix the arm around for a long time.

3. Shoulder joint diseases are mainly the aging and degeneration of shoulder joint itself, such as posterior superior tendinitis, subacromial bursitis, biceps brachii, tendonitis of long head, etc.

How to treat scapulohumeral periarthritis? 1. Conservative treatment It should be noted that most patients can be cured by non-surgical treatment.

At the beginning of the disease, the upper limbs were suspended and braked, and the shoulder joints were lightly moved several times a day, and oral analgesic drugs were taken to relieve the pain.

If the local tenderness point of the shoulder joint is limited, the blocking treatment is also immediate, once a week/kloc-0, 2-3 times.

Physical therapy or hot compress is helpful to relieve spasm, diminish inflammation and relieve pain.

Proper massage can not only relieve pain, but also help to increase the range of motion of the shoulder.

It is one of the main rehabilitation methods of scapulohumeral periarthritis to actively and systematically practice the active function of shoulder joint within the range of pain tolerance.

2. Surgical treatment is ineffective for conservative treatment. There are two main surgical methods: fixation or transfer of long head tendon of biceps brachii and coracoid ligament amputation, which are not commonly used in clinic.

In fact, scapulohumeral periarthritis is like a vegetable. It is a general term, and there are cabbages, carrots, cauliflower and so on. Modern medicine has done more in-depth research on scapulohumeral periarthritis, and found that the so-called scapulohumeral periarthritis is actually a comprehensive concept composed of many diseases.

Make friends with doctors and let everyone become their own health care doctor!

At present, we know that scapulohumeral periarthritis is composed of biceps brachii long head inflammation, joint bursitis, rotator cuff injury, acromion impact and other diseases. The cause of each disease, the location of pain, the onset time of pain and the way of relief are different, but it is difficult to distinguish this difference without MRI and detailed physical examination. For primary doctors, it is still generally judged that scapulohumeral periarthritis adopts traditional treatment schemes.

If the treatment plan is wrong, the treatment effect will definitely be bad. For example, severe rotator cuff injury, pain and scapulohumeral periarthritis are really similar, but the more exercise, the more serious it is. So why do some people say that the treatment of scapulohumeral periarthritis is difficult, because there is no correct treatment.

In case of scapulohumeral periarthritis, please go to a regular big hospital to find an orthopedic surgeon to carefully judge what kind of injury it belongs to. Only by making a clear diagnosis and treatment according to the etiology can we have a good effect.

Simply put, scapulohumeral periarthritis is related to deficiency of qi and blood, exogenous pathogenic wind, cold and dampness, and traumatic strain. When people reach middle age, their qi and blood are weak, so scapulohumeral periarthritis generally occurs at the age of 40 ~ 50: exogenous pathogens invade, block qi and blood, and it hurts if it doesn't work, and scapulohumeral periarthritis will occur.

Understand the symptoms and causes of scapulohumeral periarthritis, and you can get a treatment. Since qi and blood are weak, it is necessary to replenish qi and promote blood circulation, and cooperate with the treatment methods of expelling wind and cold, promoting diuresis and dredging collaterals. Acupuncture and massage are usually the main treatment methods of traditional Chinese medicine, and combined with oral Chinese medicine, obvious therapeutic effects can be achieved.

From the perspective of western medicine, scapulohumeral periarthritis needs active anti-inflammatory analgesia and rehabilitation training;

Pendulum movement puts healthy arms on the table and leans forward about 45 degrees. Relax the affected side, slowly swing clockwise for 50 times, then swing counterclockwise for 50 times as a group. Meiri 2 zu

Climb the wall and lift the shoulder: stand facing the wall with your toes about 30 cm away from the wall. Lift the affected limb, stick your fingers against the wall, then slowly climb up with your fingers against the wall, stay at the highest tolerance point for about 10 second, and then slowly climb down. 10 times as a group. Meiri 2 zu

Shoulder abduction: stand about 45 cm away from the wall, with your body at a 90-degree angle with the wall. Abduct the affected limb, stick your fingers to the wall, then slowly climb up the wall with your fingers, stay at the highest point where you can stand for about 10 second, and then slowly climb down. 10 times as a group. Meiri 2 zu

The towel is in a standing position, with both hands holding the towel behind your back, with the affected hand below and the healthy side above. Pull up the towel slowly on the healthy side, so that the affected shoulder joint can be passively pulled to the highest point, and slowly relax for 10 second, and repeat 10 times as a group, 2 groups a day.

It should be noted that shoulder pain is not necessarily scapulohumeral periarthritis because cervical spondylosis can also cause shoulder discomfort. Other diseases, such as rotator cuff injury and long head inflammation of biceps brachii, can also cause pain in shoulder joint movement, but it will not cause shoulder joint movement disorder and decrease movement angle. Therefore, everyone should recognize the causes of shoulder pain so as not to delay treatment.

The code word is not easy, please like it and click "+attention" in the upper right corner to update the orthopedic science knowledge every day. If you have any questions or different opinions, please leave a message in the comment area. Periarthritis of shoulder is a common disease with shoulder pain and difficulty in moving. Because scapulohumeral periarthritis mostly occurs in people around 50 years old, it is named "Fifty Shoulders". Then we should not only ask, why are people around 50 years old prone to scapulohumeral periarthritis?

First, people around 50 years old, connective tissue, ligaments, tendons, bursa of fabricius, etc. Has begun to lose elasticity and toughness, has begun to fibrosis, has been unable to do the original physiological function should bear the load.

Second, the shoulder joint has a wide range of activities. In the process of activity, the position changes between tissues around joints and the resulting opportunities for mutual friction are more than those of other joints. 50-year-old people are prone to problems because of the aging of the bursa in this easy-to-rub part.

Third, after the age of 50, physical fitness gradually declines, physical activity decreases, and shoulder exercise is less. Due to the dysfunction of autonomic nervous system and endocrine system, blood circulation slows down, part of capillary network is closed, and blood supply is poor, which leads to the decline and degeneration of shoulder soft tissue metabolism.

People around 40 or 50 years old, due to the aging and degeneration of the tendon of the suprapost muscle, once sprained, edema and fibrosis, it is difficult to recover on their own.

These are the reasons why people aged 50 are prone to scapulohumeral periarthritis. Periarthritis of shoulder is very painful, what should I do?

First, you can massage, rub massage essential oil on the pain of scapulohumeral periarthritis, and massage with moderate intensity, which can obviously relieve symptoms.

Second, you can put a plaster on the pain and take it off after 24 hours, which also has a certain effect.

Third, you can cupping, massage the pain a little, and then cupping. The symptoms can be obviously relieved after cupping.

Fourth, don't work at your desk for a long time. When you feel tired, you need to get up and move your arms, swing your arms and turn your neck to promote blood circulation to alleviate the symptoms of scapulohumeral periarthritis.

5. Do more shoulder exercises at ordinary times, raise your arms upward to reveal the position of 10: 10, walk for about 10 minutes, put it down, relax a little, do it again and do it repeatedly.

Today, I will introduce you to a disease that puzzles our parents, which is the legendary fifty shoulders.

Shoulder periarthritis is also called scapulohumeral periarthritis, commonly known as coagulation shoulder and fifty shoulder.

Shoulder pain gradually appears, especially at night, and the limited function of shoulder joint is aggravated. After reaching a certain level, it gradually relieves until it finally recovers completely.

Mainly manifested as chronic specific inflammation of the shoulder joint capsule and its surrounding ligaments, tendons and synovial bursa.

Periarthritis of shoulder is a common disease with shoulder pain and mobility difficulties as the main symptoms. The onset age of the disease is about 50 years old, and the incidence rate of women is slightly higher than that of men, which is more common in manual workers. If there is no effective treatment, it may seriously affect the functional activities of the shoulder joint. The shoulder joint may have extensive tenderness and radiate to the neck and elbow, and there may be different degrees of triangular muscular atrophy.

Here are some simple and effective rehabilitation methods for you: fitness stick practice, preparing a fitness stick with a length of 1- 1.2 meters or a self-made straight wooden stick. You can compare the number of exercises with the pictures.

FS- 1 shoulder buckling motion

1, standing posture, feet shoulder width, hands hanging down, palms holding the fitness stick, the distance is about 40-60 cm.

2. Raise your arms forward and upward over your head and keep your posture at the highest point you can reach.

3. Keep your torso straight and your elbows straight. Don't lean back or bend your elbows.

4. When exercising, do 1-2 groups every day, each group 10 times, lasting 5 seconds each time.

FS-2 Shoulder Stretching Exercise

1, standing posture, feet shoulder-width apart, holding a fitness stick behind your hands, with a distance of about 40-60 cm.

2. Put your arms back, keep the fitness stick away from your body, and keep your posture still at the farthest point you can reach.

3. Keep your torso straight and your elbows straight. Don't drive or bend your elbows.

4. When exercising, do 1-2 groups every day, each group 10 times, lasting 5 seconds each time.

FS-3 shoulder external rotation exercise

1, supine position, elbows bent 90 degrees, so that the upper arm is naturally placed on the bed, the forearm is perpendicular to the body, and the fitness bar is held in the palms of both hands, and the spacing is shoulder width.

2. Apply force to the healthy arm, and push the affected arm outward with the help of the fitness stick, keeping the posture at the outermost point that can be touched.

3, pay attention to keep the upper arm and elbow joint still, always stick to the sides of the body,

4. When exercising, do 1-2 groups every day, each group 10 times, lasting 5 seconds each time.

FS-4 Shoulder Internal Rotation Exercise

1, standing posture, healthy arm from head to back, hold one end of the fitness bar, then put the affected arm back to back through the waist and hold the other end of the fitness bar.

2. Push the healthy arm hard, pull the fitness stick upward, and keep the posture at the highest point you can reach.

3, pay attention to keep the trunk straight, make fists with both hands, and don't drive or get rid of it.

4. When exercising, do 1-2 groups every day, each group 10 times, lasting 5 seconds each time.

FS-5 Shoulder abduction and adduction exercises

1, standing posture, feet shoulder width, hands hanging down, palms up holding the fitness stick, the distance is about 40-60 cm.

2. When practicing abduction, the healthy arm exerts its strength, pushes the affected arm outward with the help of the fitness stick, and maintains the posture of the outermost point that can be achieved.

3. When practicing adduction, the healthy arm exerts its strength, and pulls the affected arm inward with the help of the fitness stick, and maintains the posture of the innermost point that can be achieved.

4. Always keep your elbows straight.

5. During the exercise, every day, 1-2 groups, each group 10 times, each time in the abduction and adduction position for 5 seconds.

FS-6 scapula active range of motion exercise

1, standing posture, feet shoulder width, shoulders drooping naturally,

2. Try to shrug your shoulders and keep your posture still.

3. Try to clamp the shoulder backwards, as if to put the two shoulder blades together and keep the posture still.

4. Try to stretch your shoulders down, as if to put two shoulder blades in your pockets and keep your posture still.

5. Always keep your torso straight, and don't drive or lean back.

6. During the exercise, 1-2 groups every day, each group 10 times, each time for 5 seconds in each position.

FS-7 chest muscle stretching exercise

1. Stand facing the door or corner, with your feet shoulder-width apart, hands slightly above your head, and hold the door frame or wall.

2. Lean forward until there is a pulling feeling in front of the pectoral muscle or shoulder joint, and keep the posture still.

Keep your torso straight and don't bend over.

4. During the exercise, you should have 1-2 groups every day, 3 times in each group, and 15-30 seconds each time.

FS-8 biceps brachii stretching exercise

1. Stand facing the wall, with your body about 15-20cm away from the wall, lift the affected arm horizontally, and make a fist with your palm down against the wall.

2. Rotate the body to the healthy side until there is a pulling feeling in front of the biceps brachii or upper arm, and keep the posture still.

3. Keep your elbows straight.

4. During exercise, 1-2 groups every day, 3 times in each group, each time 15 seconds.

First of all, 50 years old is an age that is no longer young. Tendons and ligaments around the arms and shoulders are strained due to long-term excessive activity, which leads to fibrosis of these muscle tissues. At this time, coupled with the destruction of external forces, it is very prone to inflammation, leading to the emergence of scapulohumeral periarthritis.

Furthermore, with the passage of time, the nerve tissue and capillary tissue around the shoulders of people around 50 years old are aging, and even the peripheral nerves and capillaries are dysfunctional, which leads to problems in local blood supply and local nerve induction, so it is very easy to degenerate and degenerate, leading to the emergence of scapulohumeral periarthritis.

What should I do if scapulohumeral periarthritis is committed?

Exercise: You can usually lift your arm at 10: 10, so lifting your arm for a period of time, limited to ten minutes, and doing it several times a day can effectively improve the symptoms of scapulohumeral periarthritis.

Pay attention to rest: it's hard to work at your desk every day. Don't neglect rest. After working for an hour, you need to rest in time, stand up and exercise, shake your head, shake your neck and swing your arms, all of which can relieve scapulohumeral periarthritis.

Massage: If scapulohumeral periarthritis occurs, you can massage the muscles and ligaments around your shoulders in time. When you massage, you can apply essential oil to promote blood circulation and remove blood stasis. It is very useful for treating scapulohumeral periarthritis.

Cupping: Cupping is the quintessence of traditional Chinese medicine. Many people believe in cupping. Cupping can also be used for periarthritis of shoulder, which can relieve the pain of periarthritis of shoulder.

First of all, why is it easy to get scapulohumeral periarthritis around 50 years old? A machine may have problems after 50 years of use. Shoulder joint will wear and age after 50 years of use, and the surrounding tendons will also wear and tear, leading to scapulohumeral periarthritis.

Some surveys and studies have found that women with diabetes, thyroid dysfunction and menopause have a higher probability of freezing.

Secondly, what should I do if I get scapulohumeral periarthritis? The first is to improve joint mobility. In fact, many joint motion limitations are caused by pain, and the joint motion will be significantly improved after the pain is relieved. Of course, passive and active joint exercise is also very important. Common ones are climbing walls and exercising with gymnastics sticks.

Periarthritis of shoulder, also known as scapulohumeral periarthritis 50, generally occurs in people aged about 50 or above, especially women are much more than men. As for why people around the age of 50 are prone to scapulohumeral periarthritis, in fact, the current mechanism is not completely clear. Modern research shows that scapulohumeral periarthritis is easy to occur around 50 years old, which may be related to the fact that 50 years old is the watershed of human age.

Around the age of 50, it is the stage when people's life cycle degenerates from prime to old age. At this stage, the autonomic nervous system and endocrine system are dysfunctional, and the gonadal function is obviously reduced, which easily leads to psychological and physiological disorders, which is called "menopausal syndrome". On the one hand, the dysfunction of autonomic nervous system and endocrine system will inevitably affect vascular motor function and metabolism; On the other hand, from the physiological point of view, at this stage, the tissues and cells of various systems of the human body are aging and degenerating, and in the exercise system, osteoporosis and muscle weakness are prominent. At this time, any harmful stimulation to the shoulder can lead to systemic inflammatory degeneration, inflammatory exudation, fibrous tissue proliferation, adhesion between tissues, and further painful contracture or disuse atrophy, which is manifested as limited shoulder and arm movement and muscle atrophy.

But in fact, not all people will have scapulohumeral periarthritis at the age of 50, and only a few people are prone to scapulohumeral periarthritis. In fact, scapulohumeral periarthritis is just a general traditional name in China. In modern medicine, scapulohumeral periarthritis is not just simple scapulohumeral periarthritis. Broadly speaking, it actually includes many problems, such as scapulohumeral periarthritis, rotator cuff injury, such as subacromial bursitis and so on. Many patients with shoulder pain always think they have scapulohumeral periarthritis. I have been taking medicine, exercising and procrastinating, especially at night. Many people have obvious pain at night. In fact, the pain at night is a manifestation of rotator cuff injury, so this situation cannot be alleviated for a long time. It is best for patients to go to the hospital for magnetic resonance imaging of shoulder joint, because it is likely to be rotator cuff injury and other diseases. If this is the case, arthroscopic surgery may be needed. Recently, several patients underwent shoulder arthroscopy, some with severe scapulohumeral periarthritis and some with rotator cuff injury. They have a common feature that the pain is obvious and conservative treatment is ineffective, especially at night. There was a patient who didn't sleep well for three months. He told me the next day after the operation and finally slept well.

Speaking of "fifty shoulders", we all know that it is called scapulohumeral periarthritis in medicine, and it is more common in people after middle age in clinic, hence the name. Periarthritis of shoulder is a degenerative change of human body, which is mainly due to the decrease of body activity, slow tissue metabolism, slow blood circulation around shoulder joint and local capillary degeneration with age. If it is influenced by external stimuli again, it will lead to joint adhesion and fibrous tissue hyperplasia. The occurrence of scapulohumeral periarthritis is also related to long-term bad posture, too long shoulder fixation time after upper limb injury and acute shoulder injury.

Clinically, scapulohumeral periarthritis is mainly manifested as shoulder pain and limited activity. Shoulder pain is mainly chronic and paroxysmal, aggravated in rainy days and after fatigue, and the pain is obvious at night. Activities in any direction are limited, especially abduction and pronation, such as combing hair, dressing and washing face in daily life. It is also obvious that patients with scapulohumeral periarthritis are afraid of cold. Even in hot summer, it is difficult to resist the discomfort caused by breeze, and it is necessary to thicken the shoulders to feel comfortable.

In treatment, western medicine mainly takes the initiative to diminish inflammation and relieve pain, which is what people usually call "sealing". For particularly serious cases, surgical treatment can also be considered. Traditional Chinese medicine often treats scapulohumeral periarthritis by acupuncture, pricking collaterals and bloodletting, and external application of traditional Chinese medicine. In recent years, the small needle knife therapy has also had a good effect on the treatment of scapulohumeral periarthritis.

In daily life, patients with scapulohumeral periarthritis can also do some exercises, such as climbing walls and towel exercise, which are simple and safe and suitable for any place. At the same time, patients with scapulohumeral periarthritis should pay attention to protect their shoulder joints in daily life, avoid wind blowing, avoid direct fan blowing in summer, keep their shoulder joints warm in winter, and put on warm babies in advance when going out.

Answer: Chen Changxiao, Master of Medicine.

Welcome to pay attention to the life call order and get more useful health knowledge.