My mother has rheumatoid arthritis, rheumatic heart disease is easy to get heard, I am a bit worried
degenerative diseases of the shoulder joint itself, especially the local soft tissue degenerative changes may be limited due to pain caused by the movement of shoulder periarthritis. The most common cause of periarthritis of the soft tissue inflammation and the degenerative diseases of the tendon tenosynovitis, followed by subacromial impingement syndrome and damage. Because these diseases can be further opened as muscle health, rotator cuff, bursa, joint capsule damage, adhesion, contraction and other pathological changes caused by the occurrence of frozen shoulder, in addition, the shoulder injury and sometimes even minor injury, is also very may become the cause of frozen shoulder.
adjacent parts of the disease
common disorders of cervical lesions and adjacent parts. A considerable number of studies show that the occurrence of patients with cervical disease greatly increases the possibility of frozen shoulder, and the frozen shoulder patient also often accompanied by ipsilateral cervical lateral flexion and rotation of the apparent decline in cervical diseases induced shoulder causes inflammation is not clear, possibly due to spinal nerve root irritation or after the shoulder and arm pain caused by shoulder muscle spasm reduced activities, or cervical disorders of the nervous system dysfunction, in particular, caused by autonomic nerve involvement, therefore, or to judge whether the differential diagnosis of disorders caused by the cervical spine should be careful when frozen shoulder. Other nearby parts of the disease include heart disease, pulmonary tuberculosis, subphrenic disease.
nervous system disease
more clinical observation showed that the risk of paralysis, nerve paralysis and other nervous system diseases, a higher incidence of patients with frozen shoulder. This may reduce muscle strength, exercise less relevant, such as Parkinson's disease patients the incidence of frozen shoulder as high as 12.7%, the reasons for high incidence of the reduced significantly with the movement.
endocrine system diseases
diabetes, hyperthyroidism or hypothyroidism and other endocrine system diseases are also closely related with the frozen shoulder, especially in diabetic patients, the incidence of frozen shoulder combined rate of 10% -20%. Therefore, endocrine disorders may also be a predisposing factor for frozen shoulder.
changes in immune function
frozen Although the occurrence of the immune mechanism is not clear, but seems likely to supraspinatus tendon and tendon tissue and other autoimmune-induced degenerative changes reaction. Frozen shoulder frozen shoulder and in the elderly susceptible to the process of injecting the treatment of adrenal glucocorticoid treatment and so support the immunization-related arguments. In general, 50 years of age and health and other parts of the supraspinatus muscle was significantly thinner, wear, tendon blood vessels at the poor dependent focal necrosis occurred, and the area under the outreach often repeated impact with the acromion. Therefore very vulnerable to damage resulting from inflammation. Local non-bacterial inflammation can produce card-type cellular immune response to foreign bodies, and gradually extended with shoulder-length sleeves and other parts of the joint capsule, causing diffuse joint bursitis. In addition, some patients with periarthritis of human leukocyte antigen HLA-B27 positive rate, 1gA, C-reactive protein and immune complex level of immune parameters is relatively high, these may be related to soft tissue around the shoulder joint caused by fibrosis after injury autoimmune response.
posture disorders
a considerable number of patients with frozen shoulder occur in manual operations, such as sedentary desk job with good posture, and excessive thoracic kyphotic (hump) of the patients significantly easier suffering from frozen shoulder. This may be due to long-term posture disorder caused by bad posture or tilt of the scapula, acromion and humerus are also due to the abnormal position of the stress changes occur gradually formed rotator cuff injury, potentially lead to frozen shoulder.
psychological factors
depression, apathy and emotional suppression and other psychological factors in the city also has a certain relationship between the incidence of frozen shoulder. A considerable portion of patients with frozen shoulder may have mood swings and mental trauma. Or due to chronic illness, social and economic pressure to trap the case of depressed mood. They are more sensitive to pain, lower pain threshold that is often prone to frozen shoulder. Possible reason is that once the shoulder pain and inflammation, these people are often too sensitive because of the pain more difficult to restore motor function. Although frozen shoulder is a wide variety of incentives, but these incentives are common to many of the shoulder joint and soft tissue causing mild non-specific inflammatory changes, which suggest that the cause of frozen shoulder may be multifactorial.
Therefore, in the frozen during the treatment and prevention of the predisposing factors should be treated differently.
treatment options:
1. Periarthritis has its natural course, generally about 1 year to heal. But without treatment, and functional training with, even if the self-healing will be left behind varying degrees of dysfunction.
2. Given early physiotherapy, acupuncture, massage appropriate, can improve symptoms, such as with external application such as: stand at attention eliminate pain stick, the cure rate will be high.
3. Pain point limitations, local injection of acetic acid can be strong pine dragon, can relieve pain, but not long-term use.
4. The pain continues, can not sleep at night, it can take short-term non-steroidal anti-inflammatory drugs, and external application of Chinese medicine, good clinical results are posted at attention eliminate pain.
5. Both long course and short, mild symptoms, weight, should shoulder the active daily activities, activities are limited to not cause pain.
No comments:
Post a Comment