The musculoskeletal system of a person is as vulnerable as other organs. This article will discuss a disease such as periarthritis of the shoulder-shoulder: treatment and symptoms of this problem.
Terminology
Initially, you need to understand the main terms that will be used in this article. So, periarthritis of the shoulder joint, the basic concepts:
- Periarthritis (“peri” - around, around, around) is a disease during which inflammatory processes occur in the tissues surrounding the shoulder joint (ligaments, muscles, tendons, joint capsules). The main difference from shoulder arthrosis is that there is no deep damage to the cartilage itself and other internal structures of the shoulder.
- The shoulder blade area. This is the area surrounding the shoulder joint. It is there that the symptoms will be observed and the pathological condition will be localized.
Symptomatology
What is important to know about a disease such as periarthritis of the shoulder-shoulder? Treatment and symptoms of the disease - this must be described first. It is worth clarifying that the severity of disease indicators will depend on the form of the disease. According to experts, there are three of them.
Periarthritis simple
This is the mildest form of the disease. It begins with mild pain in the shoulder joint. At the same time, they arise only when a person tries to throw his hand behind his back or raise it above his head. Movement in the joint is somewhat limited. Because of the pain, not all of them can be completed.
Acute periarthritis
If, with simple periarthritis, the patient has not received proper treatment, the problem will gradually develop into an acute form. In this case, pain intensifies. The pain gives in the arm, neck. Symptoms occur not only when moving the affected hand, but also at rest. The restriction of movements is gradually increasing. Even touch in the area of the diseased shoulder joint is painful. Other indicators that may occur in this case: an increase in body temperature to 37-37.5 ° C; blood tests change ( ESR may increase, often a C-reactive protein appears). It is worth noting that these are indicators of inflammatory processes that can occur in the body.
Chronic form of the disease
It was the turn to find out what chronic periarthritis of the shoulder joint is, the symptoms and treatment of this type of problem. So, indicators in this case are not so pronounced, however, they remain for the longest possible time. If you do not cope with acute periarthritis in time, it will go into a chronic form. And it is already very, very difficult to treat it (besides, it takes much more time to recover). The pain is tolerable, but a sharp movement of the arm can lead to a “lumbago” and other unpleasant sensations. At rest, pain occurs at night or in the morning, so often the patient’s sleep is disturbed. After a certain time, the disease can go away by itself, but the consequences will be felt for a long time.
The main ways to get rid of the problem
What can be the treatment for periarthritis of the shoulder joint? So, experts identify several areas to get rid of this problem.
- Conservative treatment. The patient is prescribed pills, injections.
- Physiotherapy exercises (LFK).
- Physiotherapeutic treatment.
- Surgical (surgical) intervention.
However, first I want to say that to self-medicate in this case is very dangerous. This can lead to irreversible consequences and deterioration of the patient’s health. With this problem, you should definitely contact your doctor. After all, only a specialist can make the correct diagnosis, as well as prescribe adequate treatment.
Conservative treatment
What is most important if the patient has periarthritis of the shoulder joint? Treatment. Drugs that can help with this, experts divide into several large groups:
- Nonsteroidal anti-inflammatory drugs. These are such painkillers as Diclofenac, Ibuprofen. At the same time, they not only fight pain, but also help reduce inflammation in the affected area. Caution: these medications can be taken only in short courses and for a limited time. And all because they negatively affect the gastric mucosa, contributing to the formation of ulcers. They also have a fairly large list of side effects, which are better to familiarize yourself with beforehand. Experts say that recently these drugs of the latest generation have appeared on the market. These are such medicines as Nimesulide, Movalis. They act selectively, and the list of side effects from their use is much shorter.
- Corticosteroids, i.e. hormonal anti-inflammatory drugs. These drugs are prescribed if the medications described above do not have the desired effect on the diseased joint. Most often, in this case, doctors prescribe such drugs as Diprospan or Floosteron (the active substance in them is betamethasone). Most often, they are injected into the body. And since they are extremely strong, a couple of injections are enough. However, at the same time, the list of their side effects is much larger.
- Treatment of periarthritis of the shoulder joint can be carried out by novocaine blockade. However, this method is used after exercise therapy and prescribed drugs did not have the proper therapeutic effect on the diseased joint. So, these are special procedures during which injections of the antiseptic Novocaine are periodically given to the affected joint (sometimes together with drugs such as Hydrocortisone or Kenalog). The main goal of this procedure is to relieve severe pain.
What else can be used if the patient has periarthritis of the shoulder joint? Treatment - ointment "Dolobene", "Traumeel", etc. By these means, you can also remove pain if it is not very pronounced.
Physiotherapeutic procedures
The use of physiotherapeutic procedures is also very important. Often their doctors are prescribed almost from the first day of the problem. It is believed that only with an integrated approach: drug treatment, exercise therapy and physiotherapeutic procedures - you can quickly cope with this disease.
- Laser therapy is the best way to get rid of the disease.
- Shock wave therapy may also be prescribed. This procedure perfectly restores the tissues affected during inflammation.
- Ultrasound therapy heats the site of inflammation, while enhancing blood flow and relieving pain. This procedure also restores the affected tissue and reduces inflammation itself.
- Magnetotherapy helps tissues recover, relieves pain and increases motor activity of the affected joint.
- Hirudotherapy, i.e. leech treatment. The only caveat: the patient may have an allergic reaction. This is important to remember.
Therapeutic gymnastics, or exercise therapy
So, periarthritis of the shoulder joint. Treatment (patient reviews - the first confirmation of this) will be most effective if, together with the use of drugs, a person does special exercises in therapeutic gymnastics. However, in this case, you need to remember that everything must be done under the supervision of a specialist. It is important to follow a certain procedure:
- Classes should be regular. They must be carried out at the same time.
- The load should increase gradually, the complex of exercises should expand over time.
- All exercises are preferably carried out after a course of physiotherapy procedures.
Surgical intervention
Treatment of periarthritis of the shoulder joint can be carried out by surgery. However, this extreme measure can be prescribed to the patient only if all of the above methods did not bring the desired results. The name of the operation is subacromial decompression. Its essence: the acromion (a certain process on the scapula) and one ligament from the same area are removed. After this, the nearby tissues stop injuring each other, the inflammation goes away, the joint mobility returns, the pain disappears. Indications for use of this procedure:
- Patients in whom the pain syndrome persists even after the use of corticosteroids.
- Patients in whom the pain persists for six months (when using all kinds of treatment).
- Patients of working age, whose work is associated with constant movement in the shoulder joint.
It is important to remember that after the operation itself, the patient must undergo a course of exercise therapy to restore the motor activity of the shoulder joint.
Alternative methods of treatment
Treatment of periarthritis of the shoulder joint can also be carried out using traditional medicine. However, it is worth remembering that any method of getting rid of the problem should be agreed with the attending physician.
- You can prepare a simple decoction of chamomile (pour a tablespoon of the ingredient in 250 ml of water). This rub the sore shoulder, a little massaging the lesion.
- Compresses from burdock leaves. So, they need to be heated a little and applied to the sore shoulder for about 10 minutes (until they cool down).
- Calendula tincture purchased at a pharmacy can rub a sore shoulder at the site of pain.
- Table horseradish. It must be grated into a slurry and applied as a compress, wrapped in gauze, to the sore shoulder. This should be done twice a day for 15 minutes.
Simple conclusions and tips
Scapular-brachial periarthritis: symptoms and its treatment - this has already been said enough. As a small conclusion, I want to note that it is also important to immobilize the arm when the first symptoms appear. This is the only way to remove the additional burden on the sore joint and relieve pain. This effect can be obtained if a wire splint or a suspending gauze bandage is applied. However, with a shoulder-shoulder periarthritis, this dressing should be removed periodically. Indeed, otherwise the mobility of the joint will deteriorate, and the patient will be incapacitated for work.
It is also important to say that in the treatment of this problem, you need to use the whole range of methods. After all, the only way to deal with this disease as soon as possible. In this case, it is worth remembering that self-medication can be hazardous to health. And if the pain has passed without proper help, the consequences will still remain, and from time to time they will make themselves felt. So you need to seek medical help at the first symptoms, without delaying the problem to an acute or even chronic form of its course.