Periarthritis is called inflammatory processes around the shoulder joint. The joint itself remains healthy. This term is no longer found in the International Classification of Diseases, since it does not indicate either the localization or the circumstances that led to changes in the tissues. It was revealed that most often a painful condition is one of the symptoms of cervical osteochondrosis, protrusions and hernias in the intervertebral spaces of the cervical spine. Injuries to the shoulder joint lead to illness, which affects the ability to work and the quality of life.
The treatment plan for the shoulder-shoulder periarthritis is completely dependent on the causes of this condition.
Causes
It is the developing degenerative processes that lead to pain and limited movement. Causes of brachiocephalic periarthritis are classified as traumatic and non-traumatic.
Traumatic periarthritis
Here we are talking about injury, shock, an excessive load on the joint. Lifting weights of more than 5 kg is fraught with sprain, if until now a person has not had to so load untrained muscles. This picture can often be observed when a novice ignorant of sports suddenly takes up heavy shells without preliminary preparation and warm-up.
Thermal effects in the form of hypothermia or overheating can also cause disturbances.
Peculiarities of professional activity that lead to microtraumas act destructively on the joint. Such professions as a loader, carpenter, athlete immediately come to mind. But it turns out that housewives, hairdressers, seamstresses are prone to such problems no less. Only in this case the number of microtraumas increases every day, until at the critical moment the disease makes itself felt with quite distinct pains that give rest no night or day, bringing a person to frenzy.
Usually, the diagnosis and the appointment of treatment for brachiocephalic periarthritis are not difficult, since a person recalls the situation that caused the injury without difficulty.
Non-traumatic periarthritis
Here we are talking about compression of the nerve roots and groups of vessels in cervical osteochondrosis. This leads to the rapid development of muscle inactivity. Over time, muscle fibers atrophy, transform into connective tissue, which is irreversible.
With a myocardial infarction, when the supply of necessary substances becomes insufficient, due to impaired blood supply, stroke, impaired functioning of internal organs, such as the liver or gall bladder, diseases of the lungs and pleura, humeroscapular arthritis is a consequence or symptom, the nature of which must be examined .
Here it is impossible to talk about measures related to the treatment of brachial-scapular periarthritis until the cause of the dystrophic phenomena in the joint capsule area is clarified. After all, the fight against symptoms is useless and carries only a temporary improvement.
Symptoms
In general, two types of unpleasant sensations can be distinguished - this is pain and stiffness in movements. Their intensity and duration vary depending on the stage and degree of the disease:
Simple form. Mild pain is felt when the arm is extended to the side. Rotation around its axis occurs with resistance. Usually, the disease goes unnoticed for one month and goes away on its own, subject to a state of rest and sufficient rest. Despite the mild symptoms of a shoulder-shoulder periarthritis, treatment is important precisely in the debut of the pathology. A speedy and complete recovery is guaranteed.
The acute stage. This can be either the next stage of the missed first stage, or a sudden condition. The pains become intense, give in the forearm, neck. Hand movements are limited to sharp pain. Aching pain intensifies at night, which is the most unpleasant. It is impossible to get enough sleep due to torment, which leads to psychological and physical suffering. The patient’s consciousness is aimed at finding a comfortable position of the hand, a loop on the problem occurs. Subfebrile temperature is observed. A visual examination of the shoulder may reveal slight swelling.
Chronic stage. As a rule, it occurs due to the lack of proper treatment. The pain syndrome becomes less bright. The pain is characterized as aching. Sharp, awkward movements lead to "backache" in the shoulder area. The stage is long: we are talking about months and even years. Often the ailments gradually disappear even without qualified help and the patient forgets about the past. These are the symptoms of a shoulder-shoulder periarthritis. Treatment and diagnosis should be timely at least at this stage, otherwise the next stage begins, after which it is almost impossible to regain health.
Ankylosing. This form of the disease can occur both independently and act as an epilogue to a progressive disease. Pain can be either aching of low intensity, or sharp, cutting. There is a phenomenon such as "frozen shoulder" syndrome. This is when the range of motion is limited even sometimes without pain, it is simply impossible. Stiffness extends to the entire working hand, to the movements of the hands and fingers. The shoulder becomes hard to the touch, as if the muscles are in good shape.
Important to remember! The more neglected the disease, the more costly will be the deliverance in money and time equivalent.
Diagnostics
Before applying all known methods for the treatment of humeroscapular periarthritis, a correct diagnosis must be made. If the disease is caused by cervical osteochondrosis, then it is a priority to start treatment with it, and then systematically carry out local manipulations. In cases where myocardial infarction or breast surgery is to blame, it makes sense to restore blood supply to nearby tissues.
The possibilities of modern diagnostics will help to undergo an examination as soon as possible. Take tests, consult a specialist, such as an orthopedist or traumatologist, undergo magnetic resonance imaging. MRI today is the most informative way to detect degenerative processes, hernias and protrusions in the spine.
Treatment
It is necessary to approach comprehensively the treatment of periarthritis of the shoulder-joint. One pill, lying on the couch and eating harmful goodies can not get rid of the bothering problem. It is required to completely change your lifestyle. Refuse all that is harmful, in favor of quality food, outdoor activities, good sleep, the right regime, nutrition and the distribution of activities for the day.
Traditional medical prescriptions can be combined with non-traditional. The benefits of the application are confirmed by many, but there will definitely be no harm. But if you do treatment at home, the shoulder-shoulder periarthritis can not be defeated. So you can only lose precious time and start the disease.
Medication method
Nonsteroidal anti-inflammatory drugs are taken as a basis in standard therapy:
Diclofenac
Ibuprofen
Nimesulide;
Lornoxicam;
Ketoprofen.
They can be used strictly as prescribed by the doctor, both orally, in the form of ointments, and as an injection, intramuscularly. It is better to prefer injections, as this is more effective, and at the same time it will help to preserve the digestive system, if the attending physician has no other prescriptions in each case.
When “heavy artillery” is required for the medical treatment of humeroscapular periarthritis, they resort to steroid preparations, that is, hormones.
Anesthetic blockade
In the clinic, painkillers are feasible using Lidocaine, Novacaine, hydrocortisone emulsion, Kenalog or Diprospana. The technique is quite complex and is carried out only by specialists with special skills.
Treatment is carried out in courses consisting of 5 procedures. The intervals between the blocks are 3-5 days, but this depends on the prescription of the attending physician.
Physiotherapy
All physiotherapeutic manipulations are conditionally divided into two types:
Applicable during exacerbation. They relieve pain and ease the general condition.
Applicable during the period of remission. Contribute to the cure of the patient.
In the period of exacerbation:
High intensity magnetotherapy. It is affected by a magnetic field.
Diadynamic therapy.
Electrophoresis with anesthetics.
Decimeter microwave therapy.
Extracorporeal shock wave therapy.
In periods of remission:
Paraffin-ozokerite applications.
Electrostatic shower.
Cryotherapy.
Exercise therapy
It is difficult to overestimate the benefits of exercises in the treatment of shoulder-shoulder periarthritis. Moderate physical activity is an integral part of the life of a healthy person. If, in connection with the pathology, therapeutic physical education was included in the course of treatment, then you should not throw this useful lesson when everything is behind. As practice shows, people who do exercises for the back every day, gymnastics in the morning, do push-ups, discomfort in the shoulder will cease to bother forever.
Taking into account all the nuances, Dr. Popov offers his specially developed technique. The following features of his technique are distinguished:
Exercises are performed only during remission or as a prophylaxis, that is, after treatment.
Exercise should not provoke pain or uncomfortable stress. The patient should be extremely attentive to his feelings.
A set of exercises is selected individually, according to the stage and intensity of manifestations.
Patients should not make sudden jerks. The movements should be smooth and with small amplitude.
Perceived fatigue is a completely normal reaction of the body.
In the treatment of humeroscapular periarthritis, Popov recommends practicing simple movements, that is, rotation, swinging, stretching. Even a patient in retirement age will master such gymnastics.
Folk remedies
Very effective (along with the above components of the plan to combat the disease) lotions, ointments, decoctions for oral administration, prepared from natural products according to recipes for alternative treatment of shoulder-shoulder periarthritis:
Tea from St. John's wort. A tablespoon of grass is poured with one glass of boiling water and insisted for at least one hour. Use one tablespoon twice a day.
Dried nettle tea. A tablespoon of grass is poured into a glass of boiling water and insisted for one hour. Take three times a day, one spoonful.
Broth from the collection of periarthritis. You will need: currant leaves - 1 tablespoon, raspberries and lingonberries - 1 teaspoon each, rose hips - 1 teaspoon, water - 400 ml. Pour all the components of the healing drink with water and bring to a boil. Insist 6 hours and drink for one day.
A mixture of honey, garlic and lemon. You will need: honey - 200 g, lemon - 2 pcs., Garlic - 2 pcs. Turn everything into a mushy state in a convenient way, then mix. Consume 1 teaspoon several times a day.
A burdock leaf can also be used to treat shoulder-shoulder periarthritis. It is heated, applied to a sore spot, fixed and left overnight.
Salt compress. 200 grams of water is taken and 20 grams of ordinary salt is dissolved in it. Moisten the tissue in solution, apply to a sore spot, wrap with cling film, and then with a warming dressing. Leave for at least an hour.
Alcohol tincture of calendula. It can be bought ready-made at the pharmacy. Smooth soft movements to rub the sore spot, avoiding strong pressure.
A decoction of equal parts of chamomile, coriander, mint and burdock root is infused, and then rubbed on the shoulder with light massage movements. In conclusion, it is recommended to insulate with a woolen bandage (for example, a scarf) and leave it overnight.
Massage
In a complex of measures to get rid of the disease, massage is indispensable. Manual practice has unmatched benefits during the treatment of humeroscapular periarthritis. Patient reviews are only positive, which confirms the effectiveness of the procedure.
Massage is performed during remission. The collar zone, deltoid and major muscle, pectoral muscle, and shoulder are involved in the process.
The session lasts no more than half an hour. It is recommended to carry out daily procedures for the best result. In total, three courses of massage with interruptions of several weeks are required.
Surgical intervention
Many doctors offer minimally invasive surgery services . The operation is performed through small punctures, which guarantees a short rehabilitation period. A special flexible tire is applied, which can be removed during changing clothes, taking a shower.
Shoulder-shoulder periarthritis is a protracted disease that requires a huge amount of strength and patience. It is impossible to recover from her with one trip to the hospital. Fulfillment of all the doctor's recommendations, scrupulous passage of all procedures, compliance with the restrictions associated with the new rules of healthy eating and lifestyle will certainly lead to the restoration of the lost freedom of movement, health and joy of life!