Popular science submission of home rehabilitation of frozen shoulders

Frozen shoulder home recovery

Zhang Zhihong, First People's Hospital of Pingdingshan City, Henan Province

Periarthritis, commonly known as "fifty shoulders", the symptoms of patients show shoulder pain and activity disorders, also known as shoulder joints adhesion or frozen shoulder. The name of the shoulder joints is used in the International Classification (ICD).

Frozen shoulders are divided into primary frozen shoulders and secondary frozen shoulders. Among them, the causes of secondary frozen shoulders include diabetes, thyroid diseases, and other factors such as external or internal or intrinsic, such as cerebrovascular accidents, short -end fractures of the humerus, shoulder sleeve injury, or lip -lilic lesions.

When patients have shoulder joint pain and limited mobility (shoulder joints adhesion), generally manifested as limited activity of passive shoulder joints in multiple planes. Among them The activity of the joints is limited. The question comes, what is passive shoulder joint activity? Passive shoulder joints refer to the arc of the shoulder joints by the external force. This external force refers to the assistance of others or the other limb auxiliary. Simply put, your arm is raised, and others cannot be raised with the help of others. Another question is what is limited by the shoulder -to -shoulder joint rotation activity at the shoulder position or different angles? That is, your upper arm is expanded by different angles next to your body, and you cannot complete it when you do the outward rotation.

Frozen shoulders are a continuous process, which have the characteristics of staged pain and limited joint activity. Although some patients may complain about few or have no functional limits, it is generally that the minor to the medium -level pain and joint activity can be limited to 12 months to 18 months after the onset.

So what should this frozen shoulder home recovery and what actions do you do? One of the main ways is to do passive stretching exercises.

The correct passive stretching action exercises are soft and slowly pulling to the end of the joint activity. You can feel the pull. At the same time, you should pay attention. During the pulling process, slight pain can be acceptable, but there should be no severe pain, but there should not be severe severe pain. pain. When you reach the position of slight pain, you should continue to pull for 2-3 minutes at this position. Early each action can be performed once a day. As the inflammation improves, it can be pulled 3-5 times a day.

As shown below:

The left side of the figure below is the affected side.

1. For the pull exercise of the front upper joint capsule (Figure 1), this action needs to pay attention to the angle of the big arm and the forearm of 90 degrees.

figure 1)

2. For the pull exercise of the front lower joint capsule (Figure 2), this action needs to be not only kept 90 degrees of the angle of the big and the arms, but also the angle of the big arm and the body should be kept 90 degrees as much as possible.

figure 2)

3. Pulling exercises for the rear joint capsule (Figure 3).

image 3)

4. Practice for the posterior joint capsule (Figure 4) Practice behind the hand and slowly move up along the spine.

Figure 4)

5. Practice for the rear joint capsule (Figure 5) This action needs to be not only keeping 90 degrees of the angle of the big arms and arms, but also the angle of the arm and the body as much as possible to maintain 90 degrees.

Figure 5)

6. Passive pull exercises of forward flexion (Figure 6), try to straighten your arms and make your arms as close to your ears as possible.

Image 6)

7. Passive pull exercises that help recover from the combal function (Figure 7).

Figure (7)

If the practice is not obvious for a while, the help of doctors and rehabilitation divisions need to be used. You can ask the doctor if you can inject corticosteroid drugs in the joint. Injecting this drug is better than the shoulder joint activity and stretching exercises. It has a better effect on eliminating short -term pain. The help of the therapist is to assist patients to practice passive extension, and the second is that in the hospital, it can cooperate with short -wave electric therapy, ultrasonic or electrical stimuli and other related physical therapy instruments to reduce pain and increase joint activity.

Finally, it is emphasized that, although due to pain and restrictions, many patients feel that freezing shoulder should be a very serious disease in the early stage of the disease. The pain is severe, and the recovery process is relatively long. However, if scientific exercise, with the treatment of schemes, it will definitely slowly.

Disclaimer: This article cannot replace the hospital based on educational purposes.

Opinions are for your reference only. For specific treatment methods, please consult your attending doctor.

- END -