What should I do if my shoulder often hurts? Especially on rainy days.

1. Pain is the most prominent symptom of scapulohumeral periarthritis. The initial pain symptoms are often mild, often caused by weather changes or fatigue, and gradually develop into persistent pain, especially when the shoulder joint is pronated, extended, lifted and abducted, and even the pain is unbearable. 2. The symptoms of pain will get worse when resting, especially when sleeping at night. In severe cases, I can't sleep at night and can't lie on my side. 3. Due to pain and muscle spasm, limited shoulder movement usually occurs 3-4 weeks after obvious pain symptoms. After that, the joint capsule, ligament and other soft tissues adhered and contracted, resulting in obvious stiffness of the shoulder joint. 4. There was a history of shoulder pain before scapulohumeral periarthritis, and the joint function gradually decreased from several weeks to several months. About 1/5 patients had slight trauma to their shoulders or upper limbs. One of the early clinical characteristics of scapulohumeral periarthritis is the hidden onset and gradual development. Rehabilitation treatment of scapulohumeral periarthritis, also known as shoulder tissue inflammation, is a chronic inflammation of soft tissues such as muscles, tendons, synovial bursa and joint capsule around the shoulder, which is more common in people around 50 years old. However, due to long-term work at the desk, the muscles and ligaments in the shoulders of office workers are in a state of tension, so it is also common among people under 50. Therefore, when people reach middle age, they should take the initiative to understand the prevention and treatment knowledge of scapulohumeral periarthritis. ● Treatment measures in different periods The treatment principle of scapulohumeral periarthritis is to take corresponding treatment measures according to different periods of scapulohumeral periarthritis or the severity of different symptoms. Treatment of scapulohumeral periarthritis should be conservative. Generally speaking, if diagnosed in time and treated properly, the course of disease can be shortened and motor function can be restored as soon as possible. In the early stage, that is, the pain period, the patient's pain symptoms are more serious. Dysfunction is often caused by muscle spasm caused by pain, so the treatment mainly focuses on relieving pain and preventing joint dysfunction. Pain can be relieved by sling braking. Let the shoulder joint rest fully. Generally, it is not advisable to use massage and massage methods too early, so as not to aggravate the pain symptoms and prolong the course of the disease. You can also do some active exercise to control the range of motion of the shoulder joint. After the acute phase, massage can be used to improve blood circulation and promote local inflammation to subside. Joint dysfunction during freezing period is the main problem during this period, and pain is often caused by joint movement disorder. The focus of treatment is to restore joint motor function. Treatment can be physical therapy, massage, medical exercise and other measures to achieve the purpose of relieving adhesion, expanding the range of motion of shoulder joint and restoring normal joint function. According to the symptoms of dysfunction, patients with severe scapulohumeral periarthritis can use massage under anesthesia to separate adhesion when necessary. At this stage, we should adhere to the functional exercise of shoulder joint. In addition to passive exercise, patients should actively cooperate and carry out functional training of active exercise. Active exercise is an extremely important part of the whole treatment process. The recovery period is mainly to eliminate residual symptoms. Mainly based on the principle of continuing to strengthen functional exercise, strengthen muscle strength, restore the scapular muscle that has been abandoned in the early stage, restore the normal elasticity and contraction function of deltoid muscle, and achieve the purpose of comprehensive rehabilitation and prevention of recurrence. In addition to taking different treatment measures according to different course of disease, we should also consider the treatment measures according to the severity of the disease. At this point, western medicine experts believe that we can judge the severity and guide the treatment according to the limited movement and no feeling caused by pain in passive exercise test. For example, in passive exercise, the patient's pain occurs before the terminal feeling. At this time, scapulohumeral periarthritis is often an acute attack, so it is not appropriate to take active physical therapy. If the patient's pain and terminal feeling occur at the same time, active exercise therapy can be adopted appropriately; When there is no pain when the terminal feeling is reached, active exercise physiotherapy should be adopted. 1. Preparation posture for lifting heavy objects: Stand with your legs apart, one end of the table is supported by the uninjured side, and it is bent about 90 degrees. The affected side supports one or two kilograms of heavy objects such as dumbbells and sandbags, and household articles such as iron can also be used instead. Try to relax your shoulders during activities. Action: Swing the shoulder joint back and forth, left and right, draw circles clockwise and counterclockwise in turn, and the swing range will gradually increase from small to large. Each group of swing exercises can be repeated 15 to 20 times, and 2 to 3 groups can be done every day. Efficacy: practice shoulder flexion and extension, horizontal adduction, abduction and rotation. Note: Exercise should not cause obvious pain. 2. Towel-pulling therapy action: Take a long towel, pull one end with each hand, put it behind your back, put one hand on it and the other hand on it, and pull it like a bath. At the beginning of the activity. Patients may be subject to some restrictions, but don't worry, the movements gradually change from small to large, and they feel better and better. Efficacy: insist on doing it several times a day, and the condition of scapulohumeral periarthritis will gradually improve. 3. Upper limbs around the neck, whether it is prevention or treatment, when you sit, put your arms from front to back, or from back to front. Although this is a very simple method, it also has a certain exercise effect on the shoulder joint. The course of scapulohumeral periarthritis is generally long, especially when the shoulder joint function is limited, the time can be extended to several months or even one year. Therefore, the elderly with shoulder circumference should insist on rehabilitation exercise every day, and gradually increase the time and frequency of exercise to achieve better results. Exercise should aim at causing slight pain, but should avoid causing severe pain. Periarthritis of shoulder can be prevented. The elderly generally lack activity, and the blood circulation around the upper limbs and shoulders is poor. Therefore, the joint capsule and tendon of the shoulder joint are prone to degeneration, calcification and inflammation. If the elderly usually pay attention to exercise and exercise their upper limbs and shoulders, the occurrence of scapulohumeral periarthritis can be effectively avoided. Self-massage for patients with scapulohumeral periarthritis If the joint movement disorder of patients with scapulohumeral periarthritis only involves one side, then the affected side can be self-massaged with the healthy upper limb. Before self-massage, patients usually take a hot bath first, and perform local hyperthermia on the affected shoulder joint according to the hot bath method introduced earlier. Then you can choose a medical gymnastics that is more suitable for your own exercise, and finally you can massage scapulohumeral periarthritis yourself. The steps and methods of self-massage are: 1. Press the anterolateral side of the affected shoulder joint from top to bottom with the thumb or palm of the healthy side for about 1-2 minutes, and the local pain point can be pressed with the thumb for a moment. 2. Press and knead the parts behind the shoulder joint with the 2nd-4th finger pulp of a healthy hand for about 1-2 minutes. If you find a local pain point during pressing and kneading, you can also press it with your fingers for a moment. 3. Knead the upper arm muscle of the affected upper limb with the joint action of the healthy thumb and other fingers, and knead it to the shoulder from bottom to top for about 1-2 minutes. 4. You can also massage with the above method in the case of functional positions such as abduction of the affected shoulder, and move the shoulder joint in all directions at the same time. 5. Finally, knead the palm from top to bottom for 1-2 minutes. For the parts that can't be massaged on the shoulder and back, you can use the racket method described above for treatment. Self-massage can be carried out 1 time every day and lasted for 1-2 months, which will have a good effect. Treatment of scapulohumeral periarthritis The principle of treatment of scapulohumeral periarthritis is to take corresponding treatment measures according to different periods of scapulohumeral periarthritis or the severity of different symptoms. (1) In the early stage of scapulohumeral periarthritis, the patient had severe pain symptoms. Dysfunction is often caused by muscle spasm caused by pain, so the main purpose of treatment is to relieve pain and prevent joint dysfunction. In order to relieve the pain, the shoulder joint can be fully rested by using sling braking. Or block therapy, injecting prednisolone at the most obvious part of local tenderness, or physical therapy such as intermittent electrotherapy, warm and hot compress and cold compress to relieve pain. If necessary, external drugs such as anti-inflammatory and analgesic drugs can be taken orally, and antispasmodic and analgesic tincture can be used externally. Massage and massage methods should not be used too early in the acute stage, so as not to aggravate the pain symptoms and prolong the course of the disease. Generally, you can do some active exercise to maintain the mobility of the shoulder joint. After the acute stage, you can massage and massage to improve blood circulation and promote the regression of local inflammation. (2) The frozen period of periarthritis of shoulder is mainly due to joint dysfunction, which often causes pain due to joint movement disorder. The focus of treatment is to restore joint motor function. Treatment can be physical therapy, western-style manipulation, massage, massage, medical exercise and other measures to achieve the purpose of releasing adhesion, expanding the range of motion of shoulder joint and restoring normal joint function. According to the symptoms of dysfunction, patients with severe scapulohumeral periarthritis can tear adhesion by massage under anesthesia when necessary. At this stage, we should adhere to the functional exercise of shoulder joint. In addition to passive exercise, patients should actively cooperate and carry out functional training of active exercise, which is an extremely important part of the whole treatment process. (3) In the recovery period, we should focus on eliminating residual symptoms and continue to strengthen functional exercise, so as to enhance muscle strength, restore the scapular muscle that had been abandoned and atrophied in the early stage, restore the normal elasticity and contraction function of deltoid muscle, and achieve the purpose of comprehensive recovery and prevention of recurrence. In addition to taking different treatment measures according to different course of disease, we should also consider the treatment measures according to the severity of the disease. At this point, the foreign view is that we can judge the severity and guide the treatment according to the movement limitation and terminal feeling caused by pain in passive exercise test. If in passive exercise, the patient's pain occurs before the terminal feeling, at this time scapulohumeral periarthritis is often acute, so it is not appropriate to take active exercise physiotherapy. If the patient's pain and terminal feeling appear at the same time, active physical therapy can be taken appropriately. When there is no pain when the terminal feeling is reached, active exercise physiotherapy should be adopted.