[Traditional Chinese medicine beyond the line]Fifty shoulders from overwork, blowing air-conditioning, poor posture, 30-year-old

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Article: Feng Shuling “Ming Pao”

(Hong Kong News) Traditional Chinese medicine believes that this disease is caused by “blockage of qi and blood”, which leads to “pain due to blockage”. Overwork, frequent blowing of air-conditioning on the shoulders, etc., may cause the shoulders to “freeze”; physiotherapists point out that poor posture or Sitting still for a long time is the cause of the disease.

It hurts to straighten your hands and brush your teeth

Traditional Chinese medicine refers to frozen shoulder as shoulder coagulation syndrome and leaking shoulder wind, which belong to the category of arthralgia syndrome. Ni Yongmei, a Chinese medicine doctor, pointed out that the main symptoms of this disease are heavy shoulder pain and limited movement. Patients generally have difficulty fully straightening or bending their arms back, which affects their daily life, such as being unable to hold the shower or hold the handrails; in severe cases, it is also difficult for women to wash their hair, comb their hair, put on clothes, or button their bust. I have treated the most serious case, the hand was slightly lifted and it was painful, and I couldn’t even brush my teeth.

She emphasized that frozen shoulder does not necessarily appear at the age of 50 or later, and some patients suffer from it as early as 20 to 30 years old. “The cause is degeneration of the muscular tissue around the shoulder joint, which makes the shoulder feel sore or dull.”

She pointed out that frozen shoulder is generally divided into 3 stages, and patients have pain symptoms in different periods.

Qi and blood blockage leads to pain

“In the early stage, the shoulder swelling is obvious, the pain is severe, and even spread to the elbow on the same side, the day is light and the night is heavy, affecting sleep; the mid-term shoulder pain is relieved, but the movement disorder is obvious, and the subacromial bursa and subdeltoid bursa can be diagnosed. , long head tendon groove of biceps brachii, posterior border of deltoid muscle, attachment points of supraspinatus and infraspinatus muscles, as well as Jianwaishu point, Jianzhen point, Tianzong point and other parts to find obvious tenderness points; later stage pain relieved, but flexible in movement If the degree is greatly reduced, there may be shoulder muscle atrophy and shoulder joint adhesion, as if ‘frozen’.”

Traditional Chinese medicine believes that frozen shoulder is mainly caused by “blockage of qi and blood, and pain if it is blocked”. She explained that common causes include:

◆Shoulder fatigue or maintaining the same posture for a long time

◆Wearing thin clothes or blowing air-conditioning on weekdays, causing the shoulders to be invaded by wind evil; or the shoulders are soaked in cold water/sweat and not wiped dry, the Qi and blood are blocked, and the tendons are tight and painful

◆Food cold drinks or greasy raw and cold food, humid home, less exercise and sweating, etc., will cause moisture retention in the muscles and bones, dampness will turn into heat, dampness and heat will cause severe pain in the muscles and bones, and blockage of qi and blood

◆Aged and physically weak, lack of energy and blood, degeneration of muscles and bones, resulting in disgrace and pain

◆Some of them belong to deficiency syndrome, without labor or injury history, but the body is prone to fatigue, muscles and bones are weak, and they are prone to frozen shoulder

Prescription Huoxuetongluo Traditional Chinese Medicine

Frozen shoulder occurs in one common patient, mostly due to the common use of one shoulder or poor posture. She gave an example, “For example, if you often work obliquely to the computer screen, if your body is always turned to the left, frozen shoulder will appear on the left side; or if you always lift heavy objects with your right hand, frozen shoulder will often appear on the right side. There are very few cases, and even if symptoms are present on both shoulders, most of them are severe on one side and lighter on the other.”

Traditional Chinese medicine treats frozen shoulder according to the etiology and prescribes traditional Chinese medicines for dispelling wind and cold, removing dampness and blood stasis, and promoting blood circulation and dredging collaterals. “Commonly used Shenjincao, Pueraria root, Ephedra, Notopterygium, etc. Acupuncture will place needles in Jianliao, Jianjing, Jianliao, Quchi, Hegu, Tiaokou, etc. Cupping and massage can also help relax the shoulder muscles.”

She reminded that improving posture habits is the most important thing.

“After working for a long time, you need to change different postures,

Get up and stretch for 30 seconds every 45 minutes;

Change hands more when lifting heavy objects,

Or a small amount of multiple extractions;

Use a rucksack instead of a shoulder bag or handbag;

Keep your shoulders warm and avoid blowing wind or getting cold;

Dry off your shoulders after sweating, and don’t wear wet clothes;

Do not expose shoulders, etc. while sleeping.“

No protracted recovery process

Continued treatment of frozen shoulder during thawing period

Frozen shoulder is officially called “adhesive shoulder capsulitis”. Due to the inflammation and stiffness of the shoulder joint capsule and the tissues around the shoulder joint, it causes pain and limited range of motion of the shoulder.

Physiotherapist Zhao Guen pointed out that the exact cause of frozen shoulder is not yet fully understood, and it is believed that it may be caused by injury, surgery and long-term immobility of the shoulder. In addition, certain risk factors such as diabetes, thyroid disease, heart disease, and Parkinson’s disease have a higher risk of developing frozen shoulder than people without similar diseases.

There are 3 stages of frozen shoulder

Because the symptoms of frozen shoulder, such as pain and limited shoulder mobility, are similar to shoulder impingement syndrome, the two are easily confused.

However, Zhao Guen explained that rotator cuff muscle pinching syndrome usually involves specific actions or movements, such as pain when raising hands, but the internal and external rotation of the shoulder may not be limited; on the contrary, patients with frozen shoulder It is pain and stiffness in the entire shoulder.

“Generally, clinical diagnosis and MRI can tell the difference.”

Frozen shoulder is generally divided into 3 stages, namely freezing period, freezing period and thawing period.

“The freezing period is characterized by increased pain and stiffness in the shoulder, which can last up to 9 months. The freezing period is the culmination of the stiffness and can persist for up to 9 months. As for the final thawing period, the range of motion of the shoulder is limited Recovery is gradual and can last up to 12 months.”

Avoid prolonged shoulder immobility

He pointed out that patients often think that their condition is getting better when they reach the final thawing period, so they stop receiving treatment. “The fact is that receiving treatment at this stage still has its benefits, so as not to delay the recovery process for too long.” Physiotherapists in the treatment of frozen shoulder will use exercises, stretching exercises and manual therapy to help patients improve the range of motion of the shoulder and relieve pain. These conditions refer a doctor to use medication or corticosteroid injections to reduce pain and inflammation.

She said that when the above treatments fail to improve the condition, or the condition is too severe, surgery is the last option.

She reminded that persistent bad posture or re-injury may lead to recurrence of frozen shoulder. Regular exercise and good posture are important to prevent frozen shoulder.

“Moderate shoulder stretching is definitely helpful. It is more important to avoid long-term immobility of the shoulder, especially after injury or surgery, the arm is fixed by the shoulder strap for a long time, and it is even more important to do exercises after rehabilitation.”

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