Diagnosis and treatment of humeroscapular periarthrosis

One has only to raise a hand or turn to the side - there is great discomfort. Then pain appears, soft tissues and joints become inflamed, shoulder-shoulder periarthrosis progresses, and if treatment is not started in time, the disease threatens to limit mobility. In the early stages, this common ailment, which is encountered by about a quarter of the men and women of the planet, can be treated as it develops gradually. It is important to recognize the “frozen” shoulder syndrome before it even interferes with life and work.

What is the shoulder-shoulder periarthrosis

Some features and the distribution of dystrophic tissue damage make this disease similar to arthritis or arthrosis of the shoulder joint, but there are still differences. Brachial periarthrosis is an inflammation of the joint capsule and tendons of the shoulder. The pathological process does not affect the deep structures of the joint or cartilage, but as periarthrosis develops, it takes a chronic form with a tendency to periodic relapse of soft tissue inflammation.

Symptoms

The characteristic signs of the disease are unpleasant sensations or pain that appear when the patient rotates his hand or raises it, turns his shoulder. After some time, touching the inflamed area also causes great discomfort, pain increases. In the absence of therapy, periarthrosis progresses, the amplitude of movements decreases, but the symptoms of a shoulder-shoulder periarthrosis are rarely independent. They are often accompanied by signs of cervical osteochondrosis: dizziness, headache, numbness of the fingers.

Causes

The inflammatory process can develop at a different pace, a number of factors that provoke the appearance of shoulder-shoulder arthrosis can be significant for choosing a treatment regimen. A professional approach to diagnosing periarthrosis involves not only examining, passing laboratory tests, writing a prescription, but also establishing the causes that led to impaired joint mobility. In medicine, the following frequent cases of the appearance of a shoulder-shoulder periarthrosis have been recorded:

  • Injuries to the shoulder joint caused by excessive or prolonged physical activity on the shoulder region.
  • The complex structure of the joint.
  • Cervical or cervicothoracic osteochondrosis.
  • Change in hormonal levels.
  • Diseases caused by metabolic disorders.
  • The presence of pathology of the liver, gall bladder.
  • Tonsillitis, furunculosis and other purulent foci.
  • Long stay in stress.
  • Hypothermia of the shoulder joint.

Forms of the shoulder-shoulder periarthrosis

There are signs of an ailment such as a decrease in volume or a thickening of the joint bag of the shoulder, can at different stages of the disease. So that the doctor can make the correct diagnosis and come to the aid of the patient, it will be necessary to know not only the causes of periarthrosis, which provoked the appearance and development of the inflammatory process. There is another important factor that affects the nature of the course of the disease - these are the forms of the shoulder-shoulder periarthrosis:

  • primary (simple);
  • spicy;
  • chronic
  • ankylosing.

Diagnostics

The stage of diagnosing the inflammatory process of the shoulder joint does not cause difficulties for doctors. What, in addition to an anamnesis, examination and laboratory tests, can specialists use? Pain in the shoulder or limited mobility can occur at any age, and such complaints from the patient can lead to the fact that the doctor, in case of suspected periarthrosis, will additionally prescribe an X-ray, computed or magnetic resonance imaging, ultrasound, arthrogram.

For the correct diagnosis in medicine, the differential diagnosis method is used. When the doctor has suspicions of periarthrosis of the shoulder joint, other pathologies should be excluded, for example, dermatitis, herpes zoster, diffuse vasculitis, venous thrombophlebitis. This list can be supplemented by other diseases, including dystrophic changes in the cervical spine, deforming osteoarthrosis, and infectious arthritis. In addition, when diagnosing a shoulder-shoulder periarthrosis, shoulder dislocation should be excluded.

Treatment of the shoulder-shoulder periarthrosis

The sooner the shoulder-shoulder arthrosis is diagnosed, the sooner an adequate treatment regimen will be selected that will help preserve the motor functions of the limb and shoulder. Effective therapy involves an integrated approach, and it is based on the use of drugs, fixation of the shoulder joint, exercise therapy and massage. Conservative treatment of humeroscapular periarthrosis is used after the removal of pain and inflammation, physiotherapy exercises helps to completely restore mobility, in rare cases, surgery is performed.

Conservative therapy

Various causes can cause pain in the joint, but as long as the inflammatory process does not affect a healthy joint, treatment should be started immediately. To eliminate the pain accompanying the shoulder-shoulder periarthrosis, in pharmaceutical practice, the administration of pharmaceutical preparations is provided. The severity of the pathology helps to relieve the activity of analgesics, for example, such as Butadion, Ketanov. What other options are there for conservative treatment of the shoulder-shoulder periarthrosis:

  1. Reception of non-steroidal anti-inflammatory drugs (Ibuprofen, Voltaren, Diclofenac). This scheme is considered effective in mild forms of the disease, its feature is the use of short courses, a small number of side effects.
  2. Corticosteroids (Phlosterone, Diprospan). They are used when the shoulder-shoulder inflammation began to develop, and the intake of other drugs did not show the proper result. Treatment of periarthrosis with anti-inflammatory drugs is carried out in the form of hormonal injections that are made directly into the affected area. Manipulations must take place so that blood does not appear, and the following indicators serve as proof of the effectiveness of steroid preparations: the disappearance of secondary symptoms, painless rotation of the shoulders, and the ability to hold hands high.
  3. Novocainic blockade. The procedure is carried out when the other two methods of conservative therapy of the shoulder-shouldered periarthrosis were ineffective. Several injections of Novocaine are made in the area of ​​shoulder inflammation, but blocking is prescribed strictly according to the individual schedule, the purpose of the procedure is to reduce the degree of pain. The limit of the norm, when it is considered reasonable to take and anesthetize with novocaine blockade, is from one to three times in one month.

Physiotherapy

Even in the early stages of humeroscapular periarthrosis, the inflammatory process is capable of delivering unpleasant sensations, so you still have to start physiotherapy sooner or later. To reduce pain, restore joint mobility and improve muscle strength, medical gymnastics is used in medical practice. A set of special exercises for humeroscapular arthrosis is selected individually, but classes can only be started after the inflammation has been eliminated.

Laser therapy, mud applications, acupuncture, alternative methods that recommend making herbal decoctions and compresses are considered to be an addition to physiotherapy exercises for humeroscopic periarthrosis. Quick recovery is directly dependent on the diet, so the main dishes on the menu should be those prepared from foods rich in proteins and vitamins. As a preventative measure, you should continue to perform a set of physical exercises, monitor the general condition of the body and visit a doctor.

Surgical treatment

An indication for surgical intervention in case of a shoulder-shoulder periarthrosis is recurrent pain, limited working capacity, inefficiency of previously applied treatment regimens. Subacromial decompression is the name of the operation, which helps to avoid the appearance of the "frozen shoulder" syndrome or a complete restriction of joint mobility. Removing the small process of the scapula and ligament, the surgeon eliminates the cause, which leads to injury to nearby tissues. The operation gives a good result even with complex forms of the disease.

Video: How to treat humeroscapular periarthrosis

Attention! The information presented in the article is for guidance only. Materials of the article do not call for independent treatment. Only a qualified doctor can make a diagnosis and give recommendations for treatment based on the individual characteristics of a particular patient.

Watch the video: 11 Exercises For Frozen Shoulder or Periarthritis (February 2020).