Dr. Chayaporn Chotiyanawong, MD.
Department of Rehabilitation Medicine
Faculty of Medicine Siriraj Hospital
Faculty of Medicine Siriraj Hospital
The shoulder joint is a condition that causes the patient to have shoulder pain and cannot move the shoulder joint. Whether moving yourself or allowing others to move
Causes of shoulder joint At present, the exact cause is unknown. But from the pathophysiology of inflammation of the membranes and the thickening of the membrane membrane, fewer movements can be found. About 2-5% of the population is more likely than women. Often with an uncomfortable arm more than the right side And there are about 20-30% chance of both sides. Frequently found in people between the ages of 40 to 60 years and found that people with diabetes Diseases of the thyroid gland And heart disease have a greater chance of having shoulder discomfort.
Department of Rehabilitation Medicine
Faculty of Medicine Siriraj Hospital
Faculty of Medicine Siriraj Hospital
The shoulder joint is a condition that causes the patient to have shoulder pain and cannot move the shoulder joint. Whether moving yourself or allowing others to move
Causes of shoulder joint At present, the exact cause is unknown. But from the pathophysiology of inflammation of the membranes and the thickening of the membrane membrane, fewer movements can be found. About 2-5% of the population is more likely than women. Often with an uncomfortable arm more than the right side And there are about 20-30% chance of both sides. Frequently found in people between the ages of 40 to 60 years and found that people with diabetes Diseases of the thyroid gland And heart disease have a greater chance of having shoulder discomfort.
Symptoms of the shoulder joint disease are 3 phases: pain, period, joint and recovery.
1-Pain period, the patient will feel that the pain gradually becomes more and more pain when there is movement. Pain at night until disturbing sleep The movement range of the joints will gradually decrease. This phase is usually 2 to 9 months.
2-The period of pain in the first phase begins to decrease. The movement of the shoulder joint in all directions decreases clearly. May affect the daily routine greatly This term is generally 4-12 months.
3-Recovery period, pain will decrease. The shoulder movement range will gradually improve over the next 5 months to 2 years.
2-The period of pain in the first phase begins to decrease. The movement of the shoulder joint in all directions decreases clearly. May affect the daily routine greatly This term is generally 4-12 months.
3-Recovery period, pain will decrease. The shoulder movement range will gradually improve over the next 5 months to 2 years.
Diagnose Doctors can diagnose from history washing and physical examination. For additional examination such as X-ray MRI, ultrasound examination to separate other diseases according to the suitability of each patient
The goal of treatment is to reduce pain. Increase the range of movement And the use of the shoulder joint in daily activities
Because in general, the shoulder joint is a condition that can disappear by itself. Palliative treatment according to the stage of the disease will help most patients improve in the pain. Treatment focuses on reducing pain and inflammation. May give painkillers and anti-inflammatory drugs Exercise to maintain the range When entering the period Less pain The treatment will focus on increasing the range. Patients can exercise themselves by stretching the shoulder joint every day. Before bending the shoulder joint should compress with a heat pad After bending the shoulder joint, may use cold compresses to prevent inflammation. If not better, may consider doing physical therapy by using various heating devices. And the shoulder joint bending by the physiotherapist will help to make the symptoms normal faster However, patients should help themselves by stretching the shoulder joint every day. Last in the recovery phase Will focus on exercise to increase the strength of the muscles around the shoulder joint
If the symptoms of shoulder discomfort do not improve until disturbing the daily life after 4-6 months of treatment Or laparoscopic surgery to cut the planar or membranes that hold the shoulder joint etc.
The goal of treatment is to reduce pain. Increase the range of movement And the use of the shoulder joint in daily activities
Because in general, the shoulder joint is a condition that can disappear by itself. Palliative treatment according to the stage of the disease will help most patients improve in the pain. Treatment focuses on reducing pain and inflammation. May give painkillers and anti-inflammatory drugs Exercise to maintain the range When entering the period Less pain The treatment will focus on increasing the range. Patients can exercise themselves by stretching the shoulder joint every day. Before bending the shoulder joint should compress with a heat pad After bending the shoulder joint, may use cold compresses to prevent inflammation. If not better, may consider doing physical therapy by using various heating devices. And the shoulder joint bending by the physiotherapist will help to make the symptoms normal faster However, patients should help themselves by stretching the shoulder joint every day. Last in the recovery phase Will focus on exercise to increase the strength of the muscles around the shoulder joint
If the symptoms of shoulder discomfort do not improve until disturbing the daily life after 4-6 months of treatment Or laparoscopic surgery to cut the planar or membranes that hold the shoulder joint etc.
Thank you
Image: iStock
Image: iStock
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