The term "shoulder-palpation periarthritis" means inflammation of the tendon of the shoulder swirling cuff.
Pain in the shoulder joint is not uncommon. It is worth working with a shovel in the country, overdoing with fitness or moving furniture, as for several months or even years, aching pain that prevents free movement of the hand. This is the shoulder-capillary periarthritis. In fact, the name is not entirely accurate.
Shoulder patch periarthritis combines inflammation and damage to various musculoskeletal structures lobed in the shoulder joint.
The cause of the shoulder patch of periarthritis lies in the features of the structure of the shoulder joint.
The shoulder joint is an unusual joint. The articulation of the shoulder bone, collarbone and shoulder blade itself is very fragile, but precisely because of this a huge amount of movement in the shoulder joint is provided. To stabilize this mobile joint the joint covers a multitude of muscles that form a rotational cuff (copying cuff) of the shoulder.
One of the tendons of the rotary cuff of the shoulder (namely, tendons of the supine muscle - m, supraspinatus) passes within the cavity of the joint. That is, practically every movement of the hand leads to the contraction of this tendon between the head of the humerus and the shoulder blade of the shoulder blade.
In the process of aging of connective tissue structures, the tendon gradually loses its elasticity and, in case of excessive load, is damaged until complete rupture.
In response to the microtrauma, there is an inflammation of the surrounding tissues, which is accompanied by a rather intense pain that interferes with normal existence.
It is inflammation of the tendon m, supraspinatus and implies the term "shoulder-palpation periarthritis".
Risk factors for the occurrence of shoulder-and-perithetic periarthritis
Age over 40 years old
Osteochondrosis of the cervical spine (due to disorders of the nervous regulation, the nutrition of tissues surrounding the joint is afflicted),
Obesity, diabetes mellitus, diabetes
Injury to the shoulder joint,
Excessive physical activity.
Symptoms of shoulder-capillary periarthritis
· Pain in the area of the shoulder joint, which increases when the arm is moved sideways by 90 degrees. What is characteristic, if, having overcome the pain, lift the arm above the horizontal level, the belly slightly decreases. Patients describe pain as "lumbar", which prevents sleep.
· Movement restrictions. Patients can not hold their hands behind their back, the woman can not fasten a bra
· Burden. In the morning, the shoulder area seems to be wet. In order to make the first movements with your hand, you need to develop a little bit of it.
Diagnosis of shoulder-toe periarthritis
Diagnosis of the disease is not complicated. Already during examination with the help of functional tests, an experienced doctor-rheumatologist or traumatologist-orthopedist can precisely locate the pathological process. In addition, often prescribed ultrasound shoulder joints and radiography. These studies tend to clarify the diagnosis. In exceptional cases, the magnetic resonance imaging (MRI) of the shoulder joint is used. MRI of the cervical spine helps to eliminate hernias of intervertebral discs and compression of the nerve roots (which in the clinic resembles shoulder-palpation periarthritis).
Treatment of shoulder and pericardial periarthritis
Treatment of shoulder-to-ceiling periarthritis is best started immediately after diagnosis, since postponing treatment can lead to a steady restriction of the function of the shoulder joint. Because of pain, patients often severely restrict movement of the hand, the capsule of the shoulder joint shrinks (develops adhesive capsule). In such a situation, then, even with the complete numbness of the pain, the volume of movements in the shoulder joint may not be restored.
The most common tactic is the implementation of arterial blockade with novocaine (lidocaine) and diprospana. Usually, one shave is sufficient enough for joint pain to decrease significantly. Assign drugs for oral administration (anesthetics from the group of nonsteroidal anti-inflammatory drugs, as well as muscle relaxants).
In the absence of contraindications physiotherapy, acupuncture, soft-handed therapy (post-isometric relaxation) is performed. It is recommended for all patients to prevent the development of an adhesive capsule, to perform physical therapy exercises.
The prognosis of treatment is favorable. A few days later the pain completely disappears, movement in the shoulder joint is restored. With an insufficient effect of conservative treatment or re-development of the shoulder-capillary periarthritis, surgical operation (most often arthroscopic) may be performed.