Upper age with frozen shoulder. Arm hurts a lot! Taking lots of medicine and it still hurts. In the end how to heal?

Treatment method Chinese medicine comprehensive method 1. Chinese medicine to dispel wind and cold, spasmodic and through the network, blood for the purpose of. 2. 2. Cupping Cupping for frozen shoulder is often used to treat the following points: shoulder well, shoulder corner, shoulder before, shoulder, shoulder chastity, Tianzong and other points. Choose two points each time and use them alternately. 3. 3. scraping Gua Sha scraping treatment of frozen shoulder often choose meridian: arm outside the lung meridian, large intestine meridian. Can scrape 1 to 2 times a week. 4. acupuncture acupuncture treatment of frozen shoulder often choose points are: shoulder well, shoulder corner, shoulder before, shoulder chastity, large vertebrae, Quchi, outside the off, wrist bone and other points. Choose 1 ~ 1.5 inch acupuncture needle, sterilize the skin with 75% alcohol cotton balls, puncture the acupuncture point, leave the needle for 20 ~ 30 minutes. 1 time per day. Two weeks for a course of treatment. 5. Physiotherapy Selection of analgesic sleeping pillow or ultra-short wave and other high-frequency electromagnetic therapy, once a day, 10 days for a course of treatment. Can play the role of anti-inflammatory, analgesic, antispasmodic, improve blood circulation, relaxation of muscles. 6. Functional exercise Functional exercise is very important for patients with frozen shoulder. As "three parts of medicine and seven parts of practice", patients should be encouraged to do more shoulder joint exercises, especially the appropriate large-scale exercise, which is beneficial to the prevention of adhesion of the shoulder joint and the tightness and contracture of the soft tissues of the shoulder. Take 30 grams of bone chasing wind and 60 grams of wine. Soak the bone chasing wind in the wine for 5 days. Take it in several times. 2. 1000 grams of old ginger, 500 grams of green onion, 250 grams of sweet wine. Pound the two medicines, fried hot, compress the pain. 3. Take 500 grams of ginger, 50 grams of scallion root, 250 grams of pepper, 100 grams of cumin, 150 grams of white wine. First ginger and onion root chopped, pounded into mud, cumin and pepper pounded into the surface, and then the four mixed together and stirred, placed in an iron pot with the fire frying hot, add white wine and stirring, and then into a gauze bag, compresses in the affected area. Temperature to tolerate as far as possible, covered with a towel, and then covered with a quilt, so that sweating. The next day the bag with a pan fried hot continue to use, do not have to change the medicine, this bag can be added to the wine. Every night 1 time, adhere to the treatment, will have curative effect. Serial service 1 month to see the effect, generally need to serve 81 days. Snake meat soup: snake meat, pepper, ginger, salt, each appropriate amount, stew, meat soup with food, 2 times a day. It has the effect of tonifying deficiency, dispelling wind and dispersing cold. Applicable to the late stage of frozen shoulder and weakness, wind-dampness blockage. Chuanwu porridge: raw Chuanwu head about 5g, 50g of round-grained rice, ginger juice about 10 drops of honey appropriate. Chuan Wu head crushed, research for very fine powder. Boil round-grained rice first, porridge almost into the end of adding Chuanwu, change to a small fire slowly fried, to be cooked, add ginger and honey, stir, a little cooking can be. It has the effect of dispelling cold and dampness, facilitating joints, warming menstruation and relieving pain. Applicable to frozen shoulder due to wind-damp cold attack. White peony and peach kernel porridge: 20g of white peony, peach kernel 15g, 60g of round-grained rice. first white peony decoction of liquid, about 500ml; and then peach kernel peeled tip, mashed as mud, add water and research juice, remove the slag; with the juice of the two flavors with round-grained rice boiled for porridge, can be eaten. It has the effect of nourishing blood and resolving blood stasis, clearing the channels and relieving pain. Applicable to frozen shoulder in the late stage of blood stasis and obstruction of collaterals. Mulberry chicken soup: 60g old mulberry branches, old hen 1, a little salt. Mulberry branches cut into small segments, and chicken **** cooked until rotten soup thick that is, add salt to taste, drink soup and eat meat. It has the effect of dispelling wind-dampness, energizing the meridians, and replenishing qi and blood. Applicable to the chronic stage of frozen shoulder and physical weakness of wind-dampness blocking the collaterals. Functional exercise At present, the treatment of frozen shoulder, most scholars believe that taking pain medication can only treat the symptoms, temporarily relieve the symptoms, after stopping most of the drugs will recur. If the patient can insist on functional exercise, the prognosis is quite good. The following introduces eight shoulder joint functional exercise movements. Functional exercise of the shoulder illustration-1 1. Before and after the swinging exercise: the torso bends forward (i.e., bending over), the upper limbs hang down, try to relax the muscles and ligaments around the shoulder joint, and then do the before and after the swinging exercise, the amplitude can be gradually increased, for 30 to 50 times. At this time, record the swing time, and then straighten the waist, take a rest. After resting, do the pendulous swinging exercise with a heavy weight (0.5-2 kg), and do the same time swinging back and forth (30-50 times), in order not to produce pain or not to induce muscle spasm is appropriate. At the beginning, the weight held should not be too heavy. You can start with 0.5 kilograms, then gradually add to 1 kilogram, and slowly add to 2 kilograms. 2. Rotation circle movement The patient bends the waist and hangs down the arm, flings the affected arm, takes the shoulder as the center, does the circle movement from inside to outside, or from outside to inside, and uses the arm flinging to drive the shoulder joint activity. The amplitude from small to large, repeated 30 to 50 times. 3. Climb the wall with both hands. Stand facing the wall, lift both hands up, hold them on the wall, slowly climb upward along the wall with the fingers on both sides, so that the upper limbs of both sides can be lifted up as high as possible, and when the maximum limit is reached, make a mark on the wall, and then return to the original position slowly downward. Repeat, gradually increase the height. Shoulder Functional Exercise Illustration-2 4. Lateral One-Handed Wall Climbing The patient stands sideways to the wall, slowly climbs upward along the wall with the fingers of the affected side, so that the upper limbs are elevated as much as possible to the maximum limit, make a mark on the wall, and then return to the original place by going downward again and again to increase the height gradually. 5 and 6. Shoulder retraction and abduction The patient lies on his back, crosses the fingers of both hands, palms upward, and puts them on the back of the head (occiput), first makes both elbows retract as much as possible, and then abducts them as much as possible. 7. Pulling the trolley 8. Comb the hair - the patient can be standing or lying on the back, the affected side of the elbow flexion, for combing the hair movement. Please note that the patient, the above eight movements do not have to do every time, according to the specific circumstances of the individual choice of alternating exercise, 3 - 5 times a day, generally about 30 times for each movement, more than unlimited, as long as persistent, on the prevention and treatment of frozen shoulder will be of great benefit. In addition, to introduce the prevention and treatment of frozen shoulder exercise for patients' reference: 1. Flexion of the elbow to throw the hand - the patient's back to stand against the wall, or lying on his back in bed, the upper arm against the body, flexion of the elbow, the elbow as a fulcrum, external rotation activities. 2. Climbing the wall with fingers - the patient stands facing the wall, slowly climbs upward along the wall with the fingers of the affected side, so that the upper limbs are lifted up as high as possible to the maximum limit, make a mark on the wall, and then go back downward to the original position, repeat the process, and gradually increase the height. 3. Pulling the hand behind the body - the patient stands naturally, with the upper limb on the affected side internally rotated and extended backward, the healthy side pulls the hand or wrist on the affected side, and gradually pulls it toward the healthy side and pulls it upward. 4. Standing with arms extended - the patient's upper limbs naturally drooped, arms straight, palms downward slowly abducted, upward force lifting, to the maximum limit after stopping for 10 minutes, and then back to the original place, repeated. 5. Backward stretching and touching the spine - the patient stands naturally, in the affected side of the upper limb internal rotation and backward stretching posture, flexion of the elbow, flexion of the wrist, the middle finger belly touching the spine spinous process, gradually upward to the maximum limit from the bottom to stay motionless, and then slowly downward back to the original position after 2 minutes, repeated, gradually increasing the height. 6. Comb the head - patients can stand or lie on their backs, the affected side of the elbow flexion, the forearm forward and upward and rotate the front (palm up), try to use the elbow to wipe the forehead, that is, wipe the sweat action. 7. Head and pillow hands - patients lying on their backs, hands crossed fingers, palms up, placed on the back of the head (occiput), first make both elbows as far as possible inward, and then as far as possible outward. 8. Rotate the shoulder - the patient stands, the affected limb is naturally drooping, the elbow is straight, the affected arm from the front upward to backward circle, the amplitude from small to large, repeated several times. Exercise therapy The following are some easy-to-use exercise therapies for patients with frozen shoulder: unarmed gymnastics: do three axial activities of the shoulder joint, and use the healthy limb to drive the affected limb to carry out various exercises. Instrumental gymnastics: use gymnastic bars, dumbbells, rings, pulleys, climbing shoulder ladder, tensioner, shoulder joint comprehensive exerciser and so on for exercise. Note: Activities should be within the pain-free range, because pain can reflexively cause or aggravate muscle spasm, thus affecting functional recovery. Each activity should not cause pain aggravation. On the contrary, it suggests that the activity is excessive or a new injury has occurred, and it is advisable to adjust the amount of exercise at any time. Sagging and swinging exercise: Bend the torso forward, relax the tendons around the shoulder joint, then do internal and external, back and forth, and swinging exercises around the arm, the amplitude can be gradually increased until the fingers become swollen or numb. At this time to record the swing time, and then straight back a little rest and relaxation, and then do the weight (1 ~ 2 kilograms) pendulous swing, do the same time before and after, inside and outside, around the swing (30 ~ 50 times), in order not to produce pain or not to induce muscle spasms as appropriate. Can also be carried out in the prone position, that is, the affected shoulder hanging outside the bed, and then do the relaxation of swinging or lifting heavy swinging exercises. Point massage and passive movement: shoulder massage can improve blood circulation, reduce muscle spasm and loosen the joint adhesion. Massage with passive activities can increase the range of motion of the shoulder joint. However, the technique must be gentle to avoid aggravation of symptoms. Generally, pushing, kneading and rolling are applied to the shoulder first to relax the muscles and relieve spasm. Then hold or press the shoulder well, shoulder bone yu, shoulder zhen, zhongfu, tianzong and other points. Use the push and press method of tendon management to flick the biceps tendon, the long head of the triceps muscle and the pectoralis major muscle stopping point. Do the shaking of the shoulder joint, and at the same time do the light passive movement of the shoulder joint in all directions, gradually expanding the range of activities, and finally end the massage with rubbing, wiping and other techniques. Rehabilitation therapy 1. In the acute stage or early stage, it is better to take some fixation and analgesic measures for the diseased shoulder in order to relieve the patient's pain, such as suspending it with a triangular scarf, and doing hot compresses, physiotherapy or closed treatment for the diseased shoulder. 2. Chronic period is mainly characterized by shoulder dysfunction. Functional exercise and massage are the mainstays of treatment, together with physiotherapy. The rehabilitation treatment of frozen shoulder is mainly medical gymnastics. (l) Gymnastic exercises: hold the gymnastic bar with both hands, in front of the body, straighten the arm, and then repeatedly raise it upward as hard as possible to the back of the head; in the back of the body, hold the bar with both hands and raise it upward with force. (2) Finger wall-climbing exercises: stand sideways or in front, lift the forearm on the affected side, stick the index and middle fingers to the wall, and then slowly make wall-climbing movements along the wall. (3) Raise the arm of the affected side and touch the back of the head repeatedly; the sick side of the hand behind the body, lift up and touch the back. If the affected arm is not easy to move, the healthy hand can be used to help the affected hand to lift up. Edit this section clinical manifestations and diagnostic methods Frozen shoulder This disease is more common in women than in men, and the left side is more common than the right side, and the two sides can also be successively onset. The disease is more common in middle-aged and old-aged people. Gradually, there is pain in one part of the shoulder, which is obviously related to movement and posture. With the prolongation of the course of the disease, the scope of pain is enlarged and involves the middle part of the upper arm, accompanied by shoulder joint activity limitation. If you want to increase the range of motion, there will be severe sharp pain. In severe cases, the affected limb is unable to comb the hair, wash the face and buckle the belt. At night, the patient wakes up with pain because of turning over and moving the shoulder. The patient can still point out the pain point in the early stage, but in the later stage, the range is enlarged, and it is felt that the pain comes from the humerus. Frozen shoulder patients mainly have some of the following manifestations: Shoulder pain At first, the shoulder was paroxysmal pain, most of the chronic episodes, and then the pain gradually intensified or tonic pain, or cutting pain, and was persistent, climate change or after exertion, often make the pain aggravate, pain can be spread to the neck and upper limbs (especially elbow), when the shoulder is accidentally collided with or pulling, it can often cause tearing pain, shoulder pain day and night. Heavy for this disease is a major feature, most patients often complain of pain in the second half of the night to wake up, can not sleep, especially not to the affected side of the lateral lying, this situation is more obvious due to blood deficiency; if the pain is caused by the cold, it is particularly sensitive to climate change. Restriction of shoulder joint activities Shoulder joint activities can be restricted in all directions, and it is more obvious in abduction, supination and internal and external rotation. With the progress of the disease, due to the adhesion of the joint capsule and the soft tissues around the shoulder caused by the long term disuse, the muscle strength gradually decreases, coupled with the rostro-humeral ligament is fixed in the shortened internal rotation position and other factors, so that the shoulder joint's active and passive activities in all directions are restricted, and the typical "carrying the shoulder" occurs when the shoulder joint is abducted. When the shoulder joint is abducted, there is a typical phenomenon of "carrying the shoulder", especially when combing hair, dressing, washing the face, and crossing the waist, etc. It is difficult to complete the movements, and the function of the elbow joint can also be affected in serious cases, and the hand can not touch the shoulder on the same side when the elbow is flexed, and the flexion of the elbow can not be accomplished when the arm is extended backward. Fear of cold The affected shoulder is afraid of cold, many patients use cotton pads to wrap the shoulder all year round, even in summer days, the shoulder does not dare to blow the wind. Most patients can feel obvious pressure points around the shoulder joint, and the pressure points are mostly in the long head of the biceps tendon groove. Most patients can feel obvious pressure points around the shoulder joint, and the pressure points are mostly in the long head tendon groove of the biceps muscle. Muscle spasm and atrophy The muscles around the shoulder such as deltoid and supraspinatus may show spasm in the early stage, and wasting muscle atrophy may occur in the late stage, with typical symptoms such as shoulder crest protrusion, inconvenience in lifting up and unfavorable back bending, and the pain symptoms are reduced at this time. There is mild atrophy of deltoid muscle and spasm of trapezius muscle. The tendon of supraspinatus, long and short head tendons of biceps and anterior and posterior edges of deltoid muscle may have obvious pressure pain. Restriction of abduction, external rotation and posterior extension of the shoulder joint is most obvious, and in a few cases, internal retraction and internal rotation are also restricted, but restriction of forward flexion is less common. X-ray and laboratory examination Conventional radiographs are mostly normal, with osteoporosis seen in some patients in the later stages, but there is no bone destruction, and calcified shadows can be seen under the acromion. Laboratory tests are mostly normal. In older patients or those with a longer course of the disease, radiographs may show osteoporosis of the shoulder, or signs of calcification of the supraspinatus tendon and subacromial bursa.