Periarthritis of shoulder, will it be good to exercise hard?

Let me give you an example first: I am menstruating, not my period, but my real relative, menstruation. She was diagnosed with scapulohumeral periarthritis last year and has not heard of any discomfort this year. It is said that she takes pains to exercise every day.

We must first know what scapulohumeral periarthritis is. In our surgery, the orthodox name of scapulohumeral periarthritis is "adhesive scapulohumeral periarthritis", which is also called frozen shoulder and fifty shoulders. It is also called shoulder coagulation and shoulder leakage in Chinese medicine. However, at present, it is considered that these names only explain part of the problems and do not fully tell the essence, so they are not proper names. At present, "adhesive scapulohumeral periarthritis" is considered to be the most reliable. Of course, other names also have the value of existence, especially.

Periarthritis of shoulder shows that the problem appears around the shoulder, which is inflammation. Since it is inflammation, the typical manifestation of inflammation is redness, swelling and heat pain, and scapulohumeral periarthritis is manifested here.

Scapulohumeral periarthritis is described formally, because people with scapulohumeral periarthritis dare not move their shoulders, or they are too painful to move, or their range of activities is very small, as if they were frozen stiff, so they are called scapulohumeral periarthritis. The shoulder and back of traditional Chinese medicine probably means the same thing. Is it cured?

Fifty shoulders are described from the angle of onset age, because statistics show that people around 50 years old are most likely to suffer from scapulohumeral periarthritis (adhesive scapulohumeral periarthritis).

Let's go back to the orthodox name: adhesive scapulohumeral periarthritis.

Is it possible to recover through hard work? First of all, we should know the following three points.

1, the cause of adhesive shoulder bursitis is local soft tissue degeneration, or chronic strain caused by long-term excessive activity and poor posture.

2. This disease is self-limited. What do you mean? In other words, even if ignored, it will heal itself. This is called self-limitation. Statistics show that it can heal itself within 6-24 months, but some of them can't return to normal functional level. If a quack tells you to use its medicine bag, you will be well within one year, please be vigilant. Maybe I can get better without taking medicine.

3. The main symptom of scapulohumeral periarthritis (adhesive scapulohumeral periarthritis) is exercise pain. The key to treatment is: no matter how long the symptoms last and how serious they are, no matter whether it is windy or rainy, you should actively move your shoulder joints every day, such as ants climbing trees, and so on. The principle is painful exercise, but activities should not cause severe pain. Once you find such activities extremely painful, stop and move gently.

So, yes, scapulohumeral periarthritis should be a "desperate" activity, but it is moderate. In addition, if you dare not move because you are afraid of pain, it may become more and more serious, because the more you don't move, the more sticky you are.

In addition to activities, early physical therapy, acupuncture and massage can improve symptoms, provided that the massage is regular and not rude and indiscriminate. If the pain is severe, you can locally inject hormones to relieve the pain. Doctors in some clinics give you an injection and the pain stops immediately. He is not an imperial doctor. This is a hormone, but this method can't be used often.

Let's talk about periarthritis of shoulder!

Periarthritis of shoulder, strenuous exercise will only get worse! Only on the basis of clear diagnosis of scapulohumeral periarthritis, early, scientific and continuous exercise is the key.

What is periarthritis of shoulder? In the eyes of ordinary patients, shoulder pain without obvious trauma is scapulohumeral periarthritis. Obviously this is not rigorous, because western medicine has a clear diagnosis of scapulohumeral periarthritis, that is, adhesive scapulohumeral periarthritis. The pain around the shoulder joint is mainly due to the inflammatory adhesion and stiffness of the shoulder joint capsule, which limits the movement of the shoulder joint in all directions, especially abduction, external rotation and internal rotation.

Periarthritis of shoulder mostly occurs in people around the age of 50, especially those who are hyperactive for a long time and have bad posture are more likely to get sick; There is another kind of people who need to fix their shoulders after shoulder fracture or dislocation, but they can't get scientific guidance and reasonable functional exercise during the treatment, which eventually leads to illness.

So, don't be nervous when you have shoulder pain. It is suggested that patients go to a regular hospital for a definite diagnosis by a professional orthopedic surgeon, which is different from other diseases that cause shoulder pain such as rotator cuff injury. Then carry out scientific and continuous exercise.

Due to the self-limitation of scapulohumeral periarthritis, most patients can heal themselves within 6 ~ 24 months after onset! Remember, it can heal itself! Heal yourself! Therefore, the purpose of our exercise is not for it, but to relieve pain, restore the function of shoulder joint and avoid muscle atrophy caused by scapulohumeral periarthritis. Under the premise of not causing severe shoulder pain, carry out scientific and continuous shoulder active activities and persevere!

Method of active movement of shoulder joint

1, finger climbing the wall: naturally relax, slowly climb up the wall with the fingers of the affected side, raise the upper limbs as much as possible, and then slowly descend. Go back to the original place and repeat it 30 times.

2, supine external rotation: take the supine position, bend your elbows with both hands, do external rotation to expand your chest, try not to leave the bed board, repeat 30 times.

3, wooden stick exercise: stand naturally, hold the stick with both hands, and do exercises such as lifting and stretching two straight arms at the same time. Drive the affected side with the healthy side to stop the pain, keep it for 5 seconds, and repeat 10 times.

Recently, I have done a lot of arthroscopic shoulder surgery, and many patients have come to me for arthroscopic shoulder surgery. Most of these patients thought they had scapulohumeral periarthritis at first. But this is not the case.

For example, a patient recently had arthroscopic surgery on his shoulder. Let's call him Aunt Wang. Aunt Wang had a sore shoulder a year ago and thought it was scapulohumeral periarthritis. I heard that scapulohumeral periarthritis can be cured by hard exercise, so I tried to pull a rope to exercise in the community. At 500 in the morning and 500 in the evening, although it hurts more and more, it is said that pulling the rope is normal, and it will return to normal when it doesn't hurt. As a result, her shoulder pain not only failed to relieve, but became heavier and heavier. In the past three months, I woke up with pain almost every night, and my shoulder joint showed obvious activity limitation. I did a magnetic vibration and found that the rotator cuff was torn. So he came to Shanghai to find me and help him repair the rotator cuff tear under the shoulder arthroscope. To solve the problems of pain and limited function.

Periarthritis of shoulder is a very common disease. Ordinary people in China know the term scapulohumeral periarthritis. In the past, the traditional method of periarthritis of shoulder was hard exercise. The general course of disease is two years. It basically returned to normal after two years. But modern medical research shows that. Actually, it's not. Even patients with scapulohumeral periarthritis, if the pain lasts for two years, even if the pain is relieved through exercise, in fact, more than 60% of patients will have different degrees of functional limitation.

My views on scapulohumeral periarthritis are as follows.

First of all, it is necessary to make clear whether it is a typical scapulohumeral periarthritis, that is, freezing the shoulder. This should be combined with the doctor's physical examination, and it is best to do an MRI of the shoulder joint. Because of shoulder pain, there are many other diseases besides scapulohumeral periarthritis, such as rotator cuff injury, glenoid lip injury, acromioclavicular joint impact, subacromial bursitis, calcified tendinitis and so on. If there are other soft tissue diseases such as rotator cuff injury and fish lip injury, they need arthroscopic repair to be cured. The first unexplained short-term shoulder pain can be treated conservatively by taking some non-steroidal drugs orally. If conservative treatment is ineffective for more than one month, it is recommended to go to the hospital.

Second, if we exclude soft tissue injuries such as rotator cuff injuries. The basic diagnosis is scapulohumeral periarthritis. Then you can try proper functional exercise, but remember not to overdo it. If functional exercise can relieve symptoms, you can exercise properly. If shoulder pain is aggravated after functional exercise, it is recommended to pause. Because many patients with scapulohumeral periarthritis actually have acromion impingement syndrome, that is to say, these patients have osteophyte acromion, or acromion is hooked shoulder, and acromion and acromion bursa or rotator cuff impact will occur when the shoulder joint moves over the shoulder. If you exercise too much, it will lead to problems such as rotator cuff tearing. For severe intractable scapulohumeral periarthritis, if conservative treatment fails, the course of disease will last for more than three months to six months. Pain obviously affects life seriously. Arthroscopic minimally invasive shoulder release surgery can be considered, and the surgical effect can be immediate. The key is to avoid the sequelae of conservative treatment of scapulohumeral periarthritis.

In a word, scapulohumeral periarthritis is a common disease, which may be relieved by conservative treatment. But if conservative treatment fails, it is recommended to go to the hospital. Arthroscopic minimally invasive release surgery is performed when necessary. There are still many shoulder pains that are not necessarily scapulohumeral periarthritis, and diseases such as rotator cuff injury are also excluded.

Sun: Now many people call all shoulder pain scapulohumeral periarthritis, so scapulohumeral periarthritis is actually shoulder pain in our traditional concept. However, the causes of shoulder pain include many aspects, including rotator cuff tear. A slightly older person is more often referred to as acromioclavicular joint impact. In fact, that is to say, after our spur proliferates, when he lifts it, two bones will collide, which also includes our double-headed tendinitis, and what we traditionally call scapulohumeral periarthritis actually refers to adhesive arthritis of the shoulder joint capsule. Then the shoulder joint pain that is usually said at this time may be stiff in the future.

Therefore, for simple scapulohumeral periarthritis, the symptoms of these patients will gradually improve through professional doctors' rehabilitation guidance, physical therapy and drug treatment. However, if you have shoulder pain and put it in scapulohumeral periarthritis, such as rotator cuff tear and acromion impact, at this time, if you still treat scapulohumeral periarthritis, it will just not get better. If the patient exercises according to the normal treatment of scapulohumeral periarthritis, such as climbing a wall, his symptoms will become more and more serious at this time. Even if you do blockade and physical therapy, you may get better, but it will get worse after a while, his tear will get worse and worse, and his illness will get worse and worse. I don't think not only our non-medical staff, but also some medical staff are not particularly familiar with this, but he is still guiding patients to do some exercises such as climbing walls. So I think this is a knowledge of shoulder joint, which should be popularized quickly, so that more people can understand this knowledge and prevent some misdiagnosis and mistreatment.

Periarthritis of shoulder, the so-called diagnosis, can really be said to be a household name. As long as someone talks about shoulder pain, someone around him will say: You have scapulohumeral periarthritis, shake your arm quickly and shake it hard! They are all so good! Is that really the case? Have you ever seen a patient shake his arm so hard that his shoulder tendon finally broke? Let's talk about this! The so-called diagnosis of scapulohumeral periarthritis, like synovitis, can be said to belong to the trash can diagnosis. You can use scapulohumeral periarthritis and synovitis as trash cans. You can throw it into this bucket as long as your knees or other joints feel pain, and you can throw it into this bucket as long as your shoulders feel pain. Moreover, when we tell patients that they have meniscus injury, cartilage injury, shoulder impingement syndrome and rotator cuff injury, all patients will ask, isn't that scapulohumeral periarthritis or synovitis? These two diseases are terrible, and I don't know what other diagnoses the doctor said are really troublesome.

Shoulder joint, you have periarthritis of shoulder. Is it too serious? Our shoulder joint is the most flexible joint in the body, which can rotate almost 360 degrees, which is very important for us to complete many flexible upper limb movements. Such a flexible shoulder joint must be surrounded by abundant muscles, tendons and ligaments to maintain its stability, so as not to dislocate the shoulder when doing flexible movements. Therefore, the structure of shoulder joint is particularly complicated, and the research on shoulder joint has never stopped, and new understanding and ideas appear every year.

You can imagine that such a complicated shoulder joint, as long as there is a problem, must be caused by scapulohumeral periarthritis. Isn't that a little ridiculous? Moreover, if there is something wrong with the shoulder joint, it must be scapulohumeral periarthritis. You can shake your arm hard. Isn't this a little too simple?

So what is the so-called scapulohumeral periarthritis in our mouth? In fact, the real scapulohumeral periarthritis, it has a professional name called periarthritis of shoulder joint, also called 50 shoulder, frozen shoulder. The main pathological change of this disease is aseptic inflammation of the capsule around the shoulder joint, which will slowly produce exudation and release inflammatory factors, resulting in shoulder pain of patients. Slowly, the whole capsule of the shoulder joint will contract, that is, it will become tighter and tighter, and the range of motion of the shoulder joint will become more and more limited. This disease is characterized by self-limitation, which means that it will get better gradually even if it is not treated. Slowly, the function of the patient's shoulder joint will recover, the range of motion will gradually increase, and finally return to normal. This is like the shoulder joint being frozen and thawed, so the most commonly used name should be scapulohumeral periarthritis. So how long does it take for the patient's shoulder joint to thaw itself? Everyone is different. Some people will recover slowly in 3~6 months, while others may last for more than three years.

So why on earth did you get this disease? Although we found that the patient's joint lesions were particularly extensive during the operation, the patient's shoulder joint capsule became tight, covered with newly generated synovium and proliferating blood vessels, so the whole joint cavity narrowed and turned red, but why this change happened is not very clear at present. But we know who is more prone to this problem. Generally, people over 50 years old who have hypertension, coronary heart disease, diabetes and thyroid diseases are more prone to scapulohumeral periarthritis, especially diabetic patients. Nearly 30% patients with scapulohumeral periarthritis have abnormal blood sugar.

The scapulohumeral periarthritis will be relieved if it is not treated, which is self-limited. Should it be treated? If you have never suffered from scapulohumeral periarthritis or committed this crime, you may think that you can get well without treatment when you hear the word self-limitation. But only when you have this disease can you know how painful it is. In the acute stage of scapulohumeral periarthritis, the patient's pain is particularly obvious. The slight movement of the shoulder joint can cause pain, especially during sleep. It can be said that many people can't sleep after being tortured all night. Sometimes they fall asleep, turn over a little, touch their arms a little, then wake up in pain, and then it is difficult to fall asleep.

Slowly entering the freezing period, shoulder joint adhesion is particularly serious, and all activities of shoulder joint will induce pain. It is very difficult for patients to comb their hair, lift their pants and go to the toilet, especially for patients who are used to using their right hands, and there is a scapulohumeral periarthritis on the right side. Friends who don't understand can imagine which shoulder joint they can't do anything, as long as they move, it hurts. Can they stand this crime?

In addition, some patients with particularly severe adhesions can be said to have disappeared after entering the thawing period, and the range of motion of the shoulder joint has also expanded to a certain extent. However, due to the serious illness, the range of motion of the shoulder joint has been significantly reduced, which means that some dysfunction has been left.

If the above problems appear, should we just let them go and not give treatment? Let the patient persist in the pain, persist in enduring it, and expect the pain that will appear when it will be alleviated or disappeared?

What should I do about scapulohumeral periarthritis? In fact, when it comes to treatment, the most important thing is a clear diagnosis. If there is pain in the shoulder joint, the range is obviously limited. The most basic thing is to go to the hospital for X-ray examination to determine whether there is serious hyperosteogeny and abnormal calcification of the shoulder joint. If possible, it is very important to do a magnetic resonance examination of the shoulder joint to determine whether there is rotator cuff injury and whether the patient has shoulder pain caused by other shoulder diseases. It is very important to make a clear diagnosis and avoid misdiagnosis and mistreatment. During X-ray and magnetic resonance examination of shoulder joint, patients with scapulohumeral periarthritis often have obvious changes in shoulder joint position, which can still be recognized.

Then when there is a clear scapulohumeral periarthritis, the treatment plan mainly includes the following aspects:

Analgesia: When there is scapulohumeral periarthritis, pain is really the biggest trouble. Even if the range of motion of the shoulder joint is limited, if there is no pain, the acceptance will be stronger, so it is very important to control the pain. Because the shoulder pain is particularly serious when there is scapulohumeral periarthritis, it is recommended to take oral and external medication.

Shoulder adhesion release: There are two main reasons for the limited adhesion range of patients with scapulohumeral periarthritis. One is that patients dare not move because of pain, and the shoulder joint will stick after a long time. The other is the disease itself. As mentioned above, scapulohumeral periarthritis will cause the contraction of shoulder joint capsule, which will seriously affect the shoulder joint function of patients.

At this time, if you want to control adhesion, prevent it from getting worse, and slowly restore the angle of shoulder movement, you need two measures, one is your own active exercise, and the other is passive rehabilitation exercise.

Important content: Why not advise patients with scapulohumeral periarthritis to stand up and shake their arms vigorously? This is the theme of our article, why not suggest it? This is mainly because each of us has different shoulder joint conditions. Some patients have scapulohumeral periarthritis and severe shoulder joint impact. This impact does not mean that the shoulder joint is damaged, but some patients have a curved or hooked acromion shape. In addition, in the process of using the shoulder joint all the year round, some patients have osteoarthritis changes in the shoulder joint and osteophytes (bone spurs and hyperosteogeny) appear. These bone spurs make the acromion slowly appear hooked, so excessive shaking of the shoulder may lead to rotator cuff tear.

To sum up, patients with scapulohumeral periarthritis should never stand and shake their shoulders. If you can't control the pain, I don't know if there is a shoulder impact. This shoulder shaking action will not only aggravate the pain of the patient, but also tear the rotator cuff.

Some patients will definitely say when they see this, so-and-so around me just shook their shoulders and shook them well, and the function of shaking will return to normal in a few days!

This is the typical survivor logic. For this kind of people, he only sees the good around him, but he can't see the patients in the hospital who have to have surgery to solve the problem because of a large number of shoulders. Moreover, it is not known whether these so-called good-pitched patients have frozen shoulders or shoulder joint impacts. Only by seeing some special cases around us can everyone vote well. This is the typical survivor logic. To tell the truth, most people can meet several patients with scapulohumeral periarthritis, but as a doctor, they can meet dozens of patients with shoulder pain a month. Who can have a professional doctor with more say? Don't say this answer!

I am Xie Xinhui who insists on explaining the knowledge of complex diseases in easy-to-understand language. Codewords are not easy. If you agree with me, please help me pay attention or praise it. If you or your family and friends also have scapulohumeral periarthritis, please forward this article to those in need and tell them not to throw their shoulders at will, which may aggravate the condition! Thank you very much Shoulder periarthritis, is it because the doctor said that it has a certain self-healing, and sometimes it will be fine if you don't pay attention, or the doctor said that the more painful the shoulder periarthritis is, the less it will move. The most important thing is to correctly understand the doctor's advice, which is the so-called doctor's words. One-sided or even wrong understanding is the serious reason that leads to more and more patients with scapulohumeral periarthritis!

Suffering from scapulohumeral periarthritis, what is the correct exercise method? Is it really good to exercise hard? First of all, whether it is exercise or treatment of scapulohumeral periarthritis, the most important thing is to make a clear diagnosis: do you really have scapulohumeral periarthritis? Clinically, some patients who want to be part of it just regard "shoulder pain as scapulohumeral periarthritis"! Then I listen to others, do all kinds of exercises, and even try my best to exercise. Finally, I found that the pain was not relieved and the shoulder symptoms became more and more obvious. I went to the hospital for examination and found that it was "rotator cuff injury". This kind of blind exercise aggravated the condition of rotator cuff injury! Therefore, in daily life, for patients with shoulder pain, it is very important to make clear the diagnosis of the disease first, and it is also very important to go to the hospital to see if there is scapulohumeral periarthritis! Because only about 15% of the patients with shoulder pain are patients with scapulohumeral periarthritis, most of the other patients are probably rotator cuff injury, acromioclavicular joint and tendinitis.

Secondly, make clear the diagnosis of scapulohumeral periarthritis, and then the most important thing is to treat it as soon as possible! Yes, a large number of patients with scapulohumeral periarthritis ignore it and have the possibility of self-healing, but "ignoring it" does not mean that active treatment is not needed! In fact, most patients with scapulohumeral periarthritis just show shoulder pain symptoms, which is called pain period clinically! At this time, if early treatment and intervention can be carried out, the treatment effect is often the most obvious, which can seriously shorten the self-healing cycle, and even do not need to go through the freeze-thaw period at all, which is often called the "frozen shoulder" period! Because once the patient enters the freezing period, it will have a great impact on the patient's life and work, especially the activity is limited!

Finally, patients with scapulohumeral periarthritis can use some anti-inflammatory painkillers for symptomatic treatment, but the most important thing is to carry out correct and appropriate functional exercise. Note: the more painful it is, the less painful it is, because it will only lead to more and more serious adhesion of joint capsule; You should avoid strenuous exercise, even if you keep a posture, because for most patients with scapulohumeral periarthritis, it is largely because the patient's shoulder joint is excessively active for a long time, so keep a posture!

In fact, for patients with scapulohumeral periarthritis, it is enough to adhere to the following four appropriate functional exercises every day!

Bend forward and lift up.

Turn inward and stretch backward.

Shoulder rotation

Shoulder joint retraction (grasping the shoulder of the other hand with one hand)

It is generally believed that scapulohumeral periarthritis is caused by overwork and improper treatment after injury. The patient has chronic inflammation in the peripheral ligaments, tendons and capsules of the shoulder joint. These patients will have pain and dyskinesia, and the inflammation will be gradually absorbed after a month's rest. At this time, the patient's symptoms will be cured, and there is no need for exercise. Just wait patiently. One month after the onset of symptoms, most patients' inflammation will be absorbed by themselves, and the symptoms will be alleviated.

There are also some patients with adhesion of ligaments in the shoulder joint after inflammation absorption. If these patients don't get exercise or treatment, their symptoms will persist, and some may even last for a year. Therefore, it is suggested that such patients can do exercise.

However, before exercise, we should go to the hospital for further diagnosis, because the pain and dyskinesia caused by shoulder arthritis are very similar to another clinical disease-rotator cuff injury. Patients with rotator cuff injury can only rest automatically, so the treatment methods of the two are completely different. Go to the hospital for an MRI first, and then decide whether you can exercise.

Hello, scapulohumeral periarthritis is actually a self-healing disease. For scapulohumeral periarthritis, if the shoulder joint activity is limited, such as not combing your hair and touching the opposite scapula, you should do some joint activity training to avoid pain and prevent the muscle atrophy around the shoulder joint from affecting your subsequent daily life.

However, incorrect or excessive exercise will aggravate the pain!

It is important to pay attention to "painless", because in some people, in addition to scapulohumeral periarthritis, there may be degenerative changes of shoulder joint or tearing or strain of shoulder tendon, among which supraspinatus muscle is more common. If too large-scale training may aggravate muscle injury and tear, and aggravate symptoms such as pain, so you must choose the right training method and don't worry too much!

What about periarthritis of shoulder? If you have difficulty lifting your hand to carry things at present, you can climb the wall as shown below!

Elbow straight. At the beginning of the exercise, people stand sideways, facing the wall. Then when the elbow joint is straight, their fingers climb up, which can be done on the healthy side and the painful side at the same time. Pay attention to avoid pain and record whether the height change has increased. General 10 times/group, 3 groups!

If there is difficulty in the early stage, you can choose a longer towel. If it is less difficult, you can use a shorter towel, and then your left and right hands exchange towels from the back, but it doesn't hurt. You can repeat it 6 times/group, 3 groups.

You can do resistance training of shoulder external rotation through elastic belt in the picture below.

Pay attention to stretching elastic belt's elbow close to both sides of abdomen without pain. 10 times/group, 3 groups.

I hope my answer can help you!

As a kind of aseptic inflammation, scapulohumeral periarthritis mainly occurs in people around 50 years old, so it is also called "fifty shoulders", and most of them are women. Generally, scapulohumeral periarthritis is characterized by shoulder pain and shoulder joint movement disorder. In treatment, we often mention some basic exercise activities. Patients are usually encouraged to do upper limb exercises, such as adduction, supination, stretching, flat lifting, touching ears with both hands, climbing walls with fingers, carrying back with both hands, overlapping shoulders, back support, etc. But under normal circumstances, we will emphasize a certain "degree" to patients, that is to say, we must step by step in the process of exercise, and we must not act too hastily, let alone exercise hard.

The pathogenesis of scapulohumeral periarthritis is usually divided into three stages: pain stage (acute stage), stiffness stage (remission stage) and recovery stage.

During the period of pain, patients usually show severe pain, especially at night. During this period, patients are almost unwilling to move, but muscle adhesion or muscle atrophy will occur when they are inactive, so they often meet some patients who come to see a doctor after the pain period, accompanied by unfavorable shoulder joint movement and reduced abduction, backward extension and flat lift. In the meantime, we advocate moderate and mild activities.

The pain in the stiff stage is obviously relieved, which will be accompanied by unfavorable limb movements. Patients in this period are usually willing to take the initiative to exercise, but we still advocate moderate exercise, avoid large-scale and high-intensity exercise, prevent secondary injury of shoulder muscles and stimulate shoulder inflammation again. Then, in the same way, the recovery period is the same. Exercise must be moderate, avoid strenuous exercise and avoid catching a cold, mainly to restore functional exercise.

Of course, scapulohumeral periarthritis is a self-healing disease. Under proper exercise intensity and methods, patients can basically return to normal after three stages: pain stage (acute stage), rigidity stage (remission stage) and recovery stage, but some of them persist for 2 years or longer. Therefore, for patients with scapulohumeral periarthritis, in addition to exercise, we still advocate the corresponding treatment of Chinese and Western medicine.

It is not easy to heal. I used all traditional Chinese medicine and western medicine, and it was relieved at that time, but it still hurts after a while. Pay more attention to rest and don't do heavy work. It won't hurt too much after a long time.