Traditional Chinese medicine diagnosis and treatment scheme of scapulohumeral periarthritis

Periarthritis of shoulder is inflammation of shoulder area, including inflammation of periosteum, tendon and joint capsule. Periarthritis of shoulder is often accompanied by paroxysmal pain, inflammation and numbness of upper limbs. The treatment of mild scapulohumeral periarthritis can be non-surgical treatment, including drug therapy, block therapy, massage, acupuncture, rehabilitation exercise and so on. Patients with severe scapulohumeral periarthritis need surgery.

1, drug therapy

The drug treatment of scapulohumeral periarthritis is mainly symptomatic treatment, including anti-inflammatory and analgesic. Non-steroidal anti-inflammatory drugs are commonly used for anti-inflammation, including ketol and Namr. Painkillers include procaine, lidocaine and hydrocortisone.

2. Blocking therapy

When the symptoms of drug treatment cannot be relieved, corticosteroids, including fluoprogesterone and diprospan, can be injected into muscles or joints.

3. Massage and massage

The patient takes supine position, and when massaging the patient, the palms press the humeral heads on both sides for 3-5 minutes respectively.

4. Acupuncture

Patients take a sitting position, straighten their knees, insert shoulder pain points, and adopt the cross-point selection method, that is, they need to stab the right scapulohumeral periarthritis at the left shoulder pain point; The left scapulohumeral periarthritis pricked at the pain point of the right shoulder.

5. Rehabilitation exercise

Patients can improve scapulohumeral periarthritis by turning their arms around. Patients take a standing position, hold their heads up and chest out, lift their upper limbs horizontally, and do internal and external circular movements 10 minutes.

6, surgical treatment

If scapulohumeral periarthritis is not treated well, joint suppuration or tissue deformation will occur, which will seriously cause ankylosing arthritis. At this time, arthroscopic surgery is needed, and micro-incision is made with optical instruments to remove deformed tissues and restore damaged structures.