Rehabilitation treatment of shoulder-hand syndrome

In daily life, people often encounter shoulder-hand syndrome, which refers to the pain that patients experience during recovery. If this happens, timely treatment is required. The principle of treatment is early detection and early treatment. If the treatment is not timely, the disease will recur. It is generally best to treat this disease within 3 months of onset to avoid delaying the disease and causing irreversible consequences.

Shoulder-hand syndrome refers to the sudden swelling and pain of the hand of the affected upper limb and pain in the affected shoulder during the recovery period of the primary disease, which limits the motor function of the hand. Severe cases can cause contracture and deformation of the hands and fingers, leading to complete loss of hand function. Therefore, shoulder-hand syndrome should be given sufficient attention and treated early. Common pathogenic factors include: prolonged forced wrist flexion; excessive wrist extension can cause inflammatory swelling and pain; prolonged intravenous infusion on the back of the affected hand; trauma to the affected hand, etc.

1. Place the affected limb in an appropriate position: raise the affected limb to prevent the hand from being in a drooping position for a long time; maintain the wrist joint in the dorsiflexed position, and use an upward splint to fix the wrist joint. When lying down, lay your upper limbs flat, raise the distal end to the level of your heart, and release your fingers. This posture can promote venous blood return. 2. Centripetal compression wrapping: Use a long rope with a thickness of about 1-2 mm to wrap the fingers, palm, and back of the hand of the affected limb centripetally to above the wrist joint, and then remove the winding immediately. Repeated practice can reduce edema and promote the self-regulating function of peripheral vasoconstriction and relaxation.

3. Ice therapy: Immerse the affected hand in a mixture of ice and water for 3 consecutive times, with short breaks in between. This method can reduce swelling, relieve pain and relieve spasms. But care should be taken to avoid frostbite and increased blood pressure. 4. Alternating hot and cold water method: first soak the affected hand in cold water for 5-10 minutes, and then soak it in warm water for 5-10 minutes. During this period, you can use passive joint movements, once a day. 5. Active exercise: When possible, practice active activities, such as training the patient to rotate the affected shoulder and flex and extend the elbow and wrist joints. However, this should be done in moderation and within the patient's tolerance level to avoid excessive exercise that may damage muscles and tendons. Weight-bearing activities that require the extended upper limb of the affected side should not be practiced, such as snatching heavy objects, holding objects for a long time, etc. 6. Passive exercise: Medical staff help move the affected limb to accommodate the movements of the shoulder, elbow, and wrist joints. The movements should be gentle and should not cause pain. Start training in the early stages of a stroke, 24-48 hours after the stroke. The sooner the better. It can prevent shoulder pain and maintain the range of motion of each joint. 7. Magnetic therapy: Some people use magnetic stickers (the diameter of the magnetic stickers is about 1-2cm, and the field strength is about 1000-2000 Gauss) to stick to the affected shoulder, elbow, and wrist joints, which can have certain analgesic, anti-inflammatory, detumescent and sedative effects. Some people also use electric magnetic therapy devices, placing the electromagnetic probe on the affected joints and using the vibration of the electromagnetic head to achieve the treatment purpose. 8. Use of orthotics: Dynamic finger splints help prevent deformities and restore muscle strength in the fingers and hands. 9. Traditional rehabilitation treatment methods: binding therapy combined with acupuncture treatment, blockade therapy combined with rehabilitation training, etc. 10. Promote lymphatic return: such as elastic gloves, supportive bandages, pressure therapy, etc. ?11. Take oral medications to relieve pain and swelling. How to prevent shoulder-hand syndrome ① You must maintain the correct posture in bed and wheelchair, especially the position of the affected upper limb. ② When doing weight-bearing training on the affected upper limb, the intensity and duration of the training should be appropriately controlled. ③ Avoid intravenous infusion on the back of the affected hand as much as possible, and subclavian vein infusion should be encouraged. ④ Any trauma to the affected hand must be prevented.

<<: What harm does tin foil do to the human body

>>: How to store fresh edamame rice