Periarthritis of the shoulder is a relatively common disease. After suffering from periarthritis of the shoulder, the patient's arm will be greatly restricted when moving. Many patients will take measures to relieve symptoms by moving their arms more in daily life. Most people who suffer from frozen shoulder are middle-aged and elderly people, and there are more women than men. Generally, the left shoulder is more likely to be affected than the right shoulder. Nowadays, many patients with periarthritis of the shoulder are treated with acupuncture. What are the acupuncture points for frozen shoulder The first acupuncture point: Yanglingquan This acupoint is used to treat frozen shoulder in patients with unclear shoulder pain points and movement disorders. If there are obvious pain points, other acupoints can be used according to the meridian dialectics for better treatment effect. Second: Strip That is to say, the traditional Tiaokou Touchengshan acupoint is a traditional acupoint used by our predecessors for many years. This acupoint is aimed at people around 50 years old who have liver and kidney yin deficiency, lack of nourishment to the tendons, and Yangming qi deficiency and lack of warmth in the tendons, which will cause shoulder obstruction and movement disorders. Therefore, liver and kidney yin deficiency and Yangming meridian deficiency are the real internal pathogenesis of periarthritis of the shoulder. The third one: Fish Shoulder Point This point is located a little below the Yuji point and is used to treat frozen shoulder along the lung meridian, that is, pain in the front of the shoulder. Because it corresponds to the shoulder and is where the meridian passes, it is effective every time it is used. The fourth one: Three holes This point is most effective in treating periarthritis of the shoulder that belongs to the Yangming meridian. Fifth: Houxi Point This acupoint is most effective for treating periarthritis of the shoulder, which occurs when pain is in the back of the shoulder or even involves the shoulder blade. Symptoms and signs of frozen shoulder: (1) Shoulder pain: At first, the shoulder pain is paroxysmal, most of which are chronic attacks. Later, the pain gradually intensifies or becomes sudden, or knife-like, and is continuous. The pain is often aggravated by climate change or fatigue. The pain can spread to the neck and upper limbs (especially the elbows). When the shoulder is accidentally hit or pulled, it often causes tearing pain. Shoulder pain is lighter during the day and heavier at night. This is a major feature of this disease. Most patients often complain of waking up in pain in the second half of the night and being unable to fall asleep, especially unable to lie on the affected side. This situation is more obvious in those caused by blood deficiency. If the pain is caused by cold, the patient will be particularly sensitive to climate change. (2) Limited shoulder joint movement: The movement of the shoulder joint in all directions may be restricted, and it is more obvious in abduction, elevation, internal and external rotation. As the disease progresses, long-term disuse causes adhesion of the joint capsule and soft tissues around the shoulder, the muscle strength gradually decreases, and the coracohumeral ligament is fixed in a shortened internal rotation position. The active and passive movements of the shoulder joint in all directions are restricted. When the shoulder joint is abducted, the typical "shoulder carrying" phenomenon occurs, especially combing the hair, dressing, washing the face, and putting hands on the waist are difficult to complete. In severe cases, the function of the elbow joint may also be affected. When the elbow is flexed, the hand cannot touch the shoulder on the same side, especially when the arm is extended backward, the elbow flexion movement cannot be completed. (3) Fear of cold: The affected shoulders are afraid of cold, so many patients wrap their shoulders with cotton pads all year round. Even in summer, they dare not let the wind blow on their shoulders. (4) Tenderness: Most patients can feel obvious tenderness points around the shoulder joint, most of which are in the tendon groove of the long head of the biceps brachii. Subacromial bursa, coracoid process, supraspinatus muscle attachment point, etc. (5) Muscle spasm and atrophy: In the early stage, the deltoid muscle, supraspinatus muscle and other muscles around the shoulder may experience spasm, and in the late stage, disuse muscle atrophy may occur, with typical symptoms such as protrusion of the shoulder process, difficulty in raising the shoulder, and difficulty in bending backward. At this time, the pain symptoms are actually alleviated. There is mild atrophy of the deltoid muscle and spasm of the trapezius muscle. There may be obvious tenderness in the supraspinatus tendon, the long and short head tendons of the biceps brachii, and the anterior and posterior edges of the deltoid muscle. The limitations of shoulder joint are most obvious in abduction, external rotation, and extension. In a few people, adduction and internal rotation are also limited, but flexion is less limited. (6) X-ray and laboratory examination: Conventional radiographs are mostly normal. In the later stages, some patients may have osteoporosis, but no bone destruction. Calcification shadows may be seen under the acromion. Laboratory tests were mostly normal. In patients who are older or have had the disease for a long time, plain X-rays may reveal osteoporosis of the shoulder, or calcification of the supraspinatus tendon and subacromial bursa. |
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