Content
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1How to treat shoulder plexitis
- 1.1Causes of Shoulder Plexitis
- 1.2Symptoms of the disease
- 1.3Treatment of plexitis of the shoulder joint
- 1.4Outdoor folk remedies
- 1.5Folk recipes for ingestion
- 1.6Physiotherapy exercises for the shoulder joint
- 1.7Prognosis and prevention
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2About plexitis of the shoulder joint, characteristic symptoms and methods of treatment
- 2.1Types of plexitis of the shoulder joint
- 2.2Causes of inflammation
- 2.3Diagnostic tests
- 2.4Methods of treatment
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3Plexitis of the shoulder joint - how to treat?
- 3.1The causes of plexitis of the shoulder joint
- 3.2What are the symptoms of the disease?
- 3.3The disease affects newborns and older children
- 3.4Diagnosis and treatment of plexitis
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4Treatment of plexitis of the shoulder joint
- 4.1Description of the disease
- 4.2Causes of the disease
- 4.3Symptomatology
- 4.4Methods of treatment
- 4.5Physiotherapy
- 4.6Physiotherapy
- 4.7When drugs do not help
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5Plexitis of the shoulder joint
- 5.1Causes of the disease
- 5.2Symptoms of the disease
- 5.3Diagnosis of the disease
- 5.4Treatment of plexitis by traditional methods
- 5.5Treatment with folk remedies
- 5.6Causes of inflammation, shoulder plexitis
- 5.7Symptoms
- 5.8Treatment of the cause of the disease
How to treat shoulder plexitis
Plexitis of the shoulder joint is a pathology in which the nerve plexus is damaged in the shoulder joint of an inflammatory nature. The nerve plexus of the shoulder joint consists of nerves emerging from the cervical and thoracic spine.
Causes of the disease can be different: infection, trauma, autoimmune reactions, metabolic disorders.
In any case, there is an inflammatory lesion of nerve fibers and a violation of innervation of the shoulder joint and arm, which is manifested by characteristic signs.
Typical symptoms of plexitis: pain sensation in the near-occlusal area, impaired sensitivity, paresis and paralysis, decreased muscle reflexes, impaired nutrition of hand tissues. Most often, one-sided brachial plexitis develops, but the lesion can also be bilateral.
Timely treatment that was initiated guarantees a successful recovery of innervation. For therapy, traditional medicine can be used. Such treatment is aimed at heating the affected area and improving blood flow. Folk remedies are safe and do not cause side effects.
Causes of Shoulder Plexitis
The nerve plexus of the shoulder joint consists of the outer, posterior and inner fascicles, braiding the axillary artery.
This plexus is formed by the motor and sensitive nerve fibers innervating the arm. Most often, a person develops a one-sided lesion of the nerve plexus.
It can be total or partial, depending on whether the entire plexus or part of it is affected.
Plexitis of the shoulder joint can occur in people of any age. Most often, such a lesion develops in physically active young people aged 20 to 60 years. Plexitis of the shoulder can develop in men and women, but the first suffer from this pathology is somewhat more frequent.
In some cases, plexitis of the shoulder joint develops in newborn infants and is a birth trauma. During prolonged difficult births, stretching of the fibers of the nerve plexus is possible. Often this condition is accompanied by a fracture of the clavicle.
Causes of postpartum plexitis of the shoulder joint:
- prolonged finding of the fetus in the birth canal of a woman;
- the broad shoulders of the newborn;
- the fetus's hand down.
However, most often shoulder plexitis develops in adults. Various causes can lead to the onset of the disease:
- About a quarter of all patients suffer from an infectious form of shoulder plexitis. Infectious damage to nerve cells can be viral or bacterial in nature.
- Injuries. To the development of the disease can result in various injuries of the hand, back and neck: stretching, dislocation of the shoulder joint, fractures, bruises, open wounds.
- Squeezing the brachial plexus. Such compression may occur during prolonged use of the crutch, with prolonged exposure in an uncomfortable position, as well as due to the growth of a tumor or an aneurysm of the artery.
- Autoimmune diseases, in which the defeat of the cells of the brachial plexus by the human immune complexes.
- Exchange diseases, for example, diabetes mellitus. Disturbances of a metabolism can lead to disturbance of a food of a brachial plexus.
- Diseases of the spine: osteochondrosis, the presence of cervical ribs.
In most cases, patients develop unilateral plexitis with defeat of the leading hand.
This makes the disease even more difficult, because in the neglected cases, the hand on the part of the defeat is completely inactive, and the person is helpless.
Symptoms of the disease
At the initial stage of the disease, pain syndrome develops. A person experiences pain in the shoulder joint, which often can occur at night.
Painful sensations increase during movement of a joint or at pressing on a nervous plexus. Pain is localized near the clavicle and radiates into the arm.
Pain sensations can be shooting or aching.
As the disease develops, the pain intensifies, and additional symptoms of impaired functioning of nerve fibers appear:
- violation of fine motor skills of the hands;
- development of paralysis and paresis;
- reduction of muscle reflexes;
- impaired tactile sensitivity;
- deterioration of the blood supply to the limb: pallor or cyanosis of the skin, swelling of the hand, increased sweating;
- violation of the process of flexion of the elbow joint;
- in some patients there is a narrowing of the pupil from the affected side and a deepening of the eyeball.
The patient may have all of the listed symptoms or a part of them, depending on how widespread the defeat of the nerve plexus.
Treatment of plexitis of the shoulder joint
Treatment of the disease should be comprehensive and aimed at eliminating the cause of the disease.
In therapy, folk remedies are used that warm up the joint and improve blood flow in the damaged area.
This contributes to the fact that the body itself is struggling with inflammation. You can also use anti-inflammatory drugs.
Outdoor folk remedies
- Folk ointment. It is necessary to prepare a mixture of medicinal herbs: St. John's wort, sweet clover and cones of hops. Plants are ground into powder or cooked gruel if the plants are fresh. This mass is mixed with Vaseline in the ratio:. The ointment should be stored in the refrigerator and applied to the damaged shoulder 2-3 times a day.
- Pepper. Burning peppers should be cut and poured with vodka. For half a liter of vodka take 1 large pepper. The drug persists for two weeks. after which they are used and used to rub the affected shoulder 2-3 times a day.
- Verba. Of the leaves of the white willow, you can make a compress. They are crushed into gruel, applied to the skin around the joint, wrapped with cellophane and a warm cloth. The duration of the procedure is standard: 10-15 minutes.
- Willow. Curative effect has an infusion of bark of a white willow. For its preparation in a glass of boiled water, 15 g of powder crust are steamed, it is insisted for 1 hour. This infusion rub your shoulder 2 times a day.
- Angelica. The shoulder can be rubbed with decoction from the roots of Angelica. To prepare the broth, 15 g of roots should be poured into a glass of boiling water and insist in a thermos for 1 hour. The broth is then filtered and used in a warm form for grinding.
- Healing collection. To prepare the collection you need to mix in an equal amount the root of horseradish, althaea, adams root and aloe leaves. 60 g of this mixture is mixed with 100 g of honey and poured half a liter of vodka. Stir thoroughly and insist for a week. This infusion should rub the damaged shoulder three times a day.
- Mummy. Healing effect has a mummy. A 10% solution of this substance is prepared for treatment. It is also used for grinding.
- Salt. In therapy, dressings are used from a concentrated saline solution. Prepare a 10% solution of salt. The sea is best, but you can also take the cook. The solution is heated and moistened in it with a natural cloth (gauze or cotton). This fabric is used to compress on the affected shoulder. Duration of the procedure is half an hour. Therapy lasts for a month.
In the treatment of the disease, healing baths are also used. Baths can be taken daily or several times a week. The water temperature should not be too hot.
For baths use decoctions of medicinal herbs, which have anti-inflammatory effect. The procedure lasts 15 minutes. Baths are best taken before bedtime. After them, you need to go to bed, warmly wrapped up and completely relax.
The curative effect is enjoyed by baths with mint, chamomile calendula, sage and other medicinal herbs or gatherings. To prepare a bath, 50 g of vegetable raw materials are poured into half a liter of boiling water, insist for half an hour, then filter and pour into a bath.
Decoctions for oral administration strengthen immunity and have an anti-inflammatory effect. Such treatment improves the overall well-being of a person. The intake of such potions must be combined with healing baths and external means.
Folk recipes for ingestion
- Medication collection number 1. Mix two teaspoons of roots and leaves of dandelion and parsley seeds and three tablespoons bark of buckthorn and mint leaves. In a half-liter of boiling water, 2 tablespoons of this collection are steamed, boiled for 2-3 minutes at low temperatures, after which they leave to infuse the night and filter. Give the patient a ¼ cup of this decoction 2-3 times a day.
- Corn silk. To prepare a glass of boiling water, take two teaspoons of crushed cori stigma. Boil on low heat for 5 minutes, then filter. Standard dosage: 50 ml 3-4 times a day.
- Strawberries. It is necessary to prepare a decoction from the leaves of strawberries. For 1 cup of boiling water take 1 tablespoon chopped leaves, aged for a quarter of an hour, then filtered. Standard dosage: 1 glass of infusion 2-3 times a day.
- Cowberry. For the infusion, take the leaves of this plant. On a glass of boiling water is 2 dessert spoons of crushed leaves. The drug is insisted for 15 minutes and filtered. A glass of infusion is consumed throughout the day in small portions.
Important in therapy and exercise therapy.
Physical exercises and joint development contribute to the speedy recovery and restoration of normal innervation of the hand. Special exercises are used for treatment.
It is important to remember that intensive physical activities are prohibited in this state, as this can cause additional injuries and worsening of the patient's condition. Exercises should be of low intensity, but they should be performed daily.
Physiotherapy exercises for the shoulder joint
- Shoulders move up and down. Repeat exercise 10 times.
- Blade reduction. Maximally reduce the scapula, then relax. These movements are also repeated 10 times.
- Circular motion shoulders: bend the arms in the elbows, put the fingers on the shoulders and rotate the arm in the shoulder joint first 8 times forward, then as many times back.
- Lean sideways in the direction of damage, hang your hand and draw her circles first 8 times clockwise, then as many times against.
- Bend forward, bend and unbend the arm at the elbow 8 times. If this exercise is difficult to perform, you can help yourself with a healthy hand.
- Pull the sick arm forward, clench the fist and rotate it clockwise and counterclockwise. Repeat the rotation 10 times.
Prognosis and prevention
About the timely diagnosis and comprehensive treatment of the disease, the prognosis is favorable: it is possible to completely restore the innervation of the hand.
For the prevention of plexitis, you need to lead a healthy lifestyle, exercise. A good preventive measure is swimming.
This sport gives an adequate load on the shoulder joint, and also contributes to good health and better health.
A source: http://nmed.org/pleksit-plechevogo-sustava.html
About plexitis of the shoulder joint, characteristic symptoms and methods of treatment
The appearance of painful sensations in the body negatively affects a person's condition in any aspects. But it is especially difficult when pain makes it difficult or impossible to perform the simplest tasks.
So, the symptoms of the shoulder plexitis are able to put your hand out of action.
The success of the treatment of the disease depends on the timeliness and completeness of the diagnosis: at the earliest possible detection of the problem the probability of a complete cure is quite high, but delay is threatening with serious complications, up to loss of control over the hand.
Plexitis, or plexopathy, of the shoulder joint in medicine is usually called the pathology of the inflammatory character, affecting the branches of the nerve plexus, located in the arm near the subclavian arteries.
The degree of lesion of nerve fibers in the plexitis of the shoulder joint can vary from local inflammation of individual neural bundles to the spread of the inflammatory process along the entire long branch of the nerve trunk, innervating the skin and the muscles of the adjacent upper limb from the shoulder to the fingertips.
The presence of the disease is indicated by pain not only in the shoulder joint and collarbone, but also in the neck, scapular region, arm.
Due to the fact that in most cases, pathology affects the leading arm, a person suffering from plexitis, partially or completely loses its ability to work.
Types of plexitis of the shoulder joint
The disease can be left and right, and also there is a bilateral form, which is considered the most complicated.
Double-sided shoulder plexitis is accompanied by painful painful symptoms and weakness in both hands, requires a longer treatment and a long rehabilitation course.
Depending on the factor causing the appearance of pathology, plexitis is divided into the following types:
- Toxic, in which disease is preceded by poisoning.
- Traumatic, arising after mechanical damage to the nerve plexus.
- Infectious, caused by the penetration into the nerve tissue of pathological microorganisms.
- Dysmetabolic, associated with the violation of metabolic processes.
- Infectious-allergic, arising as a reaction of the body to certain types of vaccines.
- Compression-ischemic, which is caused by prolonged compression of nerves or staying in an uncomfortable position, which is why the processes of feeding tissues are disturbed.
Causes of inflammation
The brachial plexus is formed by the lower cervical and upper thoracic spinal nerves.
The following factors can lead to their inflammation:
- Traumatic injuries - dislocations, fractures, injuries, sprains and bruises around the collarbone and shoulder joint.
- A long irritating effect on the nerves that form the brachial plexus due to the peculiarities professional activity (influence of vibration), squeezing of nervous branches at an inconvenient pose during a dream, walking with crutches.
- Thoracic or cervical osteochondrosis.
- Subcooling.
- Birth trauma in a child.
- Pathology of lymph nodes.
- Viral or bacterial infection (cytomegalovirus, herpes, etc.).
- The compression of nerve fibers with malignant neoplasms, additional cervical ribs or an aneurysm is a pathological protrusion of the wall of a nearby blood vessel.
- Metabolic disorders and related diseases - diabetes, gout, etc.
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Plexitis of the shoulder joint differs according to the nature of the course (chronic or acute), the volume of lesion of the nervous beams and the stages of the process.
It is accepted to distinguish the following stages of pathology:
- neuralgic, when the patient is worried about a sharp pain, aggravated when trying to move his arm in the shoulder joint;
- paralytic, which manifests itself in the reduction of strength in the hand from the side of the affected brachial plexus (monoparesis), or in the complete absence of arbitrary limb movements (paralysis).
Symptomatology is directly dependent on the damage to specific bundles of nerves of the brachial plexus. Violation of innervation contributes to the deterioration of trophism in the tissues, the appearance of edema of the limb, a decrease in reflexes, all types of sensitivity.
In some cases, the disease passes to the cervical plexus, provoking a painful syndrome in the neck, occiput, paresis of deep cervical muscles and diaphragm with impaired head movements and the appearance of stubborn hiccups.
The development of plexitis of the shoulder is characterized by the presence of the following typical symptoms:
- paralysis and atrophy of small muscles of the hand with the grip of flexor muscles of the fingers and wrists;
- decrease or loss of sensitivity of the skin surface of the forearm and fingers of the hand;
- pain, localized in the brachial plexus, as well as extending along the inner surface of the hand to the hand.
Painful sensations, described by patients, can have different character. They can be aching, breaking, shooting or drilling. Symptoms of paresthesia are mainly observed in the lower part of the affected arm.
In the infectious-toxic nature of pathology, sensitivity is often reduced, reflexes are weakened and lost.
There may be increased sweating, cyanotic skin and nails, puffiness of the brush, weak pulsation of the radial artery.
All of the above manifestations are a consequence of vascular and trophic disorders.
With this development of pathology, additional symptoms of infectious plexitis also appear: they increase and painful at palpation regional lymph nodes from the affected side (cervical, supraclavicular, subclavian, axillary and other).
In rare cases, with complicated plexitis, there may be a violation of the eye's eyelid functions from the affected side, narrowing of the pupil (miosis), deepening of the eyeball (enophthalmus).
Diagnostic tests
If a plexitis is suspected after a primary examination, the doctor may prescribe the following diagnostic tests to the patient:
- X-ray of the shoulder.
- MRI or CT of the affected area.
- Ultrasound.
- Surface neuromyography (investigation by a special device of the ability of nerve impulse transmission in conditions of additional stimulation).
- Laboratory blood tests.
During the diagnosis, the doctor excludes the possibility of developing a neuritis of the brachial plexus, humeroparathic periarthrosis and cervical radiculitis.
Methods of treatment
The goal of the therapeutic measures at plexitis is to get rid of the causes that caused the disease. The following tasks are solved:
- pains are eliminated,
- measures are being taken to improve blood circulation and nutrition of the affected area,
- normal functioning of the nerves is restored,
- the functional capabilities of the patient's hand are returned.
Depending on the factors that provoked the development of the disease, the following methods of therapy are used:
- After the injury that caused plexitis, the treatment is to immobilize the damaged area - a certain period on the area of the shoulder joint of the fixative bandage or the use of a special orthosis. In the future, a course of curative gymnastics, starting from the most simple exercises, and ending with complex ones, is appointed.
- In the infectious nature of plexitis, the nature of the infection is established, the necessary medicines are properly selected and antiviral or antibacterial therapy is prescribed. Antibiotic treatment may be accompanied by local or general anti-inflammatory and analgesic therapy. In addition, a course of vitamin therapy, in which special attention is paid to vitamins of group B.
- Compression plexitis caused by a tumor is treated by surgery.
- Plexitis caused by cervicothoracic osteochondrosis can be treated with nonsteroidal anti-inflammatory drugs, muscle relaxants, massage effects, exercise therapy and physiotherapeutic procedures.
- With plexitis of ischemic and metabolic-dystrophic etiology, step-by-step and long-term therapy is necessary.
After the main course of treatment and elimination of the factor contributing to the development of plexitis, go to health-improving types of procedures designed to eliminate all symptoms of the disease, restore normal blood supply, trophic tissue, sensitivity and motor function of the shoulder joint and affected extremities.
Experts recommend:
- therapeutic ozocerite, paraffin and mud applications;
- at preservation of a painful syndrome electrophoresis with application of lidocaine and novocaine;
- massage shower;
- balneotherapy;
- acupuncture;
- amplipulse therapy (electrical stimulation of the shoulder zone);
- exercise exercise therapy.
The success and speed of treatment of shoulder plexitis directly depend on the speed of treatment of the patient to the doctor after the detection of characteristic symptoms.
According to the statistics of American doctors, the lack of adequate therapy of plexitis during the year causes an extremely low percentage of complete recovery (less than 10% of cases).
To avoid such an outcome, the emergence of persistent pain in the shoulder requires an immediate examination by an experienced specialist in order to identify the cause of the pathology and the appointment of appropriate treatment.
A source: http://pomogispine.com/bolit-v/konechnosti/pleksit-plechevogo-sustava.html
Plexitis of the shoulder joint - how to treat?
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After an unsuccessful fall, injury, a viral infection or for no apparent reason, suddenly there is pain in the shoulder joint, the inability to move your fingers or raise your hand. What is this disease - plexitis of the shoulder joint, how dangerous it is and how quickly to cure and avoid the occurrence of complications?
Plexitis in the shoulder joint is a very unpleasant disease that occurs for various reasons. It leads to the inability to move the affected hand and is accompanied by severe pain.
What is it like to determine plexitis? This is an inflammation of the nerve fibers or a site of nervous tissue in the shoulder region, which leads to a violation of innervation and movements in the affected joint.
There may be a decrease in the sensitivity of the skin from the outside of the shoulder and forearm and the damage to the muscles responsible for the movement of the hand. With inflammation of the entire brachial plexus, paresis (weakness of the muscles) or paralysis of the hand is possible.
The patient can not move his fingers, bend his hand and gradually this leads to muscle atrophy.
The causes of plexitis of the shoulder joint
The brachial plexus is formed by the branches of a set of nerve fibers - 4 lower branches of the cervical nerves, 1 branch of the thoracic nerve.
In addition, it has a fairly large size and complex structure. The causes of the disease are very different: from birth injuries to viral infections.
Therefore, it is not always possible to determine exactly what caused the onset of the disease.
The most common reasons are:
- Injuries of nerve endings as a result of dislocations, stretching, fracture of the bones of the shoulder joint, fracture of the clavicle.
- The compression of the brachial plexus as a result of prolonged stay in one position, when working in inconvenient conditions, in bedridden patients or small children.
- Osteochondrosis of cervical and thoracic vertebrae is one of the most common causes of plexitis.
- Birth trauma - leads to the emergence of plexitis of newborns.
- Metabolic disorders - diabetes mellitus, gout, hormonal disorders.
- Injuries due to blows, bruises and gunshot wounds to the neck.
- Constant occurrence of microtrauma as a result of professional activity, use of crutches and the like.
- Cooling, viral and bacterial infections, inflammatory diseases of a number of located organs.
What are the symptoms of the disease?
In order to determine whether this is really plexitis, the doctor conducts an examination and draws attention to the following symptoms:
- Complete or partial violation of the functions of the upper limb - the inability to bend the hand, move your fingers, perform any actions of the affected arm.
- Pain when moving by hand - especially when trying to raise your hand or to get it behind your back.
- Reduction of muscle strength - the patient can not lift heavy objects, keep them on weight.
- Violation of fine motor skills.
- In severe cases, there is paresis and paralysis of the hand, accompanied by muscle atrophy.
The disease affects newborns and older children
The most common cause of this disease in newborns is birth trauma.
With severe childbirth, abnormal obstetric tactics, hemorrhages, bruises and stretching of the nerve plexuses may occur.
Shoulder plexitis occurs as a result of excessive stretching of nerve fibers with:
- childbirth in the breech or leg presentation,
- mismatch of the size of the fetus,
- loss of the hand from the birth canal,
- long standing of the fetus in the birth canal.
When the nerve fibers are compressed or stretched, the restoration of functions begins in a few days. With proper treatment, it leaves no consequences.
With more severe injuries - rupture, bruises, hemorrhage in the plexus, recovery is slow, muscle atrophy occurs, lag in the development of the affected limb. Without intensive treatment and therapeutic physical training, complications can occur in the form of contracture (limited passive movements), osteoporosis and growth retardation.
Diagnosis of this disease can cause difficulties, and treatment should be started as early as possible.
It is worth paying attention to such symptoms in a newborn child - general anxiety, constant screaming, strange lead hands, lack of movement and hypertonia, the emergence of pain when touched by the hand, swelling in the shoulder the joint.
Shoulder Bandage
Diagnosis and treatment of plexitis
If the first signs of the disease occur, you should immediately contact a specialist.
The earlier treatment is started, the more chances for restoration of functions and the absence of complications.
To diagnose the examination of the shoulder joint and designate additional research methods:
- radiography;
- neuromyography;
- computed tomography;
- MRI;
- Ultrasound.
In an acute period of the disease, it is necessary to ensure complete rest of the injured limb, give it the position of the lead and fix the hand with a plaster langette, bending at the elbow joint. After this, treatment is needed to relieve inflammation and restore the function of damaged nerves and muscles.
- Drug therapy - analgesics for the removal of pain and non-steroidal anti-inflammatory drugs, topically and inwardly.
- Paraarticular blockades with the use of anti-inflammatory and analgesic drugs.
- Physiotherapeutic procedures - UHF on the area of the affected joint, electrophoresis with nicotinic acid, diadynamic currents and others.
- The massage should be chosen with allowance for muscular lesions and is aimed at eliminating muscle atrophy.
- Physiotherapy exercises - special exercises are prescribed after an acute period of the disease.
- Treatment with folk methods - there are many recipes of folk medicine used in this disease. For example:
- compress with bark of a white willow - 15 g of chopped grass pour 1 cup of boiling water and press for 1 hour,
- rub into the affected joint 10% mummy,
- soothing bath with a decoction of mint.
Traditional medicine - help in treatment
If any signs of the disease occur, do not self-medicate, it is better to consult a specialist and follow his instructions.
A source: http://sustavu.ru/sustavy/plechevoj/pleksit-plechevogo-sustava.html
Treatment of plexitis of the shoulder joint
A lot of ailments can affect our body. Each disease tends to put us out of action, make it incapacitated and poison our lives. And shoulder plexitis is not an exception to these rules.
This disease is characterized by acute severe pain, which arises from the defeat of the nerve fibers of the joint.
Most often, the ailment bothers the working hand, as a result of which we lose the ability to habitual for us activities.
Description of the disease
Our body is completely covered with nervous centers. Such plexuses of nerve fibers are the beginnings of the largest parts of the peripheral nervous system.
In total there are five such centers: humerus, sacral, lumbar, cervical and coccygeal. Plexitis is a disease that affects these same centers.
Among the most common are the shoulder plexitis, which is divided into the upper, lower and total.
This illness is characterized by severe acute pain, which at first locates in the clavicle region, and then begins to spread into the arm, neck, scapula.
More often it affects one particular limb - right or left. It depends on which one you use most often.
Thus, right-handers often have plexitis of the shoulder joint of the right hand.
Causes of the disease
Know the causes of the disease may be needed to accurately determine the presence of the disease itself, as well as to prevent it in the future, by eliminating factors from your life.
A quarter of all appeals to specialists with complaints of painful sensations of the shoulder joint of the limb provoke infectious diseases.
On the second place there are various damages, and on the third - infringements in immune system.
You can list the most common culprits, which cause anxiety in the patient. These are infectious diseases, including damage to the body by viruses.
Various injuries in the shoulder region - sprains, fractures, bruises, cuts and others.
All kinds of microtraumas of the brachial plexus, most often arising as a result of prolonged compression of the nerve center. Metabolic disorders in the body.
Diabetes can be cited as the most common culprit of this group. Lymph node involvement. Injuries resulting from childbirth and other less common causes, including hypothermia, osteochondrosis.
Having studied the main causes of the defeat of the humeral ganglion of the nervous system, one can go on to the symptoms, for a more precise definition of the ailment.
Symptomatology
Symptoms of plexitis of the shoulder joint are characterized by the presence of several manifestations at once: paralytic and neuralgic.
Neuralgic include the most important symptoms of the disease - severe and acute pain, which is localized to the area of the clavicle.
Pain can increase with pressure, movement.
Very often the pain spreads along the nerve fibers. Specialists have to fight with its elimination in the hand, shoulder blade and even neck.
Paralytic symptoms concern the muscles of the hand, the sensitivity of which, as well as the motor activity, depends on the conductive function of the nerve plexus of the shoulder joint:
- Paralysis and paresis, a decrease in the strength of the hand, the inability to perform basic actions, in rare cases, muscle atrophy.
- Decreased sensitivity.
- Excessive sweating of the palms.
- Failures in reflexes - reactions to hot or cold, sharp pain.
- Paleness of the hand, the appearance of edema, the predominance of the blue shade of the skin.
The presented symptoms are not a complete list.
There may be other unpleasant sensations or abnormalities in the work of the muscles attached to the arm bone, which are less common.
In addition, you can list the symptoms that are characteristic of a particular group of causes of the defeat of the plexus plexus joint.
Methods of treatment
To treat the defeat of the nerve plexus of the shoulder joint is only after a comprehensive diagnosis. By its results, the exact cause of the onset of the disease will be determined, and during treatment it will be affected precisely by it.
To treat the malaise of the nerve plexus is according to an individually developed scheme by a neurologist.
Most often, the complex of such measures includes such additional conditions, such as preventing the congealing of the muscles of the hand in the cold, normalized phys.
exercise and stop working with highly toxic substances.
If this is not done within a year, then the muscle atrophy of the limb may develop, which ultimately leads to disability.
Anesthetics are prescribed for treatment.
After the pain is stopped, removed, proceed to the immediate elimination of the cause of the defeat of the nerve plexus.
To do this, actively apply. exercises, physiotherapy, including electrophoresis, and also sometimes turn to folk remedies.
Physiotherapy
Electrophoresis is the most commonly used physical therapy for the treatment of such a disease. The essence of it is that the medicinal components, under the influence of electric current from the electrodes, penetrate into the shallow layers of the epidermis, where they enter the blood through the capillaries.
Electrophoresis has three mechanisms of action. Reflex - due to mediated reactions. Humoral - due to the fact that drugs penetrate the blood and lymphatic system.
Local - due to the fact that medical devices penetrate into the place where the pain is localized, in a concentrated state.
Electrophoresis has analgesic, soothing, anti-inflammatory effects.
The current from the electrodes helps to improve metabolism, nutrition of organs and tissues.
Electrophoresis, thanks to the electric current from the electrodes, contributes to the production and release into the blood of biologically active substances.
Physiotherapy
After the most severe pain is eliminated, one can begin to perform physical exercises on the development of mobility of the shoulder joint, as well as the development of muscles attached to the bone of the affected extremities. Such physical exercises can be represented by the following list:
- alternating lifting and releasing of the shoulders, information and dilution of the scapula;
- performing smooth circular movements of the shoulder joints;
- flexion and extension movements of the affected limb;
- a set of exercises on the Swedish wall;
- making turns with forearms;
- cross and fly movements.
Carrying out exercises it is necessary to watch with special trembling the condition. If severe pain occurs, it is necessary to stop performing similar physical procedures.
When drugs do not help
To treat the disease can be and at home. The main thing at the same time do not forget to follow the doctor's instructions. Self-massage and folk remedies can be effective assistants in the fight against the disease. Self-massage should be performed standing or sitting.
Treatment with folk remedies can be a great help in the fight against such a serious ailment.
Folk remedies were developed by our ancestors for many centuries. Their advantages are in environmentally friendly components.
Treatment with folk remedies can be represented by the following list:
Cabbage Compress. Leaf white cabbage hold over the steam and attach to the place of localization of pain before bedtime. Compress to remove in the morning.
Compress from the bark of a willow. 15 grams of finely chopped bark, pour 250 ml of boiling water, leave for an hour, then strain, moisten the towel and attach to the shoulder at night.
Propolis ointment. Pound three grams of propolis and mix with 50 grams of lard. Rub the ointment on the shoulder, scapula and upper arm.
Porridge from the pussy-willow. Peel the leaves of pussy willow until the mushy state, and then put on the sick joint and fasten with a bandage.
Mint bath. Prepared mint broth pour into the tub with comfortable water. Water procedures should not exceed 15 minutes. After them, you should immediately go to a warm bed. Contraindicated in individuals with diseases of the cardiovascular system.
Presented folk remedies are not a complete list.You can find many more ways of treatment, which can be called folk.
A source: http://drpozvonkov.ru/pozvonochnik/bolezni/plexitis/pleksit-plechevogo-sustava.html
Plexitis of the shoulder joint
Plexitis or plexopathy is a whole group of diseases based on the defeat of the plexus of the spinal nerves. The disease is manifested plexalgia and a violation of the functions of the nerve trunks entering the affected plexus:
- paresis;
- muscular atrophy and hypotension;
- vegetative and trophic disorders;
- absence of tendon reflexes.
Plexitis of the shoulder joint can be diagnosed by a typical neurological symptomatology. The data of anamnesis, the results of electroneuro- or electromyography, X-ray, ultrasound and tomographic studies, consultations of doctors on related diseases are taken into account.
Note! To treat shoulder plexitis is necessary in accordance with the etiology. Basically, conservative methods of therapy are used. Surgical intervention is required for complex or traumatic plexitis.
Spinal nerves after leaving the spine are divided into the front and back branches. The anterior are grouped and intertwined between their own fibers, forming in this way paired nerve plexuses.
The plexus of the cervical region consists of the anterior branches of the roots C1-C4 and is behind the sternocleidomastoid muscle. The brachial plexus that forms the branches of C5-Th1 is located in the interstitial space and passes into the axillary fossa.
Spinal nerves located at the thoracic level do not form plexuses (the exception is Th1). The next plexus is located deep in the lumbar muscle and therefore is called lumbar.
Causes of the disease
Among the factors that cause plexitis, a significant place belongs to trauma. We are talking about:
- about a strong impact in the area of the plexus (injury of the arm in the shoulder area, trauma of the spine, damage to the lumbar or cervical region, fall on the coccyx);
- about a punch, cut or gunshot wound;
- the stretching of the nerve trunks with a sharp snatch by the arm or leg;
- about a dislocation of the hip, shoulder or fracture of the pelvic bones.
Brachioplexitis is characterized by the fact that the main pathogenetic mechanisms for traumatic disturbances are:
- compression of nerve trunks with edema or post-traumatic hematoma;
- damage to the branches of the plexus with complete or partial rupture of the fibers.
Plexitis of the shoulder joint, as a result of trauma, is most common.
Other causes that cause plexitis include:
- tumors located in the area of the plexus;
- lymph nodes enlarged with lymphadenitis;
- spinal anomalies;
- scoliosis;
- Some infectious diseases (brucellosis, tuberculosis, influenza, syphilis, herpes zoster);
- supercooling.
Symptoms of the disease
The disease is usually unilateral. Its development proceeds in several stages. The neuralgic stage is characterized by the fact that its leading symptom is plexalgia, a pain syndrome that arises in the nerve plexus and transfers along the nerve trunks to the peripheral parts.
Often, the symptoms of plexalgia are spontaneous: when you push the nerve plexuses into the area, the pain increases, the same happens during movements and at night. There may be slight sensory disturbances.
The appearance of manifestations of loss of nerve function of the affected plexus means that the plexitis of the shoulder joint has passed into the paralytic stage.
In this case there are paralysis or paresis, hypotrophy and hypotension of the muscles, the innervation of which is carried out by these nerves; loss of the corresponding tendon reflexes.
In areas where innervation of the affected plexus is involved, all types of sensitivity are damaged and trophic disorders occur:
- pasty;
- vasomotor reactions;
- anhidrosis or hyperhidrosis;
- blanching of the skin.
Shoulder plexitis may be partial or complete, like brachioplexitis. With partial plexitis, the symptoms of paralysis manifest themselves significantly already - only in areas that are innervated by the affected part of the plexus.
Then the disease goes into a recovery phase, which can last about a year. The quality of recovery of lost nerve functions is always different.
With incomplete restoration, the disease leads to irreversible consequences, which manifest themselves in the form of muscular atrophies, persistent flaccid paresis, contracture of the joints.
Symptoms of cervical plexitis are expressed by diffuse pain going along the anterior-lateral region of the neck and giving to the back of the neck and ear. If the nerves of the cervical plexus are irritated, the patient may develop a syndrome of muscular dystonia that manifests itself in the form of spasmodic torticollis.
The defeat of the brachial plexus can be total, lower and upper. The total form of the disease can be recognized by the characteristic pains in the entire hand, bearing individual symptoms:
- atrophy of the muscles of the shoulder girdle and arm;
- flaccid paresis;
- signs of vegetative-trophic disorder in tissues;
- prolapse of tendon reflexes.
As a result of muscular atrophy, the probability of a dislocation of the shoulder is high.
Symptoms of lumbar plexitis:
- Plexalgia with recoil into the buttock and the front surface of the thigh;
- reduction, flexion and extension of the thigh in the knee joint;
- the patient is difficult to walk or stand;
- sensory perception of the medial surface of the shin, gluteal region of the thigh and knee reflexes are absent;
- Atrophic changes are observed on the front side of the thigh and in the muscles of the buttocks;
- contracture of the knee joint may occur.
The sacral form of the plexitis is often combined with the lumbar. It is characterized by:
- irradiating the leg pain in the sacrum;
- Muscular atrophy and hypoesthesia on the back of the thigh, lower leg, foot;
- the presence of trigger points located along the sciatic and gluteal nerve trunk.
Diagnosis of the disease
Set a preliminary diagnosis allow the data of anamnesis and examination of a neurologist's doctor. The identification of groups of muscles with low strength, dropped out reflexes and zones of hypoesthesia provides a basis for diagnosing the degree of damage to the peripheral nervous system.
Electro neuro-and electromyography help determine the site of the lesion. Sometimes there is a need:
- in the consultations of a gynecologist, urologist, orthopedist, traumatologist;
- a roentgen of a backbone;
- X-ray of the shoulder joint;
- x-ray of the hip joint;
- Ultrasound of the pelvic organs and ultrasound of the joints of the lower extremities;
- CT of the spine;
- CT of the joint.
Treatment of plexitis by traditional methods
If the disease is caused by trauma, joint trauma and neurological treatment is performed. The patient should create a complete rest on the affected area. To do this, the limb can be fixed in a stationary state with a bandage or a langet.
In the case of infected origin of plexitis, it should be treated with etiotropic agents and anti-inflammatory drugs (ibuprofen, diclofenac, ketones). If the disease has a toxic etiology, detoxification measures are used.
Whatever the disease is caused, it must be treated with neurometabolic means. Pain relief is achieved by taking pain medication and by blockade.
In the treatment of plexitis, a good effect is achieved by physiotherapeutic procedures:
- Diadynamic currents.
- UHF.
- Electrophoresis.
- Ionophoresis with novocaine.
- Phonophoresis with hydrocortisone.
- Amplipulse therapy.
The scoring is performed on the corresponding spinal segments. After the painful sensations stop (approximately 2 weeks after the injury), the complex therapy includes massage and exercise therapy. These activities are aimed at preventing the development of contractures and strengthening the muscles.
Note! A disease that does not respond to conservative therapy and treatment with folk remedies requires surgical intervention.
This is observed when the disease is caused by the infringement of the nerve plexuses.
The operation consists in the plasticization of the nerve trunk or in the removal of the tumor and hematoma.
Treatment with folk remedies
The disease can be treated with folk remedies.
In the area affected by inflammation, it is necessary to rub the mummy.
Folk methods can reduce the intensity of pain. For this purpose, baths with mint infusion are well suited. Grass can be purchased at the pharmacy or procured independently. After such a bath it is necessary to wrap yourself up and lie down in a warm bed.
To treat a painful shoulder, folk methods should be prepared with infusion from the root of horseradish, Adam's root, aloe leaf, medicinal marshmallow.
Raw materials are taken in equal proportions. All this is poured 500 ml of alcohol and 100 gr. honey.
The agent is insisted for 3 days, and then used as an ointment for the diseased joint.
In the fight against the disease it is good to use white willow leaves. To do this, they are washed, crushed and applied to the sore spot for 15 minutes.
Popular methods of treatment of plexitis are compresses of oatmeal. For cooking, you need to take 30 g of flakes and pour them with clean water in an amount of 400ml. The mixture should be boiled for 10 minutes on moderate heat. Compressor is ready.
So: with the disease you can fight with traditional and folk methods, but the most important thing is prevention. Disease is always easier to prevent, than then to spend huge efforts on struggle against it.
Spinal nerves are an anatomically complex structure that forms the brachial plexus. When violations in their work develops plexitis of the shoulder joint. Predominantly the ailment affects the working limb, which limits the ability to fully work and live.
Causes of inflammation, shoulder plexitis
- Injuries and injuries.
- Subcooling.
- Infectious diseases.
- Injuries to the child during childbirth.
- Dislocation, fracture.
- Aneurysm of the artery.
- Development of tumors.
- Osteochondrosis.
- Use in the profession of vibroinvestment.
- Prolonged finding of the limb in a clamped, uncomfortable position, suppose, in paralyzed patients or in a dream.
- Metabolic disorders.
There are 3 types of plexitis of the shoulder:
- Lower - provoked by violations in the lower trunks of the plexus, with irradiation of pain in the elbow and forearm.
- The upper one is caused by disturbances in the upper trunks of the plexus, with irradiation of the pains in the supraclavicular area.
- Total - is accompanied by a combination of signs of two forms.
Symptoms
Day by day signs of the disease grow and as a result the patient can not make movements and lie on the aching shoulder. The main symptoms of the shoulder plexitis are:
- Cutting, shooting, bursting pains in the forearm and arm, amplifying at night. They have a predisposition to increase and increase.
- The patient refrains from lifting heavy weights and loads because of the pain accompanying any movement.
- The extremity swells, numbs, there is a feeling of cold and cyanotic (bluish) color of the skin.
- Sensitivity is impaired.
- Increases hyperhidrosis (sweating) of the palms.
- It is difficult to make the usual movements (button up buttons, move the spoon).
- Atrophy, hypoesthesia, paresis or paralysis of small muscles.
- Decreased strength of muscles and reflexes.
- The ailment is usually one-sided.
- With the addition of an infectious-toxic lesion, there is an increase in lymph nodes.
Diagnostics:
- examination and palpation (palpation);
- Ultrasound;
- X-ray examination;
- MRI;
- CT scan (computed tomography).
The differential diagnosis should be done with arthritis (also infectious aetiology), sciatica, periarthritis, neuritis, a disease Heine Medina, cervical radiculitis and tick-borne encephalitis.
Treatment of the cause of the disease
Causes of ailment can be very diverse. Accordingly, treatment of the plexitis of the shoulder joint directly depends on them.
My patients use a proven means, which can get rid of the pain in 2 weeks without much effort. Initially, it is necessary to eliminate the source of the disease.
To facilitate the patient's condition, symptomatic treatment is performed:
- anesthesia;
- improvement of nutrition and blood circulation in tissues;
- restoration of motor activity and nerve conduction.
- Medications for the treatment of shoulder plexitis:
- analgesics (to reduce pain) - baralgin, indomethacin;
- NSAIDs (for elimination of edema and inflammation) - voltaren, aspirin, ibuprofen (it is possible to use both tablets and ointments);
- antibiotics - ampicillin;
- vitamins of group B;
- dehydrating agents (manite, urea).
After an acute period, how to treat the plexitis of the shoulder joint, can only tell the doctor, because there are a lot of methods, this:
- reflexology;
- physiotherapy;
- massage;
- the application of a fixative bandage to the hand;
- electromyostimulation;
- ultrasound;
- electrophoresis;
- cryotherapy;
- mud baths;
- laser therapy;
- magnetotherapy;
- balneotherapy;
- hirudotherapy;
- microsurgical operation.
Prevention:
- the treatment of acute infectious and other diseases;
- Do not overuse excessive physical exertion;
- avoidance of injuries;
- to engage in swimming or perform morning exercise;
- with the first symptoms immediately go to the doctor.
A source: http://lechenie-sustavy.ru/sustavyi/pleksit-plechevogo-sustava/