Pleuralopathy periarthrosis: symptoms and treatment

Symptoms and treatment of periarthritis periarthrosis

Shoulder bladder periarthrosis is an inflammation of the tendon of the shoulder and capsules of the shoulder joint. What are the symptoms and treatment for lethargic periarthritis? About this in more detail.

What is this ailment, and why does it arise?

Periarthrosis of the shoulder joint refers to such diseases, which are accompanied by severe pain.

This is due to degenerative - dystrophic changes in all tissues that are surrounded by the shoulder joint.

As a result, inflamed, periarticular tissues result in limited motor activity.

The reasons that provoke this ailment are as follows:

• various injuries of the hands, backs from bumps and falls;
• constant stress;
• diseases of the endocrine system;
• osteochondrosis, hernia, protrusion of the neck and chest;
• chronic ailments;
• long finding of the body in an uncomfortable position (associated with professional activities);
• myocardial infarction;
• surgical interventions to remove the mammary gland (in women).

As a rule, the main reason for the development of periarthrosis of the shoulder joint is the violation of peripheral circulation.

As a result, little blood enters the articular tissues, and with it microelements necessary for the organism.

Exposure to this disease is equally largely women and men after 40 years.

How does the pathology manifest itself?

There are several types of flow of the humeroparous periarthrosis:

• plain;
• acute;
• chronic;
• ankylosing.

But they have a common factor - the symptoms begin to appear after 3-7 days of development of the inflammatory process. That is, immediately notice the ailment does not work out.

The easiest variant of the disease course is a simple humeropathy periarthrosis. It is accompanied by a small pain syndrome and a slight limitation of the motor activity of the shoulder joint.

The patient is hard to get his hand behind his back, lift it up, touch the vertebrae. The pain becomes stronger if the patient tries to overcome any resistance.

For example, a doctor holds his hand, and he tries to lift it.

If the humeroparous periarthrosis progresses, then the disease becomes acute.

Symptoms of such a course of illness is a sudden or growing pain in the shoulder joint, which can give in the arm or neck.

In the evening and night time, the pain becomes stronger. The patient with this acute ailment can easily be recognized by its appearance:

1. He always presses his arm bent at him.
2. The site of the shoulder joint is slightly swollen, and the surface of the skin becomes hot to the touch.
3. The temperature of the body can also rise to 3 ° C.

If the acute form is not treated, then seizures in 2-3 weeks pass independently. Only here the consequence of such a state can be the transition of the acute form into a chronic one. Approximately in 50% of cases this happens.

In the chronic course of the disease, the pain becomes moderate, but with unsuccessful movements, "lumbago" appears. There is also stiffness and aches in the joint. These symptoms begin to manifest by morning, disturbing the person's calm sleep.

Such a sluggish process of development of the disease can last for months and years.

The final stage of the chronic form of humeroparathis is either a spontaneous cure, or a transition to articular ankylosis. This is the most unfavorable stage of the disease.

In order not to bring the disease to such a form, it is necessary to consult a doctor in time to identify the disease and its treatment.

Diagnosis and therapy of the disease

Shouldergic periarthritis should be distinguished from periarthritis and arthritis, including rheumatoid form. To this end, the doctor can prescribe the following types of examination for the diagnosis:

1. Laboratory tests: general analysis of blood and urine. Are required in order to identify or exclude the inflammatory process in the body.
2. Radiography of the shoulder joint. It is important that this examination is carried out with the change in the periarthrosic periarthrosis not in the joint itself, but in the periarticular tissues, which can not be seen without the x-ray.
3. Instrumental diagnostics. Includes ultrasound, MRI, CT. This method is necessary for the correct diagnosis and exclusion of other ailments, for example, tendon ruptures, etc.

To make the correct diagnosis, the doctor can conduct a simple test: if the patient can not get a hand on his shoulder, so as it hurts, and also unable to comb the hairbrush in his hand, these are obvious signs of periarthrosis of the shoulder the joint.

After the diagnosis of "humeroparous periarthrosis treatment should be started immediately, without letting the disease go into a more complex form. To treat this disease will need to be a long time and in a complex, including medicamentous and physiotherapeutic methods.

These methods are selected strictly by the doctor and individually. The more complicated the anamnesis and the reason that contributed to the development of this pathology, the longer the treatment. Depending on the course of the disease, the methods can be conservative or surgical.

Treatment with medicines and procedures

For the treatment of shoulder tendons in the acute form of the disease, non-steroidal anti-inflammatory drugs are prescribed, for example, Diclofenac, Indometacin, Meloxicam or their analogs.

In the periarticular region, injection hormone drugs such as Diprospan, Metipred, etc. are injected.

If the pain is very strong and intolerant, an anesthetic is injected into the tendon site along with the hormone.

In parallel with medical treatment, magnetotherapy, laser therapy and exercise therapy are prescribed.

Against the background of therapy with medications, massage, manual therapy and exercise therapy can improve the patient's condition faster and return the joint movement to the joint.

If the disease is started, and conservative treatment has not produced a result, then surgical intervention is prescribed. In such cases, arthroscopy of the shoulder joint is performed. During it, the doctor will remove the affected area of ​​tissue.

Modern medical facilities are equipped with new arthroscopic techniques. It is considered a low-traumatic procedure, after which the patient can be released home on the same day.

After the operation, a physical training course is conducted. But it is important to know that if in the performance of different exercises pains or uncomfortable sensations start to appear, then physical education should be stopped and consulted by a doctor.

Variants of medical exercises

In order for the joint function to fully recover and recover, the doctor prescribes special exercises for periarthritis periarthrosis.

The doctor carefully chooses his own complex for each case and teaches how to properly perform it at home.

Thanks to this technique, the patient's condition improves, puffiness decreases, pain passes, and the periarticular tissues become more elastic and firmer.

A prerequisite for the exercise is regularity, as well as approximately the same execution time. But each time the load can be gradually increased.

Exemplary exercises for this disease look like this:

1. Hands at the waist, smooth circular movements of the shoulders are made.
2. Hands in the same position, the movements go forward and backward.
3. Tilt forward, hands freely hang to the floor. Repeat several times.
4. Hand with periarthrosis of the shoulder joint put on the other shoulder and raise the elbow up with a healthy hand.
5. Squeeze the hands in the lock behind him and try to reach for the heels.

This is only part of the exercises, your entire doctor will describe the entire detailed course.

Periarthrosis of the shoulder joint is a rather serious disease of the musculoskeletal system.

And frivolous attitude towards such ailment can result in very bad consequences for patients.

Do not self-medicate, but consult a specialist who correctly diagnoses, find out the cause and prescribe the correct treatment. Take care of yourself and be well!

A source: https://OrtoCure.ru/kosti-i-sustavy/artroz/plechelopatochnyj-periartroz-simptomy-i-lechenie.html

Pleuralopathy periarthrosis - symptoms and methods of treatment of the disease

It is only necessary to raise your hand or turn to the side - there is a strong discomfort.

Then there is pain, soft tissues and joints become inflamed, the humerous periarthrosis progresses, and if the time does not begin to treat, the disease threatens to restrict mobility.

In the early stages of this common ailment, which is encountered by about a quarter of the men and women of the planet, is amenable to therapy, as it develops gradually. It is important to recognize the syndrome of the "frozen" shoulder even before it interferes with living and working.

What is a humeroparous periarthrosis

Some features and area of ​​distribution of dystrophic tissue damage make this disease similar to arthritis or arthrosis of the shoulder joint, but there are differences.

Shoulder periarthrosis is an inflammation of the capsule of the joint and tendons of the shoulder.

Pathological process does not affect the deep structure of the joint or cartilage, but as the development of periarthritis takes a chronic form with a tendency to recurrent relapse of soft tissue inflammation.

The characteristic signs of the disease are unpleasant sensations or pain that appear when the patient rotates his hand or raises it, turns his shoulder.

After a while, touching the inflamed area also causes severe discomfort, painful sensations intensify.

In the absence of therapy, periarthrosis progresses, the amplitude of movements decreases, but the symptoms of brachial periarthrosis are rarely independent. They are often accompanied by signs of cervical osteochondrosis: dizziness, headache, numbness in the fingers.

Causes

The inflammatory process can develop at different rates, and a number of factors that provoke the appearance of brachial arthrosis may be significant for choosing a treatment regimen.

A professional approach to diagnosing periarthrosis involves not only examining, surrendering laboratory tests, an extract of the prescription, but also an establishment of the reason which have led to infringement mobility of the joint.

In medicine, the following frequent cases of periarthrosis:

• Injuries of the shoulder joint caused by excessive or prolonged physical exertion on the shoulder region.
• Complex structure of the joint.
• Cervical or cervicothoracic osteochondrosis.
• Changing the hormonal background.
• Diseases caused by metabolic disorders.
• Presence of pathology of the liver, gall bladder.
• Tonsillitis, furunculosis and other purulent foci.
• Prolonged stay in stressful condition.
• Subcooling of the shoulder joint area.

Forms of brachial periarthrosis

Appear such signs of ailment, as a decrease in volume or thickening of the articular shoulder bag, can at different stages of the disease.

That the doctor could put the correct diagnosis and come to the patient's help, you need to know not only the causes of periarthrosis that triggered the emergence and development of the inflammatory process.

There is another important factor that influences the nature of the course of the disease - these are the forms of the humeroparous periarthrosis:

• primary (simple);
• acute;
• chronic;
• ankylosing.

Diagnosis of the disease - stages

The stage of diagnosing the inflammatory process of the shoulder joint does not cause difficulties for doctors.

What, in addition to anamnesis, examination and laboratory tests can be used by specialists? There is pain in the shoulder or a restriction of mobility can be noted at any age, and such complaints from the patient may lead to the fact that the doctor, with a suspicion of periarthritis, will additionally prescribe an x-ray, a computer or magnetic resonance imaging, ultrasound, arthrogram.

For the correct diagnosis in medicine, differential diagnosis is used.

When a doctor suspects periarthrosis of the shoulder joint, other pathologies should be excluded, for example, dermatitis, shingles, diffuse vasculitis, thrombophlebitis of veins.

This list can be supplemented by other diseases, including dystrophic changes in the cervical spine, deforming osteoarthritis, infectious arthritis. In addition, with the diagnosis of humeroparous periarthritis should be removed shoulder dislocation.

Treatment of humeroparous periarthrosis

The sooner the humerous arthrosis is diagnosed, the faster the correct treatment scheme will be chosen, which will help to maintain the motor functions of the limb and shoulder.

Effective therapy involves an integrated approach, and it is based on the use of medicines, fixation of the shoulder joint, gymnastics exercise and massage.

Conservative treatment of the humeroparous periarthrosis is applied after the removal of pain and inflammation, physiotherapy helps to fully restore mobility, in rare cases is carried out operation.

Pain in the joint area can cause different reasons, but while the inflammatory process does not affect the healthy joint, you should immediately begin therapy.

To eliminate the pain that accompanies the humeroparous periarthrosis, medical practice prescribes the use of pharmaceuticals.

The severity of the pathology helps to remove the activity of analgesics, for example, such as Butadion, Ketanov. What other options are available for conservative therapy of humeroparous periarthrosis:

1. Admission of non-steroidal anti-inflammatory drugs (Ibuprofen, Voltaren, Diclofenac). This scheme is considered effective for mild forms of the disease, its peculiarity is the use of short courses, a small number of side effects.
2. Corticosteroids (Flosteron, Diprospan). They are used when the humeropathy inflammation began to develop, and the reception of other drugs did not show the proper result. Treatment of periarthrosis with anti-inflammatory drugs is carried out in the form of hormonal injections, which are made directly into the affected area. Manipulation should be such that blood does not appear, but evidence of the effectiveness of the use of steroid drugs serve such indicators: the disappearance of secondary symptoms, painless rotation of the shoulders, the ability to hold hands high-rise.
3. Novocaine blockade. The procedure is performed when the other two methods of conservative therapy of humeroparathic periarthrosis have proved ineffective. In the area of ​​shoulder inflammation, several injections of Novocaine are made, but blocking is strictly according to the individual schedule, the purpose of the procedure is to reduce the degree of pain syndrome. The limit of the norm, when it is considered reasonable to take and anesthetize the Novocaine blockade, is one to three times for one month.

Physiotherapy

Even in the early stages of the humeroparous periarthrosis, the inflammatory process is capable of delivering unpleasant sensations, so it's still necessary to start physiotherapy sooner or later.

To reduce pain, to return the joint mobility and improve the strength of muscles, in medical practice, therapeutic gymnastics is used.

The complex of special exercises with shoulder-bladder arthrosis is selected individually, but you can start the exercises only after eliminating the inflammation.

Fast recovery is directly dependent on the diet, so the main dishes on the menu should be those that are made from foods rich in proteins and vitamins.

As a preventive measure, you should continue to perform a set of physical exercises, monitor the general condition of the body and visit a doctor.

Operative treatment

Indication for surgical intervention with plechelo-pylori periarthritis is relapsing pain, limitation of efficiency, ineffectiveness of previously used treatment regimens.

Subacromial decompression - this is the name of the operation, which helps to avoid the appearance of the syndrome of the "frozen shoulder" or the complete restriction of the mobility of the joint.

Removing a small scapula and a bundle, the surgeon eliminates the cause, which leads to injury to nearby tissues. The operation gives a good result even with complex forms of the disease.

A source: http://sovets.net/11524-plechelopatochnyj-periartroz.html

Characteristics of brachial periarthrosis - a complete overview of the disease

Shoulder-scrotal periarthrosis is a degenerative process (destruction, thinning) in tissues surrounding the joint (capsule, ligaments, tendons).

Periarthritis differs from periarthritis in that it is only inflammation, structural lesions of tissues are not necessarily characteristic for it.

However, periarthritis has the property to be complicated by deformities, if it is not treated - so it can pass into periarthrosis.

The process of developing the disease occurs very quickly, and many patients turn to a specialist already at the stage of the humeroparous periarthrosis, which appeared against the background of inflammation. Therefore, periarthritis and periarthritis diagnoses are sometimes used as synonymous.

Shoulder-scrotal periarthrosis

The disease brings to the person huge inconveniences in an everyday life. The patient is concerned about pain, which intensifies when pressed, so it is difficult for a person to find a comfortable sleeping posture, he can not sleep on the affected side.

Also significantly limited motor ability of the limb: it becomes difficult to lift it, to get behind the back. Wearing a bag in the affected hand, it becomes impossible, since with this the pain is already intensifying, already pursuing the patient.

You can successfully treat the disease. To do this, you need to contact a specialist who will study the symptoms and help you choose the right treatment. To traditional therapy, you can add and folk methods, having previously discussed them with the attending physician.

Next, you will learn more about how to identify the pathology and what methods are used to treat it.

Causes of pathology

Pleural shoulder periarthrosis rarely appears as an independent disease. Usually it develops against the background of other pathologies:

• cervical osteochondrosis;
• humerus periarthritis;
• Adhesive capsulitis (inflammatory process in the synovial membrane and joint capsule);
• fasciitis (inflammation of the muscular membrane);
• bursitis (inflammatory pathology of the joint bag);
• tendonitis (inflammation of ligaments).

And all the inflammatory pathologies of the joint and surrounding tissues appear because of:

• frequent hypothermia;
• injuries;
• low immunity: due to stress, poor nutrition and bad habits.

Also, the disease can occur due to circulatory disorders in the shoulder and shoulder area. Therefore, the disease often appears after the transfer of myocardial infarction or surgery to remove the breast.

Another pathology can develop against rheumatism, the cause of which - the violation of the immune system.

As an independent disease, periarthrosis appears due to constant excessive loads on the shoulder joint. It can occur in athletes, whose activities are associated with the active work of shoulders and shoulder blades (oarsmen, tennis players, etc.)

Causes of periarthrosis

Symptoms

Periarthrosis - thinning, impaired nutrition of tissues surrounding the joint (they are weakened, they become less strong and elastic). Also in the tendon and synovial bag begin to be deposited salt; there is a proliferation of fibrous connective tissue in the joint capsule.

The whole process is accompanied by such symptoms:

• pain in the shoulder and scapula;
• painful sensations are amplified by pressing the affected hand pathology;
• stiffness in the large sternum and subscapularis muscles;
• impossibility to raise a hand, to lead it behind the back (because of the last sign, periarthrosis is sometimes called the syndrome of "frozen shoulder");
• elevated body temperature (because of the constant inflammatory process in the body, a person periodically "overheats" (hyperthermia)).

For the advanced stage of the pathology, pain relief is sometimes characterized, as the patient, instinctively trying to reduce pain, instinctively immobilizes the shoulder.

Being long in a state of inactivity, the muscles and ligaments surrounding the joint are weakened, and to bring them into the norm will require physical training for a long time (from six months to several years).

To be able to get rid of the disease more quickly - in a few months - you need to contact a specialist at an early stage, as soon as the above symptoms have appeared.

Diagnosis: X-ray, MRI, CT

For the statement of the exact diagnosis the doctor will recommend the following examinations:

1. roentgen of shoulder and shoulder blade;
2. MRI;
3. CT;
4. a blood test (assigned for differential diagnosis with infectious arthritis).

Methods of diagnosing the disease

To eliminate the symptoms of brachial periarthrosis - it is important to get rid of the inflammatory process in the tissues. To do this, use non-steroidal anti-inflammatory drugs, such as Diclofenac, Ibuprofen, Indomethacin, Tenoxicam, and others.

If they are ineffective and the symptoms persist, the doctor prescribes the intra-articular injection of anti-inflammatory drugs of hormonal nature (corticosteroids). The most effective cureperiarthritisit is possible with the help of such corticosteroid injections as Flosteron, Diprospan, Hydrocortisone, Kenalog.

Physiotherapy

Massage to relieve pain syndrome

To relieve the pain and tension of the muscles, as well as to improve blood circulation, patients are prescribed a massage. If the inflammatory process is too acute, the procedure can be contraindicated.

Exercise therapy

Another integral part of the therapy is exercise therapy. Without it, medication treatment will not be as effective as muscles and ligaments of the shoulder are weakened, and without a proper load on them, they can not come to form.

Good help to rehabilitate the periarticular tissue exercises developed by the American surgeon Ernest Codman:

1. Take the initial position (place the feet on the width of the shoulders, stand up straight), tilt the body forward, freely Lower your shoulders, hang your hands to the floor, stay in this position for 10-15 seconds, go back to the original position. Repeat 5-15 times. This exercise helps to relieve tension from the muscles of the shoulder girdle.
2. Starting position: stand near the chair, tilt the body slightly forward, put a healthy hand on the back of the chair, straighten the diseased limb and lower it. Roll your arm back and forth (10-20 times), like a pendulum.

   This exercise helps to increase the amplitude of the arm movement and at the same time does not give a big load to the shoulder joint and the muscles surrounding it.

To improve the flow of blood to the affected tissues use hot compresses. However, their use is advisable at a time when the inflammatory process is already less pronounced.

Exercises Codman for the rehabilitation of periarticular tissues

Surgery

Conservative treatment of the diseaseperiarthrosistakes from six months to one and a half years.

If during this time it did not bring the expected results, the doctor can decide on the need for prompt intervention.

Also, the operation is necessary immediately after going to the doctor, if there is an extensive proliferation of fibrous tissue in the capsule of the joint.

Folk methods

The use of folk remedies must necessarily be coordinated with the attending physician, since some Alternative medicine may have contraindications or not be combined with prescribed preparations.

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All folk remedies should be applied for a course of two weeks.

A source: http://SustavZdorov.ru/artroz/plechelopatochnyj-periartroz-325.html

How to treat a humeroparous periarthrosis

At the heart of the development of the disease is the inflammatory process, leading to weakening and thinning, degenerative changes and destruction of the tissues of the joint capsule, tendons, ligaments, their subsequent deformation. Saline deposits accumulate in the synovial bag, fibrous connective tissue grows in the capsule.

Sometimes the terms "periarthritis" and "periarthrosis" are used synonymously. However, periarthritis is the initial stage of the disease, which is characterized only by the presence of an inflammatory process.

When the inflammation is complicated by deformation of the periarticular structures, the periarthritis passes into periarthritis.

The disease develops very quickly, so most patients turn to the doctor at the periarthrosis stage.

Causes of development and risk factors

The syndrome of the humeroparous periarthrosis is diagnosed in both men and women, mainly over the age of 40.

It is more common in people who, due to their professional activities, have to carry out intensive movements with their hands for a long time and regularly or keep them in an uncomfortable position.

Very rarely periarthrosis is an independent pathology, often becomes a consequence of other diseases.

Such a state can develop:

1. with cervical osteochondrosis and other diseases of the upper spine (protrusion, hernia of intervertebral discs and others);
2. as a result of inflammatory processes of the joint capsule (adhesive capsulitis), articular bag (bursitis), muscle (fasciitis), ligaments (tendinitis);
3. due to injuries (fractures, dislocations, severe bruises of the shoulder) and microscopic injuries of various origins (after strokes, sudden movements, constant increased loads on the joint);
4. on the background of diseases of internal organs (hormonal disorders, endocrine disorders, angina pectoris and myocardial infarction, liver and gallbladder disease);
5. after surgical interventions in the shoulder area (operation on blood vessels, mastectomy, metalloosteosynthesis).

Often, factors that provoke inflammation in the scapula-brachial region are constant supercooling and weakening of the immune system caused by rheumatism and other diseases, malnutrition, stress, harmful habits.

Classification of the violation

By localization of the inflammatory process, the disease is divided into 3 groups.

1. Right-sided periarthrosis of the shoulder. Inflammation of the right shoulder is diagnosed most often, since it is the right arm that has the greatest load (in right-handed people). Also, inflammatory processes on the right side can occur against a background of liver diseases.
2. Left-sided humeroscapular periarthrosis. Inflammation of the periarticular tissues of the left shoulder is more often diagnosed in lefties. Also, left-sided humeroscapular periarthrosis is often detected in patients suffering from pathologies of the cardiovascular system (myocardial infarction, heart failure, and others).
3. Bilateral periarthrosis. Cases when the pathological process involves both shoulders, are extremely rare. Bilateral inflammation is acute, leading to a deterioration in the motor function of both hands.

Symptoms of ailment

The disease is accompanied by pain in the shoulder and a deterioration in the patient's quality of life. Soreness increases with pressure on the inflamed joint, which causes discomfort during sleep.

The motor activity of the hand is significantly reduced: a person can not lift it or lead it behind his back, to carry something in this hand. Plechelohepatic periarthrosis is manifested:

• pain in the shoulder and shoulder blade, strengthening with pressure;
• stiffness in the shoulder girdle (thoracic and subscapular muscles);
• deterioration of the motor function of the hand;
• an increase in body temperature (with an acute process or exacerbation of chronic inflammation).

Symptoms of the disease differ depending on the form of the humeroparous periarthrosis.

The form of the humeroscapular periarthyrosis. Description. Symptoms

Primary	The most simple form of inflammation, can pass by itself with the restriction of the load on the joint, easily lends itself to drug therapy	Weak painful sensations arise only when the arm is raised up, the institution behind the back
Acute	Secondary acute humeroscapular periarthrosis is the result of the absence of treatment of initial inflammation, primary acute periarthritis can result from trauma	Increasing pain in the shoulder, giving in the arm, neck, back (with movements of the hands and at night, pain syndrome increases) Swelling in the area of ​​the inflamed joint Raise the body temperature to 3, ° C
Chronic	It develops after acute periarthrosis (approximately in 50% of cases), proceeds for a long time (for several years), with alternating exacerbations and remissions	Moderate soreness, aggravated by sudden movements of the hand
Ankylosing (otherwise - blockade, capsulitis, "frozen shoulder")	It develops from chronic periarthritis, is the most severe form of the disease	Stupid, persistent pain in the shoulder Atrophy of muscles and ligaments adjacent to the joint Sharp reduction in mobility or complete immobilization of the joint

At the advanced stages of ankylosing periarthrosis, complete immobilization of the shoulder is not accompanied by painful sensations. This is due to the strong sealing of the capsule of the joint, the fusion of small bones.

Diagnostics

For the statement and confirmation of the diagnosis:

1. visual inspection (allows to detect asymmetry of joints, the presence of protrusions of bones, muscular atrophy);
2. palpation (to determine the intensity of the pain syndrome and the area of ​​the inflammatory process);
3. evaluation of motor activity (the doctor asks the patient to make various movements by hand - flexion, extension, rotation, lifting, retraction to the sides, behind the back);
4. a general blood test (on the brachyperitoneal periarthrosis indicates an increased content of C-reactive protein and ESR);
5. X-rays (the nature of tissue damage is determined);
6. computer tomography (reveals bone diseases).

In addition, ultrasound, magnetic resonance imaging, and arthroscopy can be prescribed.

Syndrome of brachythe periarthrosis is important to differentiate with other diseases that have similar symptoms. These are vascular pathologies of the brain, thrombophlebitis, arthritis of infectious origin, SHOCH (cervical osteochondrosis) and other diseases of the upper spine.

Treatment

To cure a humeropyritis periarthrosis:

• drug therapy;
• physiotherapy;
• physiotherapy.

The optimal therapeutic scheme is selected by the doctor taking into account the form and severity of the inflammatory process, patient's age, concomitant pathologies and patient's sensitivity to drug drugs. If conservative therapy is unsuccessful, the patient is referred for surgery.

Conservative therapy

Drug treatment includes the appointment of:

• analgesics (Reopirin, Analgin);
• non-steroidal anti-inflammatory drugs (Indomethacin, Diclofenac, Ibuprofen, Nimesulide, Meloxicam);
• antispasmodics and vasodilators (No-shpa, Euphyllinum, Nicotinic acid);
• drugs, stimulating metabolic processes (Fibs, Plasmol).

All drugs are taken orally or administered intramuscularly.

Compresses to the inflamed area with Dimexidum or Bishofit may also be prescribed.

If the prescribed therapy does not have the proper effect, glucocorticosteroids (Diprospan, Flosteron, Hydrocortisone, Kenalog) are prescribed.

The drugs are injected directly into the area of ​​the inflamed joint. In case of ineffectiveness of hormonal therapy, a novocaine blockade is performed - Novokain is injected into the inflamed area.

Physiotherapy and massage

The main methods of physiotherapy are:

• ultrasound therapy;
• UHF;
• electrophoresis;
• acupuncture;
• paraffin therapy;
• mud treatment.

To reduce pain and muscle tension, improve circulation, massage is performed. But the aggravation of the inflammatory process is a contraindication to the procedure.

Gymnastics and exercise therapy

Gymnastics is an integral part of conservative treatment of periarthrosis. The complex of exercises LFK the doctor selects for each individually taking into account the severity of the inflammatory process, age and other characteristics of the patient.

According to Popov

Exercises by the method of Dr. Popov help to relax the ligaments of a tight area of ​​the shoulder girdle and restore their habitual mobility, to develop a "frozen" limb.

In the rehabilitation course, a lot of exercises, but only those that do not deliver discomfort and pain are needed. Each exercise is performed smoothly, without sudden movements, for 6-10 approaches.

It is forbidden to perform exercises with humeroscapular periarthrosis at the stage of exacerbation.

According to Bubnovsky

The complex of exercises of Dr. Bubnovsky is considered to be no less effective method of treatment of humerus periarthrosis.

Bubnovsky's treatment, in contrast to Popov's technique, is not aimed at relaxing and stretching ligaments and the muscular apparatus, but at strengthening them. For this purpose, various projectiles are used (for example, dumbbells).

After the warm-up, you can start doing the exercises: lift dumbbells in front of you and in the sides straight, and then bent at the elbows with your hands.

Gradually, the time of exercise and exercise should be increased. For the first time after gymnastics, pain can be exacerbated.

According to the expert, this is a normal phenomenon, not requiring the termination of training.

To relieve pain and discomfort the doctor recommends baths with sea salt, a contrast shower, a massage.

Surgery

If conservative therapy is ineffective, surgery is indicated. Surgical intervention is performed if the syndrome of the humeropathy periarthrosis occurs with:

• permanent pain that does not disappear after a course of treatment with glucocorticosteroids;
• changes in the structure and deformation of the tissues adjacent to the joint, which leads to immobilization of the shoulder;
• purulent inflammation (abscess).

The operation is performed endoscopically: through microscopic incisions with the use of high-tech equipment, which allows exclude heavy tissue damage, helps reduce the rehabilitation period, excludes the formation of cosmetic defects. Surgical intervention is performed under local anesthesia.

The deformed tissues of the synovial bag are removed, the damaged structures are restored.

The basis of rehabilitation is the holding of physiotherapeutic procedures and exercise therapy. The recovery period lasts about 3 months.

During this time, provided the operation is successful, the mobility of the shoulder is fully restored.

ethnoscience

Treatment of periarthrosis at home is the use of various compresses and lotions made from medicinal plant material and other natural ingredients. Most often at home, use herbal and salt compresses.

1. Herbal compress. Reduces inflammation and improves blood circulation in the periarticular tissues. Preparation: mix marshmallows, chamomile and sweet clover (proportion 2), pour boiling water, insist, strain. It is recommended to use a warm infusion, keep the compress until cooling. The procedure should be carried out before bedtime.
2. Salt Compression. Reduces pain, swelling and inflammation. Preparation: 25 g of salt pour a glass of hot water, stir until dissolved. The resulting solution is used for compresses.

Some more common recipes:

• lubricate the inflamed joint with honey;
• twice a day to do compresses with crushed gruel and slightly warmed horseradish;
• rub the diseased joint with an alcohol tincture of calendula (you can prepare yourself, or purchase a ready-made product in a pharmacy);
• Apply a warm burdock leaf at night to the inflamed area.

Duration of treatment by all listed means is 2 weeks. It is important to understand that treatment with folk remedies does not replace basic therapy, it can only be used as an auxiliary method.

Preventive measures

Following simple recommendations, it is possible to prevent the development of humeroparous periarthrosis. It is necessary:

1. timely treatment of diseases of the heart and blood vessels, endocrine disorders;
2. with cervical osteochondrosis and other diseases of the spine, it is necessary to take courses of medicament and physiotherapy, perform exercise therapy, sleep on an orthopedic pillow;
3. Avoid excessive load on the shoulder girdle;
4. avoid hypothermia;
5. strengthen muscles and ligaments - regularly perform therapeutic gymnastics.

The syndrome of the humeropathy periarthrosis can be easily treated if the therapy is started on time. Therefore, when the first alarming symptoms appear, you should immediately contact the doctor, and in the process of treatment follow all medical recommendations.

A source: https://artroz-artrit.com/artroz/periartroz/plechelopatochnyy-periartroz-prichiny-simptomy-metody-lecheniya.html

Shoulder-scrotal periarthrosis

Shoulder-scrotal periarthrosis(PLP) is a complex neurodystrophic syndrome of damage to the periarticular tissues of the shoulder joint, which occurs at various pathological changes of the joint itself, the cervical spine, the nerves of the brachial plexus or located next to the joint bodies. It is manifested by pain and limitation of the mobility of the shoulder joint. With PLP, a diagnostic search consists of examining and palpating the area of ​​the joint, evaluating neurological status, X-rays, ultrasound, MRI of the shoulder joint, radiography spine, etc. surveys. Treatment consists in the combined use of glucocorticoid drugs, local anesthetics, NSAIDs, B vitamins, vascular therapy, physiotherapy, exercise therapy and massage.

The term "humeropathy periarthrosis" has been used since 1872 as a collective concept, including various pathologies of tissues surrounding the shoulder joint.

So, under the diagnosis of "humeropathy periarthrosis subacromial bursitis may disappear, sclerosing capsulitis and bursitis of the shoulder joint, tendonitis of the long biceps head and rotator cuffs of the shoulder, etc. disease.

Because of such variability of PLP species having different etiology and course, ICD-10 was decided not to include this concept in the classification and thereby encourage physicians to more carefully and differentially approach the formulation diagnosis. Despite this, to date, most specialists in the field of traumatology, orthopedics and neurology continue to use the term "humeropathy periarthrosis" extensively.

Etiology and pathogenesis

The factors that can initiate brachyopathy periarthrosis are numerous and variable.

In medical practice, most often diagnosed PLP associated with impingment-syndrome - inflammation of the rotator cuff of the shoulder, which occurs when it is microtraumatized.

Observed with stereotyped movements with loads of painters, masons, loaders, athletes and static loads on the shoulder of office workers.

Pleuralopathy periarthrosis can develop with osteochondropathy, arthrosis, arthritis of the shoulder joint, its instability and trauma (shoulder dislocation, damage to tendons, rupture of ligaments). Other etiofactors of PLP are fractures of the clavicle, trauma and posttraumatic arthrosis of the acromioclavicular joint.

Neurological causes of PLP are radiculitis and radiculopathy in pathology of the cervical spine (spondyloarthrosis, osteochondrosis, disc protrusion), plexitis, etc.

diseases of the brachial plexus (for example, Duchenne-Erba paralysis), paresis of the upper limb, caused by a stroke or myelopathy.

In patients with diabetes, humeropathy periarthritis is an integral part of the clinic for diabetic neuropathy.

At the heart of pathogenetic mechanisms of PLP development lie segmental disturbances of vascular regulation and neurotrophic disorders, gradually leading to dystrophic changes in periarticular tissues the shoulder joint.

Thinning and disintegration of the joint capsule occurs, because of the loss of elasticity, microcracks are formed in it, subsequently replaced by a connective tissue, which leads to an even greater decrease in the elasticity of the capsule and restriction of movements in the brachial the joint.

The latter causes the emergence of the syndrome of the "frozen shoulder" and the development of a stable joint contracture.

Plechelohepatic periarthrosis makes its debut with the onset of pain syndrome. Its appearance and development is so imperceptible and gradual that patients can not indicate when they have pains. Pain sensations are more often localized on the anterior-lateral, less often on the posterior surface of the shoulder.

As described by the patients themselves, they carry a "drilling "aching "gnawing" character; can radiate to the neck, scapula, distal parts of the hand. In the initial period, pain PLPs occur only with movements in the shoulder joint, which have a significant amplitude.

For example, if you try to get your hand behind your back, take it to the side, raise it forward above the horizontal level.

Such motor acts in the home are not often committed by people, so in the early period PLP to doctors refer primarily to athletes or those patients who have these movements associated with a professional activities.

With further development, the humeroparous periarthrosis leads to an aggravation of the pain syndrome and the appearance of a limitation of mobility in the shoulder.

Patients complain of the occurrence of severe pain during movements in the shoulder joint, the existence in the joint area of ​​a constant background pain of noisy character.

The latter intensifies at night, does not allow patients to sleep on the side of the affected shoulder, leads to insomnia and the development of asthenia.

Inspection of the shoulder joint reveals a small swelling of its tissues, their somewhat larger palpation density in comparison with the palpation of a healthy shoulder.

Trigger points are noted - tenderness when palpation of places of attachment of tendons, tubercles of humerus and groove between them, subscapular muscle. The limitation of active movements in the shoulder is observed in various forms, and often passive movements are also limited.

The most pronounced violation of lifting the arm in front of the trunk, its retreat and establishment behind the back. The examination of the patient can be performed by an orthopedist, traumatologist, therapist or neurologist. The latter also estimates the patient's neurological status.

In determining the signs of lesion of spinal nerves or brachial plexus, humeropathy periarthrosis should be considered as a syndrome of the diagnosed disease.

Radiography of the shoulder joint and CT of the shoulder joint can provide information about the state of its bone structures - the presence of osteoporosis, the reduction of the joint between the joints, etc., as well as the calcification of the joint bag and periarticular tissues.

In the diagnosis of changes in the soft tissues of the joint, the MRI or ultrasound of the shoulder joint is of major importance. To assess the condition of the cervical spine is carried out its radiography, with a suspected radicular syndrome - MRI of the spine.

Clarification of identified neurological disorders may require an EMG or ENT.

Treatment medication

Drugs, which are usually used to treat humeropyritis periarthrosis, are glucocorticosteroids (dexamethasone, hydrocortisone, betamethasone). They are administered intramuscularly or intraarticularly, as well as into trigger points on the surface of the joint.

The greatest effect is given by the combination of corticosteroids with local anesthetics (novocaine or lidocaine). Depending on the severity of symptoms of PLP, the number of therapeutic blockages can vary from 6 to 10.

As a rule, by the end of the second week of such therapy, there is a regression of the pain syndrome and an increase in the volume of movements. This allows you to move from corticosteroids to treatment with nonsteroidal anti-inflammatory drugs (diclofenac, nimesulide, piroxicam).

Complex therapy PLP also includes the appointment of vitamins gr. B (possibly in the form of complex drugs), vascular drugs (nicotinic acid, pentoxifylline).

Positively affects the results of treatment, its combination with physiotherapy - ultraphonophoresis, electrophoresis, thermal procedures, magnetotherapy, reflexology.

After cupping the pain syndrome, in parallel with the therapy, massage and physiotherapy are prescribed to restore the volume of movements in the joint.

Prognosis and prevention

With timely treatment and full-fledged treatment, the prognosis in terms of recovery is quite favorable. In advanced cases, humeropathy periarthrosis leads to the formation of a persistent limitation of the motor function of the joint, the emergence of contracture and disability of the patient.

To measures for the prevention of PLP can include: adequate treatment of cervical osteochondrosis, prevention of shoulder injuries and excessive loads of professional or sports character, regular joint gymnastics aimed at strengthening the shoulder girdle.

A source: http://www.krasotaimedicina.ru/diseases/zabolevanija_neurology/scapulohumeral-periarthrosis