Shoulder and back muscle pain
Introduction
Introduction Shoulder and back muscle pain may be caused by cervical spondylosis, or it may be caused by low back muscle fasciitis or phlegm. 1. Cervical spondylosis is more divided and the symptoms are complicated. It causes neck and back pain, in addition to neck and shoulder back soreness, pain, neck stiffness and other discomfort, as well as limb numbness, weakness, and even dizziness, headache Wait. The medical history is relatively long, and the pain in the head, neck, shoulders, back and arms is repeated, accompanied by corresponding tender points. 2. phlegm: feeling and sleep: the body is so tired, cold hands and feet, chest tightness, phlegm, easy to sleepy, joint pain, skin numbness, stomach upset.
Cause
Cause
The basic pathological change of cervical spondylosis is the degeneration of the intervertebral disc. The cervical vertebra is located between the skull and the thorax. The cervical disc has frequent activities under load-bearing conditions and is susceptible to excessive micro-injury and strain.
The main pathological changes are: early cervical disc degeneration, decreased water content of the nucleus pulposus and fibrous swelling and thickening of the annulus fibrosis, followed by glassy degeneration and even rupture. After cervical disc degeneration, the pressure resistance and tensile strength are reduced. When subjected to the gravity of the skull and the pulling force of the muscles of the head and chest, the degenerated disc can undergo localized or extensive bulging to the periphery, narrowing the intervertebral disc space, overlapping the articular processes, dislocation, and the longitudinal diameter of the intervertebral foramen. Become smaller. As the traction resistance of the intervertebral disc becomes weaker, when the cervical vertebra moves, the stability between adjacent vertebrae decreases and the intervertebral instability occurs, the mobility between the vertebral bodies increases and the vertebral body has a slight slippage, which then appears Bone hyperplasia of the posterior facet joint, hook joint and lamina, degeneration of the ligamentum flavum and ligament, cartilage and ossification.
Examine
an examination
Related inspection
Electromyography anti-acetylcholine receptor antibody (AchR-Ab)
1. Cervical spondylosis is more divided and the symptoms are complicated. It causes neck and back pain, in addition to neck and shoulder back soreness, pain, neck stiffness and other discomfort, as well as limb numbness, weakness, and even dizziness, headache Wait. The medical history is relatively long, and the pain in the head, neck, shoulders, back and arms is repeated, accompanied by corresponding tender points.
2. phlegm: feeling and sleep: the body is so tired, cold hands and feet, chest tightness, phlegm, easy to sleepy, joint pain, skin numbness, stomach upset.
Diagnosis
Differential diagnosis
1, the rainy days neck and shoulder back pain: the scapular dorsal nerve is the nerve from the neck 5 nerve root and the chest long nerve. The scapular dorsal nerve compression is mainly caused by neck discomfort and soreness. The neck discomfort is related to the weather. It is aggravated by rainy days and winters. It can also be aggravated after exertion. Kevin (1993) reported that scapular dorsal nerve closure can treat neck and shoulder pain. In 1994, Chen Desong reported the disease in detail and proposed a surgical treatment plan to achieve good results.
2, shoulder blade soreness: the scapula is also called the tibia and fibula. Located behind the thorax, it is a triangular flat bone between the 2nd to 7th ribs. Scapular soreness is caused by long-term deformation of the muscles. It may also be caused by chronic muscle inflammation due to a long-term posture.
3, shoulder pain: shoulder pain and discomfort: also known as leaking shoulder wind, inflammation around the shoulder joints, fifty shoulders, and its shoulder joint dysfunction is also known as the frozen shoulder.
4, shoulder aches: shoulder pain is generally caused by frozen shoulder or cervical spondylosis.
5, shoulder and back pain: a lot of patients with shoulder and back pain, mostly caused by local bone or soft tissue disease of the shoulder. It is also possible that the tumor has metastasized to the shoulder. Therefore, after the treatment, the back pain can not shoulder pain, shoulder pain, medical back, blind massage, scraping, cupping and other treatment methods, so that patients lose the best treatment opportunity.
6, back pain: radiation, pain, soreness, crushing pain, cough pain, traction pain, etc. in the waist, back, shoulders, legs, etc., affecting normal life, but also damage to health, serious can be lost Labor ability.
