shoulder pain
Introduction
Introduction Shoulder pain refers to the pain in the muscles of the shoulders and shoulders. Among all the joints of the body, the shoulders may be the most versatile, and it has a lot of muscles and muscles, allowing your arms to do a wide range of activities, as well as the joints that are most prone to fatigue and disease. Many elderly people suffer from shoulder pain because of "shoulder periarthritis". After a long time, they are easy to form a mindset, thinking that shoulder pain must be a symptom of frozen shoulder. In fact, shoulder pain may also be It is caused by other more serious diseases.
Cause
Cause
First, joint disease
Such as rheumatoid arthritis, inflammation around the shoulder joints, scapular muscle strain and other diseases and bursitis and tendonitis can cause shoulder pain.
Second, coronary heart disease
Coronary heart disease is a heart disease caused by coronary artery stenosis or paralysis. At the time of onset, the myocardium will accumulate metabolites due to ischemia and hypoxia. Metabolites stimulate the afferent fibers of the heart's autonomic nerves (they are actually pain receptors), and the sensory signals the pain signals through the sympathetic ganglia and the corresponding spinal nerves in front of the 1 to 5 thoracic vertebrae, into the brain, causing pain in the brain. feel. Because the pain in the shoulder, sternum and left little finger is also transmitted to the brain through the sympathetic ganglia of the thoracic vertebrae and the corresponding spinal nerves, the brain sometimes cannot tell whether the pain is from the heart or the sternum. shoulder. Therefore, patients with coronary heart disease often have shoulder pain symptoms, and sometimes even cover other parts of the pain, so shoulder pain should be highly vigilant.
Chinese medicine believes that due to exogenous rheumatism, lungs are subject to wind and heat, strong weight bearing, falling servant damage and other reasons, injury caused by hand Sanyang. With the shoulder as the hand, the Sanyang Economic Intersection is also a sub-domain of the lungs. Caused by exogenous rheumatism, shoulder pain, often with back pain, and treatment of phlegm and dampness, the use of , , , , , , , , , , , , , , , , , , , , , , , , , , Arms, square wind soup, sputum and so on. Such as due to strong weight or loss of servant injury, pain has a fixed position, stretch and flexion, or painful neck, etc., can be combined with trauma, massage, acupuncture treatment.
Examine
an examination
Related inspection
Shoulder ablation test of the sacral muscle tendon rupture test
The pain of cervical spondylosis is mostly numbness and has the feeling of radiating to the upper limbs and hands. The most common pain site except the neck is mainly concentrated in the shoulder area, ie above the collarbone, above the shoulder peak, and above the shoulder scapula. Inside. The pain of frozen shoulder is persistent dull pain, which often manifests as soreness and pain. Most of the pain is located in the deltoid area, which is the area below the clavicle, the area below the shoulder and the area below the shoulder.
Diagnosis
Differential diagnosis
1. Shoulder and back pain: There are many patients with back pain. The common cause is local bone or soft tissue disease of the shoulder. Others have scapular pain caused by organ disease that is reflected to the shoulders or other parts of the tumor and transferred to the shoulders and back. 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.
2, severe shoulder pain: often caused by dislocation of the shoulder joint. There is a clear history of trauma.
3, shoulder involvement pain: due to visceral disease, causing shoulder pain, or hyperalgesia, known as suffering. Symptoms appear to be slow, dull, or uncomfortable. They do not completely conform to the nerve direction, the area is blurred, and the pain is blurred.
