shoulder pain at night
Introduction
Introduction Shoulder pain at night refers to shoulder pain and limited activity. It is obviously aggravated at night, and often wakes up and affects sleep.
Cause
Cause
The cause of night shoulder pain:
It can be caused by shoulder diseases such as frozen shoulder and shoulder impact syndrome. This symptom can also occur in shoulder bone tumors.
Examine
an examination
Related inspection
Magnetic resonance imaging (MRI) CT examination
Examination of the diagnosis of shoulder pain at night:
Bone is a predilection site for primary tumors and metastatic cancer. The main symptoms of bone tumors are pain, limited activity and increased at night. Lateral bone tumors are sometimes confused with periarthritis of the shoulder. However, bone tumors have special manifestations such as bone destruction on X-ray, CT or MRI.
Periarthritis of the shoulder is a common disease in orthopedic clinics. It is more common in elderly people over the age of 50. Because of the cold and tiredness, the symptoms are mainly shoulder pain and limited activity, which is obviously worse at night. Although it can heal itself, it has a long course of disease, sometimes up to 1 to 2 years. And even after the cure, it is easier to relapse. So it is often easy to make people numb.
The main manifestations of the shoulder-impact syndrome are shoulder pain, nighttime pain, and wakefulness, which affect sleep: it is difficult to point out the clear pain: the arm is difficult to lift.
Diagnosis
Differential diagnosis
Symptoms of confusing shoulder pain at night:
Should be differentiated from the following shoulder pain: Neck and shoulder pain refers to neck and cervical spine injury and neck pain caused by disease and induced pain or radiation pain in the shoulder and upper limb; sometimes, low back pain can also be expressed under the neck and shoulders, shoulder Diseases with the upper limbs can also cause neck pain.
Cervical Spondylosis: referred to as cervical spondylosis, is a group of clinical manifestations of cervical degenerative degeneration of the cervical intervertebral disc, a series of pathological changes in the bone, facet joints and soft tissues around the cervical intervertebral disc, compression or stimulation of nerve roots, spinal cord, vertebral artery and other tissues. Syndrome, clinical manifestations are not the same, often have neck and shoulder pain, upper limb numbness, muscle weakness, headache, dizziness, even walking and limbs, quadriplegia and other symptoms.
Acute cervical arm pain: Acute neck and arm pain is a disease that occurs during the acute phase of cervical disc herniation. It is also called acute radiculitis. The onset is acute and the pain is severe. The pain radiates along the nerve root to one side or both upper limbs to the shoulder. Arms, fingers, can be accompanied by electric shock like paralysis, patients are mostly painful, miserable, painkillers often do not help or only briefly relieve.
Angina, myocardial infarction: Pain is caused by myocardial ischemia to the left shoulder. Angina is often induced by fatigue or excitement, and pain can be relieved after a break. Nitroglycerin-containing granules are effective; myocardial infarction often occurs in sleep or quiet state, often accompanied by pale, sweaty and dyspnea shock, severe heart failure, including nitroglycerin and rest are not relieved. These two are often life-threatening, especially those with a history of coronary heart disease.
Lung cancer: Shoulder pain is caused by lung cancer metastasis and compression of the brachial plexus, which can occur before respiratory symptoms such as cough, hemoptysis, and chest pain.
Cervical spondylosis: occupational factors such as long-term desk work, cervical vertebrae prone to hyperplasia and other degenerative diseases, hyperplasia of bones can cause shoulder pain, but this shoulder pain is accompanied by neck discomfort and dizziness and dizziness.
Cholecystitis, cholelithiasis: Inflammation or gallstones involve right shoulder pain. Patients often have a history of recurrent episodes. B-ultrasound can be diagnosed. Anti-infection, antispasmodic and analgesic treatment can relieve shoulder pain.
Bone is a predilection site for primary tumors and metastatic cancer. The main symptoms of bone tumors are pain, limited activity and increased at night. Lateral bone tumors are sometimes confused with periarthritis of the shoulder. However, bone tumors have special manifestations such as bone destruction on X-ray, CT or MRI.
Periarthritis of the shoulder is a common disease in orthopedic clinics. It is more common in elderly people over the age of 50. Because of the cold and tiredness, the symptoms are mainly shoulder pain and limited activity, which is obviously worse at night. Although it can heal itself, it has a long course of disease, sometimes up to 1 to 2 years. And even after the cure, it is easier to relapse. So it is often easy to make people numb.
The main manifestations of the shoulder-impact syndrome are shoulder pain, nighttime pain, and wakefulness, which affect sleep: it is difficult to point out the clear pain: the arm is difficult to lift.
