- What Shoulder periarthritis?
- How manifests itself shoulder-scapular periarthritis?
- treatment - the sooner, the better
Shoulder periarthritis - the problem is very common, but the name of the disease rarely heard.The fact is that those doctors who are not well versed in diseases of the joints, virtually all complaints of shoulder pain misdiagnosed, namely diagnose osteoarthritis of the shoulder joint.The majority simply does not know that osteoarthritis of the shoulder joint is rare - less than 10% of cases.But the shoulder-scapular periarthritis and spinal problems in the cervical-thoracic cause pain in the shoulder joint in about 80% of cases.
Given the above, it should be understood that the exact diagnosis can only be really serious professional who specializes in diseases of the joints.Otherwise, you risk to be treated "is not the disease", because of which the effectiveness of the treatment is very low, and in some cases, the treatment does not give effect.
What Shoulder periarthritis?
The disease is an inflammation of the capsule of the shoulder joint and tendons of the shoulder.But in this case cartilage, joint and its internal structure is not damaged.This fact (damage) and is the main difference between this disease from arthrosis or arthritis of the shoulder joint.
This disease occurs often enough with the disease have to face about one in four people. This disease is almost equally affects both women and men.
The causes of the disease may be different.It usually develops after trauma, falls on the outstretched arm or shoulder, knock on the shoulder, in some cases, the cause may be the excessive exercise.In other words, most often the cause of the disease usually becomes unusual load or overload of the joint.It is such a problem is a typical cause of this disease.
It should be borne in mind that between the cause of the inflammation and the appearance of symptoms is usually a certain time period, which can last up to a week.
Sometimes the cause of periarthritis of the disease may be some internal organs.For example, the development of the disease in his right shoulder can promote liver disease, in his left shoulder - may develop after myocardial infarction.And, of course, it can contribute to the development of the disease in the cervical spine.
How this disease manifests itself?
It should be noted that the disease may take various shapes and flow in the various embodiments.For example, a simple periarthritis (the mildest form of the disease) manifests itself very weak - if it contains only the weak shoulder pain, which may occur in certain movements of the shoulder.In some cases, it may be limited to the mobility in the shoulder - for example, it is impossible to completely pull the hand or fingers to reach the spine.
Usually the pain also occurs when you try to make a gesture, which is fixed a doctor because it is in this case a sore tendon strains.It is in this case, when you have to make an effort, trying to overcome the resistance of the doctor, there is pain.Also interesting is the fact that similar movements can not cause pain when the arm is not fixed.
This disease is treated fairly easily and quickly, usually enough 3-4 weeks to completely get rid of the disease.But it is necessary to take into account that, without proper treatment, the disease is often transformed into an acute form of the disease.This occurs in about 60% of cases, especially if the affected joint receives an additional load.
However, the acute form of the disease can occur independently from a serious shoulder injury.In this case, a person is faced with a sudden pain in his shoulder, which gradually increases and can give to the arm and neck.At night, the pain is usually worse.This forward hand moves easily and with virtually no pain, but the rotation of the hand or trying to pick it up is almost always give rise to pain.
Appearance of the patient in such a situation is typical enough - he is trying all the time to hold hands bent at the elbow, holding her to his chest.Sometimes there is a small swelling on the front of the shoulder, and the general condition of the patient deteriorates because of insomnia and severe pain.It is also possible, and the temperature in the range of 37.5 degrees.
acute form of the disease usually lasts for several weeks, after which the pain is starting to recede.Unfortunately, about half the time it takes the chronic form.In this form of the disease the pain fairly mild and most people can come to terms with it.Only when certain movements sore shoulder responds to acute pain.In some cases, there is a feeling "ache" in the shoulder, which can cause insomnia.
chronic form of the disease lasts a long time - up to several years.But after the problem may disappear by itself, even without medical intervention.
treatment - the sooner, the better
general this disease respond well to treatment .Current treatments can get rid of almost any form of disease.But it is very important to eliminate the cause of the disease (of course, if at all possible).
example, if periarthritis evolved due to the displacement of the vertebrae, it is necessary to conduct therapy, which eliminates this shift.If the problem is caused by blood circulation (after a heart attack, for example), then you must take special drugs that restore normal blood flow.And if the cause of the disease began to liver problems, then appointed a special enzymatic tools and recommended a diet that allows you to restore the function of the liver cells.
The rest of the treatment usually begins with nonsteroidal anti-inflammatory drugs.For mild forms of the disease such treatment would be sufficient.Good effect can also give compresses with some drugs.Some patients well to laser therapy.
also good effect hirudotherapy (treatment of medical leeches).But the paradox is that for some reason in patients with periarthritis medical leeches often cause allergies.
In the acute form of the disease can be used injections of corticosteroids.This procedure is rarely provides recovery, but seriously improves the condition of patients.
One of the best treatments is considered postisometric relaxation.This procedure allows you to get rid of the disease almost all patients, even with advanced forms of the disease.