~Symptoms of periarthritis of the shoulder joint and treatment centered on exercise therapy at our clinic~.
I can't lift my shoulders, I can't get my hands behind my back, it's hard to get dressed and undressed.
These symptoms, which are often seen in middle-aged and older people, may be so-called 40- or 50-year-old shoulders (periarthritis of the shoulder joint).
While this disease often interferes with daily life, it is often neglected, thinking that it will go away someday. However,With the right treatment and rehabilitation at the right time, symptoms can be reduced and recovery achieved quickly.
In this issue, we will introduce the symptoms, stages, and treatment plan for 40- and 50-sided shoulders, as well as the support provided at the Ikejiri-Ohashi Sera Clinic.
What is periarthritis (shoulder arthritis)?
Periarthritis of the shoulder is,Diseases that cause inflammation of the shoulder joint, resulting in pain and difficulty moving the shoulderIt is a general term for the following. The frozen shoulder is the most frequent type, and is sometimes referred to as "frozen shoulder" or "adhesive arthritis.
mainlyOnset after middle age, diabetes, thyroid disease, and smoking are risk factors.It is considered to be 2-5% of the population and is not an uncommon disease.
Main symptoms and stage of progression
Shoulder pain and limited range of motion were the main symptoms,Difficulty with daily activities - washing hair, putting on/taking off clothes, scratching back, etc.The symptoms of the disease are as follows. Depending on the stage of the disease, symptoms may vary as follows
| stage of an illness | Period | symptoms |
|---|---|---|
| Acute phase (inflammatory phase) | 2 to 9 months | Severe pain, nocturnal pain, pain at rest, severe pain when moving |
| Chronic phase (contraction phase) | 4-12 months | Pain is somewhat relieved, but range of motion limitations are noticeable (especially abduction, external rotation, and internal rotation) |
| convalescence | 5 to 24 months | Gradual improvement in range of motion and pain reduction |
It is a disease that generally resolves spontaneously,If left untreated, it can last more than 2 years, and about half of the patients have some residual symptoms (difficulty moving or mild pain)There are also reports that
[Inspection
Diagnosis is based on an interview and physical examination (evaluation of tenderness and range of motion of the shoulder joint) to rule out other diseases.
- X-ray examinationCheck for: deformities and calcification of joints
- Echo examination (ultrasound)Real-time evaluation of: rotator cuff tears, bursitis, etc.
- as necessaryMRI scanmay be provided at cooperating medical institutions
Treatment: Conservative therapy is based on the stage of the disease.
The treatment of frozen shoulder is basically conservative therapy (non-surgical treatment).Selecting the appropriate approach for each stage of the disease will lead to early recovery and prevention of sequelae.
Acute (inflammatory phase)
- pharmacotherapyPainful: Because of the pain, analgesic medication, compresses, and local injections (e.g., steroids) into the shoulder joint are administered.
- rest and relaxation instruction: Do not forcibly move the shoulder and consider using a triangular bandage if necessary
- Bedtime Innovations: Cushioning under the shoulders and creating a position that reduces nighttime pain.
However, even in the acute phase, if the pain improves and you are able to moveExercise therapy from an early stageIt is important to
Chronic phase (contraction phase)
- Exercise therapy (supervised by physical therapist)：
- Light stretching, such as pendulum exercises
- Range of motion training to restore joint movement, such as abduction and external rotation
- Strength training for muscles around the scapula - Physical Therapy/Heat TherapyWarming of the affected area relieves muscle tension and promotes improved range of motion
Recovery
- Active rehabilitationand regain original joint function.
- Adapt to life and work as needed.Exercise habits to prevent recurrenceProposal for
Examinations and treatments available at Ikejiri-Ohashi Sera Clinic
Our clinic evaluates the shoulder joint to rule out other conditions (rotator cuff tear, calcific tendonitis, osteoarthritis, etc.) by taking the following actions
Inspection
- Medical interview and physical examination: Assessment of tenderness and range of motion
- Echo and X-ray examination
- as necessaryIntroduction to MRI Examination
Treatment
- Exercise Therapy by Physical Therapist
- Prescription for painkillers、Shoulder joint injection(steroids and hyaluronic acid)
- Lifestyle and exercise guidance according to the patient's situation
- As symptoms progress or improve,Create and share optimal treatment plans for each stage of the disease
Ikejiri-Ohashi Sera Clinic emphasizes exercise therapy,A rehabilitation plan that aims to "heal," not merely relieve painWe will provide full support for
Summary
By neglecting the forty and fifty shoulders, thinking that they will heal someday,Risk of prolonged recovery time and irreversible joint movement.There are
In this clinic,Integrated services from examination to diagnosis, drug therapy, injections, and rehabilitationWe are committed to providing the best possible treatment for each individual patient.
If you suffer from shoulder pain or difficulty moving your shoulder, please contact us.
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