Frozen shoulder or humeroscapular periarthrosis ?
Disease / / August 12, 2017
- What is the difference?
- Causes Symptoms
Shoulder pain - a common problem, the cause of which many people mistakenly believe joint inflammation (arthritis) or arthrosis, ie those diseases in which damaged the internal structure of the joint.In fact, more often, in such cases there is a frozen shoulder or periarthrosis.
terms "periarthritis" and "periarthrosis" indicate that the pathological process develops in the soft tissues surrounding the joint.First of all, the joint capsule and tendon, which under the influence of damaging factors can become inflamed, straining to lose elasticity, or even calcified.
What is the difference?
difference between periarthritis periarthrosis and for patients themselves rather conventional, as manifestations of these diseases are very similar.The main difference lies in the nature of pathological processes in the so-called rotator cuff of the shoulder and the capsule of the shoulder joint.
periarthritis If there are
Differences between periarthrosis periarthritis and there are the reasons that cause these pathological conditions.Thus, the inflammatory changes during frozen shoulder occur under the influence of unusual, sudden load on the upper limbs or arms after the injury.The appearance of pain and other unpleasant sensations may defer for a few days.
The cause can also be cervical osteochondrosis and by displacement of the nerve endings serving the shoulder joint.In addition, they can play a role, and some diseases of internal organs, such as myocardial infarction, which interferes with normal blood flow in the area of the shoulder joint.
periarthrosis as often is the professional disease of painters, porters, blacksmiths, masons and other workers.That is the basis for the development of disease is regular and prolonged exposure to stress on the shoulder joint.
diseases When periarthritis clinical picture to a large extent depends on how the tendon is damaged, since the defeat of each muscle has its own manifestations (restriction of certain movements of the upper limb).But there are complaints that are found in almost all patients:
- aching boring pain interferes with work and aggravated by movement;
- numbness and weakness in the hand;
- inability to raise up a limb or get behind;
- slight fever.
These symptoms are typical for periarthrosis, but they appear less pronounced.In addition pattern observed in this pathology: affected from right-handed right hand, while the left-handed - left.
Both diseases without adequate therapy can lead to the development of so-called frozen shoulder.This condition is characterized by a strong deterioration of joint mobility, which is difficult to treat.The patient is disturbed operation and deteriorating quality of life.
specific diagnosis and periarthritis periarthrosis not.Usually, doctors diagnose the patient's complaints and inspection data (detection of weak points in the projection areas of damaged tendons, movement restrictions in certain limb planes, etc.).Sometimes periarthrosis detected changes on radiographs of the shoulder joint - periarticular salt deposits.
When frozen shoulder, and during acute periarthrosis to reduce inflammation and pain relief to patients prescribed non-steroidal anti-inflammatory drugs orally or intramuscularly and periarticular injections of hormonal drugs.This shows the load limit on the affected arm.
good effect in diseases of the periarticular tissues provides physiotherapy (electrophoresis with active anti-inflammatory and analgesic agents in the area of the shoulder joint).In addition, you can use:
- hirudotherapy (treatment with leeches);
- manipulation (especially post-isometric relaxation).
After the extinction of the acute symptoms shown mud.It is also obligatory in physiotherapy, which is necessary to maintain and improve the mobility of the upper limbs.
is very important in case of pain in the shoulder immediately contact a doctor and not wait for that unpleasant symptoms disappear.The earlier the doctor will determine the cause of the unpleasant symptoms and begin treatment, the more likely the patient full recovery and the resumption of the normal functioning of the upper limb.