Health, Diseases and Conditions
Than and how to treat capsulitis of the shoulder joint?
It has long been noted that the more important for the life of a person's joint, the more it is susceptible to various diseases. One of such "weaknesses" of the body is the shoulder, and a serious violation in his work is the capsulitis of the shoulder joint. This disease carries many names, for example, adherent arthritis, humeropathy or simply "frozen shoulder," but with any of the diagnoses given, delayed treatment or lack of it can lead to disability. Therefore, immediately with the manifestation of the first signs of the disease you need to turn to a specialist.
Causes
In addition, an adhesive capsulitis of the shoulder joint can occur:
- When reloading the joint;
- Diabetes mellitus, which is treated with insulin;
- Neurotrophic disorders;
- Diseases of the spine;
- Chronic diseases of the joints (bursitis, periarthritis, and so on);
- Metabolic disorders;
- Oncological diseases;
- Failures in the hormonal background;
- Cardiovascular diseases;
- Professional stress on shoulder joints;
- Atherosclerosis.
As a rule, the disease lasts for months. As a result, it can completely disappear or develop into a disability. It all depends on the degree of inflammation, the characteristics of the body and the stage of the disease on which treatment began.
Symptoms of the disease
- Limited amplitude of joint rotation;
- Pain while moving the hand;
- Stiffness of the whole joint;
- Contraction of the joint cavity several times.
So, the capsulitis of the shoulder joint, the symptoms of which can often be seen on their own, should be treated immediately to avoid further complications. This disease is serious and can manifest as an acute form, and a chronic relapse.
Symptoms in different periods
At different stages, the disease manifests itself in different ways. At first the patient feels only pains in the shoulder area, which are strengthened after hard work and exercises. It is at this point and should consult a doctor, in time to prevent the development of pathology in disability. The first period lasts about six months, after which the painful sensations begin to be accompanied by a restriction of mobility. At this time, the patient is unable to turn his hand inward, and the pain develops into spontaneous spasms that do not allow to sleep and do not pass without taking pain medications. It is interesting that the brush and elbow move absolutely freely and painlessly. The last stage of the disease is usually considered a period of recovery, when mobility returns, and pain sensations become less vivid. How to treat a shoulder joint capsulitis correctly, only the specialized specialist knows, so at the first signs you should seek help from a doctor who will prescribe the necessary procedures.
Diagnosis of the disease
Which doctor treats the capsulitis of the shoulder joint? This is usually done by an orthopedic doctor. When visiting a specialist to determine the exact diagnosis, he can ask the patient such questions:
- Information about similar problems with relatives;
- Presence of diabetes;
- Presence of shoulder injuries in the past;
- A description of the symptoms;
- List of medications taken;
- Duration of symptoms;
- physical exercise;
- The presence in the past of operations on the shoulder joint.
- Raise your hands as much as possible;
- Reach the opposite side of the palm with the opposite side;
- Reach up to the shoulder across the chest with the opposite hand.
Also, the doctor can move the patient's hand in the right directions himself, keeping track of the patient's feelings. Thus, it can be determined whether the joint is simply damaged or if a serious problem is really developing in it. For reinsurance, a specialist can assign instrumental methods of diagnosis, since there are cases when external signs indicate quite another disease.
Among such researches:
- MRI;
- X-ray;
- Ultrasound;
- General clinical analysis of blood.
Excluding, therefore, other pathologies, one should also be aware that the shoulder joint capsule, the symptoms and treatment of which are described above, with prolonged therapy may give rise to an even greater decrease in joint mobility and a reduction in its cavity. This form of the disease is called adhesive.
Types of disease
Before treating the capsulitis of the shoulder joint, you should correctly diagnose its variety. To date, experts distinguish only two types of disease:
- Idiopathic;
- Posttraumatic.
The first occurs most often in the fairer sex during hormonal changes in the body, that is, in 40-60 years. This is due to violations of the functionality of the nervous system, circulatory and respiratory organs, oncological diseases and impaired functionality of the cervical spine.
Methods of treatment
Adhesive capsulitis of the shoulder joint, the treatment of which often involves the operation, can be eliminated and conservative methods. These include recreational physical education, which, when properly applied, helps to start a natural process of restoring the body, reduce pain, and sometimes even eliminate them.
Effectiveness of procedures
In this case, as in many other diseases, the effectiveness of therapy depends on the stage of inflammation at which the effect began. If the treatment was taken immediately, even in the first months of the onset of pain, the result will also be positive. In the case of neglect of joint condition, conservative therapy will not bring visible improvements. The rehabilitation process in this situation will take a long time and will begin to bear fruit only after a noticeable restoration of joint mobility, which is achieved by complex therapy.
Comprehensive impact
How to treat capsulitis of the shoulder joint without surgery in the acute stage?
For this purpose, the specialist prescribes the following preparations:
- NSAIDs orally;
- Analgesic medicines orally;
- Anti-inflammatory drugs topically, in the form of ointments;
- Physiotherapeutic effect;
- Local injections of glucocorticoids.
Chinese medicine
Until the end, the impact on the body of the methods of Chinese medicine - acupuncture, has not been studied, but the capsule of the shoulder joint, the treatment of which does not lend itself to standard procedures, quickly becomes painless with such effects. But no matter how it was, it is better to consult a qualified doctor first.
Treatment with medical instruments
Sometimes a doctor can prescribe invasive procedures to patients. They are performed under general anesthesia. While the patient is asleep, the doctor moves the shoulder joint, weakening the muscles. In the case of applying a large force, the patient may have fractures of the bones, this should be known in advance.
Also, in the articular cavity, purified water can be injected by injection to stretch the capsule or steroids to reduce painful sensations.
Only in case of ineffectiveness of all these methods, the patient is assigned a surgical intervention to remove adhesions and scar tissue within the joint.
Aids
In addition to drug treatment, folk methods can also be used to eliminate the capsulitis, but before consulting the attending physician. Sometimes the expert himself can give recommendations on the use of various compresses or infusions. So, capsulitis shoulder joint how to treat folk remedies? This disease facilitates its course with compresses with "Dimexide", cold blue clay, wax or paraffin.
Preventive measures
All of them are reduced to the prevention of shoulder overload and injury. First of all, you should monitor the correct position while working at the computer. It is also necessary to maintain the body's water balance, breathe properly and avoid stressful situations and physical overload. Many people used to hold the phone with their shoulders during a conversation, which also has a negative effect on his condition. In your spare time, you need to do physical exercises that will relieve tension in the neck and back, and will also support the inactive muscles in tonus. To do this, smoothly, without sharp movements, perform turns and inclinations of the head in different directions. After this, perform alternate movements with shoulders and strain the muscles of the neck.
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