Arthritis around the shoulder joint

Arthritis around the shoulder joint's disease overview

The shoulder joint is one of the big joints of the body, playing an important role in everyday life, from subtle movement related to living to strong activities such as sports, production, production, labor. The shoulder joint is related to the nerve roots in the neck and the upper part of the back, related to the neck sympathetic lymph nodes. When there is damage to the neck vertebra, mediastinum, or chest can cause symptoms in the shoulder joint such as tendonitis, inflammation of the joints causing pain and limiting the movement of the shoulder joint. Arthritis around shoulder joints are all cases of pain and limit shoulder joint movement due to software damage around the joints including: tendon, muscle, ligament, joint, eliminating the head damage Bones, articular cartilage and epidemic membranes. Arthritis around the shoulder joints are the most common form. The density of the shoulder joint is due to the thickening and spasms of the shoulder joints, which is a condition with the limited shoulder joint movement. The level of mild to severe pain in Vietnam, the shoulder arthritis accounts for 2% of the population and accounts for 12.5% ​​of the total number of patients with joint disease.

Causes of Arthritis around the shoulder joint's disease

Causes of shoulder arthritis include:

  • Degeneration of tendon, rotating tendonitis, may have or without calcium deposition, may be torn, tendon tendon is not completely or completely.
  • Active inflammation under the same role
  • Inflammation of the epidemic and long muscle tendon inflammation

    • Symptoms of Arthritis around the shoulder joint's disease

    Symptoms of arthritis around the joints I include serious pain and reduced movement amplitude or unable to exercise the shoulder, whether self -movement or help. of others. The disease progresses in three stages:

  • Stage 1: Freezing

    • In the "freezing" stage, you will feel more and more painful. The shoulder starts to ache and very painful when touching. You will hurt a lot in the evening and when lying on your shoulders. When the pain becomes worse, your shoulder reduces movement. Freezing usually lasts from 6 weeks to 9 months.

  • Stage 2: Freezing

    • Pain symptoms can really improve during this period, but the shoulder stiffness remains. The shoulder muscles may begin to shrink slightly because they are not moving. In the period of 4–6 months of the "freezing" period, you may have difficulty operating daily.

  • Stage 3: Melting

    • Shoulder motion gradually improves in the "ice -tan" stage. The shoulder can completely return to normal or regain strength and move almost normal after 6 months to 2 years.

    People at risk for Arthritis around the shoulder joint's disease

  • Age: Common disease in people 40-60 years
  • Gender: Meet more than women
    • Occupation: Manual workers often have to raise their hands higher than 90o

    The movements that stretch the shoulder muscles for a long time such as playing tennis, playing golf, throwing tuberculosis, carrying heavy objects ...

  • History of injury with shoulder joints: Falling against the hand or elbow on the background causing force to put on the shoulder joint, the software injuries of the shoulder joint,
  • History of broken arm bones, collarbones, shoulder blades

    • History of surgery in the shoulder joint, surgery or fracture of bones related to shoulder joints such as arm bones, collarbones, shoulder blades.

    Those who have to be motionless in the shoulder for a long time as follows the stroke, the recovery stage after serious illness, motion due to arm bone fracture ...

    People with a number of chronic diseases such as rheumatoid arthritis, diabetes, lung and chest diseases, brain stroke, angina.

    Prevention of Arthritis around the shoulder joint's disease

  • Avoid excessive labor, avoid excessive movements or lift hands over the shoulder
  • Avoid injuries in the shoulder joint.
  • Detect and treat early cases of shoulder pain and acute shoulder pain.

    • Diagnostic measures for Arthritis around the shoulder joint's disease

    Diagnosis of the shoulder arthritis is simply based on clinical and regular X-ray to eliminate cartilage and shoulder joint lesions. The doctor may recommend some of the following tests:

  • The shoulder joint ultrasound: The shoulder joint ultrasound is a non -invasive image diagnostic vehicle that is very valuable in the detection of injuries in the shoulder joint.

    • X-ray shoulder joint: The shoulder joint film in the shoulder arthritis is normal without bone and shoulder joint damage. In some cases, indirect images of degeneration or calcium deposits in the tendon on the spine.

  • Shoulder joints with contrast pump or MRI recording shoulder joint with contrast pump (MRI Arthrogram)
  • Magnetic resonance imaging (MRI): MRI scan allows accurate diagnosis of shoulder joint damage.
  • Endoscopy: Endoscopy is an intrusion procedure, both with a diagnostic value and for treatment. Currently, there is an ultrasound and magnetic resonance imaging are very valuable imaging techniques, so the shoulder joint endoscopy is only used when interventions are not indicated for simple diagnosis.

    • Arthritis around the shoulder joint's disease treatments

    Disease around the shoulder joints includes acute treatment and maintenance treatment. It is necessary to combine many different measures such as medical, surgical, physical therapy, and rehabilitation.Medical treatment

    goals

  • Pain relief
  • Anti -inflammatory
  • Maintain the movement of the shoulder joint
  • Drug treatment

    • The shoulder joint pain is the main symptom in the regular shoulder arthritis. Therefore, anti -inflammatory analgesic is also the main goal in the treatment of regular shoulder arthritis. To assess pain, people often use the VAS (Visual Analogue Scale (Visual Analog Scale: The scale of the level of pain).

  • Pain relievers: Common painkillers: Acetaminophen
  • Anti -inflammatory: nonsteroidal anti -inflammatory drugs
  • Locate corticosteroid injection: Applicable to regular shoulder arthritis, acute shoulder pain. Local injection (into the tendon, the packaging under the Delta muscle), the only one -time injection; After 3-6 months can be reminded if the patient has pain again
  • Living and exercise mode

    • Relatively motionless shoulder, absolute immobility. This means that the patient still operates and normal activities with the shoulder joint pain, but must not do sudden movement movements, stop moving at the movement when it feels pain. No absolute shoulder matching because it can lead to joint restrictions.

  • Physiotherapy

    • Physiotherapy methods that help strengthen the circulation and nutrition for the shoulder joint are very suitable and need to be prioritized rather than medication.

    Treatment of interventions

    The shoulder arthritis treatment is indicated when the torn is completely torn. In case of incomplete torn torn tendons, indicated medical treatment without intervention. When medical treatment fails, it is possible to consider the treatment of laparoscopic intervention to recover tendons.

    Treatment with platelet -rich plasma (PRP)

    platelet -rich plasma (PRP) is a high -blood plateletic preparation containing many growth factors and biological molecules. As a result, PRP helps stimulate the body's natural recovery, accelerating the on -site recovery speed of damaged cell tissue, stopping the pain quickly, bringing out the effect of superior pain treatment.

    Platelet -rich plasma injections (PRP) are safe treatments for arthritis patients, helping to stop the pain quickly and sustainably. The guidance of the ultrasound allows the exact location of the lesion.

    Compared to traditional treatments such as drug use, surgery (laparoscopy or open surgery), PRP has many outstanding advantages such as safety (due to blood use from the patient's body) , ending fast pain, gentle treatment process, reasonable cost.

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