Rotate tendonitis

Rotate tendonitis's disease overview

The pipes of the shoulder joint includes the arm tendon and shoulder muscles clinging to the head on the arm bone. The tendons are firm and interfered with each other into rotating tendons, with the function of maintaining the shoulder joint. This makes the shoulder joint the largest movement. The shoulder joint is also the joint used in a lifetime, so that makes the tip the most vulnerable. The most common rotation of the pyramid is in people who have to exercise the shoulder joint regularly, especially in the case of repetitive movements to put their hands over their heads in their daily work or play sports (painters, Carpentian, mural painting, playing sticks, baseball, tennis, badminton, handball) or a history of heavy carrying, over -working of the shoulder joint ..., the shoulder tendon is very vulnerable , stimulating inflammation. In addition, damage shoulder joints may encounter when the patient lies on the side of the pain when sleeping, trauma due to falling, crashing or when the bone spines or part of the shoulder blades Big emerge causes irritation of rotating tendon inflammation. 

The possible lesions of the rotating tip are:

  • Rotating tendonitis is usually acute, which may be accompanied by calcium deposition at the tendon;
  • Ribbed compression is usually chronic, due to the rotating tendon stuck between the shoulder bone and the head of the arm or the bone spines on the bottom of the muzzle, leading to tearing the tendon, causing the tendon, causing it for weak and easy to break;
  • Tear tendons at different levels, due to falls or accidents or as a result of tendon compression, especially in the elderly.

    • Most patients have problems with the rotating tendon that can be successfully treated by resting in combination with painkillers, anti -inflammatory drugs, physical therapy, Inject corticosteroids into joints. Some cases need surgical intervention to be thoroughly treated. 

    The disease has been identified as genetic factors, so the understanding of family history is also very valuable in diagnosis and treatment.

    Causes of Rotate tendonitis's disease

    There are many causes of inflammation or rotation, including elderly causing tendon degeneration, anemia that is anemia and due to excessive use of shoulder joints. 

  • Rotic pipes can be seen in both young athletes and ordinary people in middle age. Swimmers, volleyball, tennis ... are the objects that are susceptible to these lesions. 
  • The people who do the work must regularly raise their hands too high, the movement repeats many times such as painters, masons, carpenters also goats with this disease. 

    • Rotating pipes is also caused by a minor shoulder injury:

    Falling on the hand or falling on the hand to touch or torn the tendon tendon.

    Lifting a heavy object or putting your hand over the head improperly.

    Repeated lesions of the rotating tendon tendon lead to inflammation, tear ...

    The bone spines or a large part of the shoulder blades emerge, causing irritation and damage to the tendon.

  • Sometimes rotating pyramids occur without finding specific causes.

    • Symptoms of Rotate tendonitis's disease

    The common disease occurs in people over 40 (estimated at 15-40% of people over 40 diseases) and the first symptoms are always pain in the shoulder area. Pain has characteristics:

  • Dull pain deep in the shoulder, spreading to the neck (making it easy to diagnose with cervical spinal degeneration), or spreading to the arm but not exceeding the elbow area. >
  • In the early stages, pain is mild when exercising and resting. Later, usually appeared late at night, after a hard working day and causing the patient to lose sleep, especially when lying on the side of the shoulder pain.
  • Initially, it is often sudden pain when taking stuff, lifting heavy objects or when exercising vigorously (such as playing sports). As the disease progresses, the symptoms gradually get worse, the disease feels weak, the arm fatigue when lifting the arm and when working with the posture arm, making it difficult for the patient to do things like brushing, hard to wear Austria or hand to the back of the head.
  • Feeling pain when pushing things away by hand but pulling is often painless.
  • Long -term disease leads to a large tip of the rotating tip, causing patients to move in difficult shoulders, especially when spreading their arms up to their heads, worse torn makes the patient unable to raise their hands, or When you raise your hand, when lowered, your hand will be dropped suddenly but cannot be kept.

    • When the examination, the doctor will check the shoulder joint movement in many different postures and angles. Passive movement of the shoulder rotation will limit the amplitude due to pain in certain corners and positions. Some of the possible characteristic signs include:

  • In the shoulder tendonitis, the most painful patient when the arm forms a corner from 70 - 120 degrees compared to the body;
  • In the torn tendon, the doctor put the patient's arm away from the body and lifted it towards the head, then landed the arm slowly to about 90 degrees, but when lowered lower Another arm falls quickly due to the tendon torn (the French experience falls the arm).
    • Complications of rotary tendon inflammation

    shoulder joints need to rest, limit movement to damage to recover time. However, prolonged shoulder immobilization will lead to the condition of the connective tissue around the joint thick and the shoulder joint is tight, limiting the movement, gradually leading to stiffness.

    Prevention of Rotate tendonitis's disease

    You should maintain the following living habits to limit the spinning tendon pain:

  • Sometimes everything you need to do is a reasonable rest.
  • Take medication and exercise in accordance with the doctor's instructions;
  • Try to avoid working manually;
  • Call the doctor if the pain causes you to lose sleep and cannot be controlled by medicine

    • Diagnostic measures for Rotate tendonitis's disease

    When patients go to the doctor, doctors will do some special examination solutions to detect inflammation or tear tendons, assess the extent of damage. At the same time, the patient will be assigned to do some subclinical tests such as: X -ray, ultrasound, MRI, electromechanical measurement, ... to determine the cause of the shoulder joint inflammation as well as excluding Other possibilities also cause joint pain similar to tearing, tendons, compression ...

  • X-ray: shows the bone and calcification in the tendon.

    • Ultrasound: clearly seen structure, especially soft tissue such as tendons, muscle.

  • Magnetic resonance imaging (MRI): very good detection of problems of both bone and soft tissue.

    • Rotate tendonitis's disease treatments

    The goal of treatment is to relieve pain and restore the shoulder joint function. Depending on the level of symptoms, inflammation or torn tip, age and mobilization needs of the patient, there will be different treatment strategies.

    Non -surgical treatment : will be given priority to apply in most cases, only when these measures do not achieve results, people will consider the treatment by the direction. Surgery. Treatment time by this method usually lasts from a few weeks to several months. Specific measures include

  • Rest: BS will ask the patient to increase rest, limit the performance of the hand -raising movements that are too high, change the current job if the job is forced to perform Many of these movements.
  • Applying appropriate physical therapy exercises will help restore movement amplitude and strengthen the shoulder joint. Applying cold compresses will help relieve pain in acute pain
  • Use anti-inflammatory drugs, relieve pain in Non-steroids and muscle relaxants: help relieve pain, reduce shoulder joint swelling. However, this drug can cause stomach pain, bleeding. So be careful and advise the patient carefully before taking the drug for the patient.
  • Cases of severe inflammation reactions, the skin around the joints swollen, redness, patients with pain, body painkillers ineffective, can be used to use data The corticosteroid injection is in the joint, which can be repeated after 4-6 months if the response is well responded. This is a very useful procedure for treatment but need to perform very carefully, the indication also needs to be very tight because:

    • corticoid is a drug with many unwanted effects, so the indications need to be very careful.

    Injection of corticosteroids can weaken the tendon and slow down the healing process

    Inject corticosteroids directly into the joints in general should be carefully performed in aseptic environment and performed by a well -trained doctor about internal injection because if infected, flooding blood into the joints. It will be very harmful, the shoulder joint is at risk of permanent function loss.

  • Platelet -rich plasma treatment in the shoulder pyramid: has also been applied and recorded many positive results. Platelet -rich plasma is extracted from the blood of the patient, this treatment principle is based on the function of platelets is capable of releasing growth factors and biological molecules to stimulate speed and speed The ability to recover on the spot of cell tissue. This is originally a natural process of the body, when the tissue is inflamed, trauma, and stamping. This treatment method is relatively high safety due to self -taking blood, eliminating the possibility of infection, non -allergic and incompatible risk. At the same time, this biological drug also stimulates the restoration of damaged and regenerated cell tissue, increases the function of function and movement of the shoulder joint, making the recovery time shorter, the quality of the game The patient's life quickly returned as usual.

    • Surgical treatment

    In general, most patients will improve the function by resting in combination with painkillers, anti -inflammatory, muscle relaxation, physical therapy, rehabilitation. If the non -technical treatment measures are ineffective, the doctor will specify the surgery to remove the bone spines, repair the tendon restoration, transfer the tendon, replace the tendon, widen the cavity under the same tip (shape shoulder), sewing the tendon tendon ... With the advancement of today's medicine, these surgery can almost perform completely through endoscopy, minimizing the surrounding muscle damage, shortening Significant recovery time.

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