冻 肩膀
Overview
冻结肩, 或胶粘性囊炎, is a common condition usually affecting people over 40, 而且女性比男性更常见. Statistics suggest that 5 percent to 20 percent of the population will experience an episode of frozen shoulder. 有糖尿病病史者, 甲状腺问题, Parkinson's disease or heart disease are at particular risk. 病人 with frozen shoulder experience a progressive increase in pain and loss in range of motion.
To understand the condition, it helps to understand the shoulder's structure. 肩关节是球窝关节, yet the shoulder's anatomy allows for an amazing amount of flexibility. The head of the humerus (upper arm bone) is a ball that sits in the glenoid fossa (shallow socket) of the shoulder blade. (想象一个高尔夫球在球座上.)因为插座太浅了, the shoulder relies on the surrounding soft tissues for stability. The labrum (cartilage lining the socket) and capsule (containing joint fluid and several ligaments) provide a majority of the shoulder's stability. The muscles of the rotator cuff and shoulder blade also help.
我们治疗肩周炎的方法
A frozen shoulder typically heals on its own, although it's important to understand that full recovery can take a long time. A well-designed physical therapy program speeds the process, and some patients benefit from cortisone injections into the shoulder joint. Only a small percentage of patients need surgery.
Our team includes highly trained physical therapists and orthopedic surgeons with expertise in shoulder care. These specialists work together to relieve pain and restore mobility, so that patients can return to their normal lives and favorite activities.
奖 & 识别
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是全国顶尖的十大赌博平台排行榜之一
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全国最好的骨科护理之一
迹象 & 症状
病人 with frozen shoulder usually have increasing pain as their shoulder loses mobility. Quick shoulder motions often exacerbate the pain. Worsening stiffness can even make it difficult for other people, 比如十大赌博平台排行榜在做检查, 移动肩膀. 冻结肩 has been divided into three stages (note that the condition typically improves as it moves through the stages):
1)冻结阶段. There is a gradual increase in pain, sometimes brought on by an apparently minor injury. As the pain worsens, the shoulder loses range of motion.
2)冻结阶段. The pain improves, but the shoulder remains stiff.
3)解冻阶段. 肩部活动能力慢慢恢复正常.
The freezing stage can last from one to nine months; the frozen stage, four to nine months; and the thawing stage, 五个月到两年.
诊断
A doctor can usually make the diagnosis by doing a physical exam, 但有时影像学检查, 比如x光或核磁共振成像, 对排除其他问题有用吗.
治疗
冻结肩 will usually get better on its own, although it takes considerable time – sometimes two or three years. The goals of treatment are controlling pain and restoring motion.
物理治疗
The mainstay of frozen shoulder treatment is aggressive physical therapy. Techniques include stretching and range-of-motion exercises, 然后加热或冰敷患处. As with any physical therapy regime, a good home program is essential.
药物
口服, 非甾体抗炎药, such as naproxen and ibuprofen) can relieve pain, especially during the first ("freezing") stage.
注射
A corticosteroid injection into the shoulder joint may foster a more rapid recovery, especially when done early in the disease process, 因为肩膀越来越僵硬了. 手术在办公室进行, often using ultrasound imaging to ensure the injection is placed accurately.
手术
More than 90 percent of patients improve without surgery. For those who don’t get better with physical therapy and time, 可以考虑手术干预. In the arthroscopic (minimally invasive) procedure, the surgeon uses specialized instruments to view and release the tissue that has contracted around the shoulder joint and to break up any other adhesions (damaged tissues that have grown together). 病人 can usually go home the same day, and physical therapy begins a few days later. Recovery varies from six weeks to four months.
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
