Grandma Wang has always had the problem of shoulder pain, but in the past, because she was working as a teacher, she was too busy to see a doctor. When the pain was severe, she just took some pain-relieving tablets to endure it. But taking pain-relieving tablets is always not a long-term solution, so as soon as she retired, she quickly let the doctor have a look.
After the doctor asked Grandma Wang about her situation and examined her body, she opened the examination form. Looking at the appearance of the doctor’s hard work, Grandma Wang made a whisper in her heart and asked with a face of worry:
Doctor, I heard people say that this shoulder pain is scapulohumeral periarthritis. Can it be that serious? Why do you have to do so many tests?
Hearing this, the doctor stopped his pen and explained carefully to Grandma Wang:
Grandma Wang, there are many reasons that can cause shoulder pain. This shoulder pain is only a symptom. Not only scapulohumeral periarthritis can cause shoulder pain, but also other diseases may occur at your age. The tests I have given you are to find out the real culprit that caused your shoulder pain.
Shoulder pain, which diseases may be?
Looking at Grandma Wang still confused, the doctor added:
In your opinion, this shoulder pain may only be a shoulder problem, but in medicine, it is not so simple.
Simply put, shoulder pain is caused by two reasons:
1. Shoulder problems
- Scapulohumeral periarthritis: narrow sense scapulohumeral periarthritis refers to people often say [50 shoulders], Also known as [frozen shoulder], The age of 50 or so is the age of high incidence. The broad sense of scapulohumeral periarthritis refers to a group of diseases that cause shoulder joint pain and motor dysfunction. It is not a single disease. Including muscle, tendon, bursa, joint capsule and other diseases, Such as rotator cuff injury, frozen shoulder, tendinitis of biceps brachii long head, coracoid process inflammation, At present, however, To facilitate diagnosis and treatment, The name “scapulohumeral periarthritis” has gradually been replaced by the name of the disease that can be specifically located. Shoulder muscle spasm: The free movement of the shoulders depends entirely on these muscles. In daily life and work, if there are long-term desk work, frequent lifting of weightlifting, etc., the muscles of the shoulders will remain tense for a long time and will not be able to rest, so they have to strike through pain.
2. Problems in other parts
- Cervical spondylosis: Cervical spine has a problem, how can it hurt on the shoulder? This is not surprising, There is a cervical nerve beside the cervical spine, When cervical vertebra problems occur (e.g.: Cervical spine hyperosteogeny), The cervical nerve may be compressed, And sensation is conducted through nerves, At that time, Pain may occur in the shoulder. To make sure there is cervical spondylosis, One is to do some physical examination, The second is cervical vertebra X-ray, Only when the two are combined can the diagnosis be made. Heart disease: This should be said to be the most dangerous of all causes. This is due to the sensory nerves that dominate the heart and shoulders. A nerve channel is used to transmit the sensation to the brain. It is difficult for the brain to distinguish where the sensation comes from, so when the heart is diseased, the brain may mistake the pain for the shoulder. Such an own goal is not uncommon in the human body.
The doctor went on to explain:
The ECG examination I asked you to do is to eliminate the suspicion on the heart.
These four categories of diseases are currently the most common causes of shoulder pain. In addition, there are some rare causes that need to be examined before they can be known.
As soon as the doctor’s voice fell, Grandma Wang’s mouth began to tilt slightly and nodded with satisfaction:
I didn’t think this shoulder hurt and there was such a university question. It seems that this hospital didn’t come for nothing! Can the shoulder pain be cured?
Shoulder pain, how to treat?
The causes of shoulder pain are different, so there are still great differences in treatment.
1. Diseases dominated by self-rehabilitation treatment
Shoulder periarthritis and shoulder muscle spasm belong to this category.
We can sum up how these two diseases should recover from themselves in a simple sentence: relax and move.
- Relax: As muscle spasm and scapulohumeral periarthritis have long-term strain inducement, So after a long period of desk work, You can stand and walk, You can also make your neck, shoulder and waist rotate and twist within the range you can bear. These are all good ways to relax. Move: This is mainly for patients with scapulohumeral periarthritis, and you can do hand-shaking and circle-drawing movements. The hand-shaking movement is to swing your hands straight to the front and back of the body after standing firm, with the range from small to large, 30 at a time, for a total of three times. The circle drawing movement is symbolically facing a wall, with one hand straight and the left and right hands rotating to draw circles on the wall, the same number of times as the shaking movement.
Self-rehabilitation treatment is a long-term process, with emphasis on persistence.
2. Diseases requiring doctor-led treatment
Cervical spondylosis and heart disease fall into this category.
Although the vast majority of cervical spondylosis can relieve symptoms through physical therapy or massage, some more serious cervical spondylosis may require surgery. For patients with heart disease, if the pain is caused by angina pectoris or myocardial infarction, the mild patients need long-term medication, and the severe patients may need bypass surgery.
In addition, there are other reasons that can also cause shoulder pain. It is especially necessary to exclude shoulder injury caused by some trauma or shoulder pain caused by lung and biliary diseases, which are all diseases requiring doctor-led treatment.
After hearing what the doctor said, Grandma Wang thanked the doctor again and again and took the examination form issued by the doctor to do the examination.