Treatment of periarthritis of the shoulder joint. Periarthritis of the humerus: treatment and symptoms

Human musculoskeletal system is as vulnerable as other organs. This article will deal with a disease such as periarthritis of the humeropathy: treatment and symptoms of this problem.

Terminology

Initially, you need to understand the main terms that will be used in this article. So, the periarthritis of the shoulder joint, the basic concepts:

1. Periarthritis ("peri" - around, around, around) is a disease during which inflammation occurs in the tissues surrounding the shoulder joint (ligaments, muscles, tendons, capsules of the joint). The main difference from shoulder arthrosis is that there is no deep damage to the cartilage itself and other internal structures of the shoulder.
2. The humeroscapular region. This is the area surrounding the shoulder joint. It is there that symptomatology will be observed and the pathological condition will be localized.

Symptomatics

What is important to know about a disease such as periarthritis of the humerus? Treatment and symptoms of the disease - this must be told in the first place. Here it is worthwhile to clarify that the severity of the indicators of the disease will depend on the very form of the disease. According to experts, there are three.

Periarthritis is simple

This is the easiest form of the disease. It begins with a slight pain in the shoulder joint. In this case, they arise only in the case when a person tries to throw a hand behind his back or raise it above his head. Movement in the joint is somewhat limited. Because of the pain, not all of them can be completed.

Periarthritis acute

If the patient does not receive proper treatment with simple periarthritis, the problem will gradually develop into an acute form. At the same time, painful sensations increase. Pain gives in hand, neck. Symptomatic arises not only when the affected arm moves, but also at rest. The limitation of movement gradually increases. Painful even touch in the area of the affected shoulder joint. Other indicators, which can occur in this case: an increase in body temperature to 37-37.5 ° C; Changes in blood tests (may increase ESR, often appears C-reactive protein). It should be noted that these are indicators of inflammatory processes that can occur in the body.

Chronic form of the disease

It was our turn to find out what chronic periarthritis of the shoulder joint is, symptoms and treatment for this type of problem. Thus, the indicators in this case are not so clearly expressed, but they persist for as long as possible. If the time does not cope with acute periarthritis, it will go into a chronic form. And her treatment is very, very difficult (in addition, more time is needed to recover). The pain is tolerable, but a sharp movement of the hand can lead to "lumbago" and other unpleasant sensations. At rest, pain occurs at night or in the morning, so that often the patient's sleep is disturbed. After a certain time, the illness can pass by itself, but the consequences will long be felt.

The main ways to get rid of the problem

What can be the treatment of periarthritis of the shoulder joint? So, experts identify several areas for getting rid of this problem.

1. Conservative treatment. The patient is prescribed pills, injections.
2. Therapeutic physical training (LFK).
3. Physiotherapy treatment.
4. Operative (surgical) intervention.

However, before I want to say that self-medication in this case is very dangerous. This can lead to irreversible consequences and deterioration of the patient's health. With this problem, you should always contact a doctor. After all, only an expert can make the correct diagnosis, and also prescribe adequate treatment.

Conservative treatment

What is most important if the patient has periarthritis of the shoulder joint? Treatment. Drugs that can help, experts divide into several large groups:

• Non-steroidal anti-inflammatory drugs. These are painkillers such as Diclofenac, Ibuprofen. At the same time, they not only struggle with pain, but also contribute to reducing inflammation in the affected area. Attention: these medications can be taken only in short courses and for a limited time. And all because they negatively affect the gastric mucosa, contributing to the formation of ulcers. They also have a fairly large list of side effects, which are better to be read beforehand. Experts say that recently the drugs of the latest generation appeared on the market. These are such medications as "Nimesulide", "Movalis". They act selectively, and the list of side effects from their application is much shorter.
• Corticosteroids, i.e. Hormonal anti-inflammatory drugs. These medications are prescribed if the medication described above does not have the desired effect on the affected joint. Most often in this case, doctors prescribe drugs such as "Diprospan" or "Flosteron" (the active substance in them is betamethasone). Most often they are injected into the body. And since they are extremely strong, it is enough that there are a couple of injections. However, the list of side effects is much larger.
• Treatment of periarthritis of the shoulder joint can be carried out using the Novocain blockade method . However, this method is used after the exercise therapy and the prescribed drugs have not had the proper therapeutic effect on the affected joint. So, these are special procedures, during which time injections of Novokain antiseptic are periodically injected into the affected joint (sometimes together with such preparations as Hydrocortisone or Kenalog). The main goal of this procedure is the removal of a strong pain syndrome.

What else can I use if the patient has periarthritis of the shoulder joint? Treatment - ointment "Dolobene", "Traumeel", etc. By these means, you can also remove pain syndrome, if it is not very pronounced.

Physiotherapeutic procedures

It is also very important to use physiotherapeutic procedures. Often, their doctors are appointed almost from the first day of the problem. It is believed that only with the integrated approach: treatment with drugs, exercise therapy and physiotherapy - you can quickly cope with this disease.

1. Laser therapy is the best way to get rid of the disease.
2. Shock wave therapy may also be prescribed. This procedure perfectly restores the affected tissues during inflammation.
3. Ultrasonic therapy heats the sites of inflammation, thereby increasing blood flow and relieving pain. This procedure also restores the affected tissue and reduces inflammation itself.
4. Magnetotherapy helps tissues to recover, relieves pain and increases the motor activity of the affected joint.
5. Hirudotherapy, i.e. Treatment with leeches. The only nuance: the patient may experience an allergic reaction. This is important to remember.

Medical gymnastics, or exercise therapy

So, the periarthritis of the shoulder joint. Treatment (patient feedback is the first confirmation) will be most effective if, together with the use of medicines, a person does special exercises of therapeutic gymnastics. However, in this case, you need to remember that everything must be done under the supervision of a specialist. It is important to follow a certain procedure:

1. Classes should be regular. They should be held at the same time.
2. The load should increase gradually, the complex of exercises with time should expand.
3. All the exercises are desirable after the course of physiotherapy.

Operative intervention

Treatment of periarthritis of the shoulder joint can be performed by surgery. However, this extreme measure can be prescribed to the patient only if all of the above methods do not bring the desired results. The name of the operation is subacromial decompression. Its essence: the acromion (a certain process on the shoulder blade) is removed and one bundle from the same area. After that, the tissues that are near, stop traumatizing each other, the inflammation passes, the mobility of the joint returns, the pain disappears. Indications for use of this procedure:

1. Patients who have pain syndrome persists even after using corticosteroids.
2. Patients whose pain does not last for six months (with the use of all possible medications).
3. Patients of working age, whose work is associated with a constant movement in the shoulder joint.

It is important to remember that after the operation the patient should undergo a course of exercise therapy to restore the motor activity of the shoulder joint.

Traditional methods of treatment

Treatment of periarthritis of the shoulder joint can also be carried out with the help of traditional medicine. However, it is worth remembering that any method of getting rid of the problem should be coordinated with the attending physician.

1. You can make a simple decoction of chamomile (a tablespoon of the ingredient, pour 250 ml of water). This rubs the aching shoulder, massaging the lesion a little.
2. Compresses from the leaves of burdock. So, they need to be heated a little and applied to the painful shoulder for about 10 minutes (until they cool).
3. Bought in the pharmacy tincture of calendula you can rub a sore shoulder in the place of pain.
4. Table horseradish. It should be rubbed on a small grater in a gruel and applied in the form of a compress, wrapped in gauze, to a painful shoulder. Do this twice a day for 15 minutes.

Simple conclusions and necessary advice

Shoulder-shoulder periarthritis: symptoms and its treatment - this has already been said enough. As a small conclusion, I want to note that it is also important to immobilize the hand when the first symptoms appear. This is the only way to remove the extra burden on the joint and ease the pain. This effect can be obtained if you apply a wire tire or a suspender gauze dressing. However, with a humeroscapular periarthritis, this bandage should be periodically removed. Otherwise, the mobility of the joint will worsen, and the incapacity of the patient will last.

It is also important to say that when treating this problem it is necessary to involve the whole complex of methods. It's the only way to cope with this disease in the shortest possible time. It should be remembered that self-medication can be dangerous to health. And if the pain has passed without proper help, the consequences will still remain, and from time to time will make themselves felt. So it is necessary, at the first symptoms, to seek medical help, without delaying the problem to acute or even chronic form of its course.