What Are Common Causes of Shoulder Pain and Weakness?

Neck and shoulder muscle fasciitis, also known as neck and shoulder muscle fibritis or rheumatism, generally refers to aseptic inflammation of soft tissues such as fascia, muscles, tendons, and ligaments, causing shoulder and back pain, stiffness, restricted movement and weakness. Such symptoms as the main physical therapy, medicine and needle-knife therapy, and do neck and shoulder activities, keep warm.

Cervical fasciitis, commonly known as "falling pillow", is a common neck soft tissue injury, which is more common in middle-aged and older people, more men than women, and more common in winter and spring. Myofasciitis is also known as fibritis, or rheumatism. The human fascia, tendon sheath, sarcolemma, ligament, tendon, periosteum, and subcutaneous tissue are rich in white fibrous tissue, so they are susceptible to this disease. Neck and shoulder fasciitis means that myofascitis occurs in the neck and shoulders. Clinically, neck and shoulder pain and limited movement are the main symptoms.

Western Medicine Name: Cervical and shoulder fasciitis
Other name: Neck and Shoulder Fibrosis
Disease site: Neck and shoulders

The main symptoms: Stiff and inflexible neck, shoulder and back pain
Main cause: Cold, damp, chronic strain
Multiple groups: Long-term desk staff

Neck and Shoulder Fasciitis

Neck and shoulder myofasciitis is a group of clinical manifestations of neck and shoulder muscle pain and cramps caused by the invasion of the neck and shoulder fibrous tissues by pathogenic factors. At the same time, upper respiratory tract infections or other inflammations that cause fever, climate changes such as cold and wet, and excessive physical exertion can also cause aseptic inflammation of the neck and shoulders. Traumatic aseptic inflammation and pain in soft tissues, stimulate the muscle to produce a permanent contraction state, muscle tension occurs, long-term muscle spasm causes local soft tissue vasospasm, insufficient blood supply to muscles and fascia, nutritional disorders, aseptic inflammation of the tissue is aggravated, thus forming malignancy Circulation makes the pain worse.

Causes of cervical and shoulder fasciitis

The exact etiology of the disease is not fully understood, and clinical observations are related to minor trauma, fatigue, and cold. Neck and shoulder muscle fasciitis is caused by a series of fatigue injuries and ischemia due to long-term fatigue, wind chills or trauma after treatment, adhesion or scarring, etc., causing a series of fatigue injuries and ischemic problems, making the body locally critical. Point, and some unreasonable habits or movements become stimulating factors. Neck and shoulder muscle fasciitis is a common multiple disease in the clinic, causing muscle pain, protective stiffness, and movement disorders. The pathological nature of the pain point of this disease is different from that of the pillow. Tissue section found that the induration of the pain point of the disease is composed of wavy connective tissue. Among them, there are a few muscle fibers, there is hyperemia or bleeding in the interstitial tissue, and there is serous exudation. It can be seen that the horizontal lines of muscle fibers disappear, the sarcoplasm is uniformly degenerated, or there are lipid droplets arranged along the far fibers of the muscle. In such cases, if stimulative treatment such as massage is applied in the acute early stage of the disease, interstitial congestion or bleeding can be exacerbated, serous exudation can be increased, local pressure on the affected area can be increased, and pain can be exacerbated.

Pathogenesis of cervical and shoulder fasciitis

After acute neck and shoulder injury, inflammation, edema, adhesion and degeneration of myofascial tissues

Cervical and shoulder fasciitis Later, the disease gradually became fibrotic, forming scars, which made the meridian qi and blood run poorly and became the disease. Long-term chronic strain, such as lowering the desk at the desk, causes excessive muscle tension and spasm for a long time. Although the damage is slight and the lesion is small, it causes degeneration and hypertrophy in the muscle and fascia tissues, resulting in extensive nodules. The mechanism is caused by inactive capillaries and microcirculation.

Cervical Shoulder Muscle Fasciitis Multiple Group

The treatment of cervical and shoulder fasciitis is very high in clinical patients, and even professionals such as copywriters, computer technicians, office clerks and even elementary school students have cervical and shoulder fasciitis.

Neck and Shoulder Muscle Fasciitis Disease Symptoms

At first, the neck and shoulders were tingling, sore and numb, and could be relieved after simple treatment, but the inflammation would not go away.

Neck, shoulder, and back are widely painful, sore, heavy, numb, stiff, and restricted in movement. It can radiate to the back of the head and upper arms. Pain is persistent and can be exacerbated by infection, fatigue, cold, and moisture. Examination revealed that the neck muscles were tense, and the tender points were often in the spinous processes and the trapezius and rhomboid muscles, etc. The tenderness was limited and was not released along the nerve. X-rays are mostly negative.

Neck and Shoulder Muscle Fasciitis Disease Harm

The disease has a slow onset, a long course, and worsens after relapse.

Diagnosis of cervical and shoulder fasciitis

Cervical and shoulder muscle fasciitis examination diagnosis

I. clinical symptoms

Neck and shoulder pain and discomfort, muscle stiffness, stagnation, or feeling of heavy pressure, radiating to one or both shoulders and scapula. Symptoms worsen in the morning or after changes in weather and cold, and pain is relieved after exercise, often recurrent. During an acute attack, local muscles are tense, spasm, and restricted back movement.

Inspection

1. There is extensive tenderness in the neck and shoulder and the inner edge of the scapula. The degenerative myofascial and fibrous nodules can be touched under the skin, and the fascial friction sound can be touched;

2. Limited shoulder and back movements;

3. Generally, there is no radicular pain, so all kinds of nerve compression tests are normal;

4, X-ray examination: generally no positive signs. Occasionally, calcification of the term ligament or thickening of the fascia of the shoulder and back muscles, and the physiological curvature of the cervical spine slightly straightened.

Differential diagnosis of cervical and shoulder fasciitis

Diagnosis can be made based on clinical manifestations and signs. Diseases that are easily confused with the disease should be identified.

1. Cervical cervical spondylosis: The main identification point is bone hyperplasia on plain radiographs;

2. Frozen shoulder: limited shoulder movement. And the pain and tenderness are limited around the shoulder joint;

3. Ligamentitis: It is similar to cervical and shoulder fasciitis, but its pain and tenderness are limited to the cervical spinous process, and the pain becomes worse when you lower your head.

Cervical and Shoulder Fasciitis Drug Treatment

1. Taking traditional Chinese medicines such as Shujinhuoxue and vitamin E, vitamin B1, etc., has a better effect on primary myofascitis.

2. Oral anti-inflammatory and analgesic drugs: commonly used drugs are salicylic acid preparations, indomethacin, and ibuprofen.

3. Those with high ESR and anti-O's take anti-rheumatic drugs.

Neck and Shoulder Fasciitis Other Therapies

1. Adjust and correct the bad posture during work and work, prevent cold and moisture, and avoid overwork.

2. Needle-knife therapy: Needle-knife therapy in a complete language should be a closed release between surgical and non-surgical methods. By separating and cutting off the adhering fibrous tissue and fascia induration to achieve the purpose of treatment, the effect is better.

Cervical and shoulder muscle fasciitis treatment principles:

1. Physical therapy:

Use infrared light to illuminate the neck and tenderness points. The irradiation distance is 30 ~ 60 cm. Each irradiation is 15 ~ 30 minutes. It is advisable to have red spots on the skin and feel comfortable. Once a day, 10 times is a course of treatment.

2. Drug consultation:

May take non-steroidal anti-inflammatory painkillers and vitamins (vitamin E and Bi have a certain effect on primary myofasciitis). If necessary, 1 ml of 1% procaine and prednisolone acetate can be used for closed injection treatment of pain points.

3. Surgery:

Severe patients with cervical and shoulder fasciitis can be treated with surgery to remove thickened adhesions. Needle-knife therapy can also be used to separate and cut off the fibrous tissue and fascia.

Neck and Shoulder Muscle Fasciitis Disease Prevention

The damaged neck, shoulders, muscles, or myofascial fascia are all hot and cold, and we must pay attention to local warmth. At home, you can use hot compresses and hot baths, or medical massage to relieve.

In addition, improper sleeping positions or high pillows can also cause shoulder and neck discomfort. Resting at night is a critical period of protection or leading to shoulder and neck myofascitis. Accurate sleeping posture can prevent shoulder disease. Improper sleeping posture will cause "shoulder pain". Overly high pillows will subtly stimulate the vertebrae and muscles of the shoulders, neck, and back, and even after a night, they will become sore neck and shoulder pain. Adjust the height and position of the pillow to the physiological curvature of the vertebrae of the shoulder and neck of the human body as much as possible. To relax the shoulder and neck muscles, you can use a slightly cylindrical pillow and sleep horizontally on the neck.

Neck and shoulder pain is mainly treated by massage, physiotherapy, traction and other methods, and at the same time with some medications. After treatment, you should actively prevent the recurrence of neck and shoulder pain: To maintain a correct sitting position, often move your head. Try to use soft and hard pillows such as buckwheat pillows; do not carry heavy objects with one hand for a long time; pay attention not to cool the neck and shoulders, do neck exercises regularly to avoid neck injuries; women should prevent osteoporosis during menopause. Introduce two simple exercise movements: arms form 9:15 or 10:20 on the clock, and the left and right arms rotate; When training, you should pay attention: you don't need to exercise too frequently, the speed should be slow, and the range of activity should be as far as possible to achieve the purpose of exercise.