What Is Pronation Syndrome?
Neck and shoulder syndrome is a condition with clinical manifestations such as tenderness, pain, fatigue, and dysfunction in parallel with the muscles of the neck, shoulders, and arms and elbows. This disease is more involved and evolved on the basis of periarthritis of the shoulder. It occurs in middle-aged and elderly people, and the incidence is higher in women. There is no specific treatment, so the course of disease is prolonged, which is one of the common refractory diseases in clinic.
Neck and shoulder syndrome
- Neck and shoulder syndrome is a condition with clinical manifestations such as tenderness, pain, fatigue, and dysfunction in parallel with the muscles of the neck, shoulders, and arms and elbows. This disease is more involved and evolved on the basis of periarthritis of the shoulder. It occurs in middle-aged and elderly people, and the incidence is higher in women. There is no specific treatment, so the course of disease is prolonged, which is one of the common refractory diseases in clinic.
Neck and Shoulder Syndrome Overview
- The occurrence of neck and shoulder syndrome is closely related to the physiological structure of the meridians and the movement of the shoulder and neck. The meridian tendons of the shoulders and necks are all composed of meridians that start from the fingers of the upper limbs and move up. Among them, the three yin meridians of the hand follow the axillary distribution to the thorax and pelvic (clavicle); the three yang meridians of the hand cross the shoulder and neck, go up to the head, and end on the head and face, and the hand yangming from the shoulder The back dorsal thoracic tendons terminate at the upper thoracic spine. The above-mentioned meridian tendencies and distribution characteristics indicate that the meridians of the shoulder and neck have the following characteristics:
- (1) The structure of the linear force group from the neck to the palm finger walks concentrically from the distal end of the claws through the tendons, indicating that it reaches the neck from the palm, wrist, elbow, and shoulder, and has a centripetal linear force group when the body is actively moving. Gravity. This coincides with the actual function of upper limb movement. E.g. The grip of the fingers and the surface movements are in the fingers, but the actual final stress points are in the cervical and thoracic spine. Any link in this connection is cut off, and the function of the finger is completely lost. Therefore, the neck and shoulder syndrome is a lesion of the dynamic line from the neck to the metacarpophalangeal, but the condition is severe and has segmental differences.
- Neck and shoulder syndrome
- (2) The composition of the neck, chest and back triangle component line and the collective line of shoulder joint. Taking the neck and thoracic spine as the longitudinal axis and making a sagittal section, the chest is in front and back, forming a two-sided triangle-shaped structure; the rotator cuff, outside and below the triangle, forms the bottom of the triangle This is the triangle of the neck, chest and back
- Cervical and shoulder syndrome is a general term for cervical degenerative diseases (protrusion of intervertebral discs, bone hyperplasia, etc.) and the symptoms of soreness and pain in the neck and shoulders caused by it. The development of neck and shoulder disease is a long process, and it is often related to physical fitness, occupation, living habits, and cold. People with poor gastrointestinal absorption, irregular life, long-term stressful work, and high concentration of thoughts are a high-risk group of cervical spondylosis, such as finance staff, computer staff,
- Due to the acute and chronic injury, degeneration of cervical spine or soft tissue damage of the neck, the cervical spine nerve is stressed, leading to the muscle spasms and contractures around the shoulders that it dominates, causing shoulder pain, mobility disorders and other syndromes, which are more common in middle-aged and elderly people. people. Young adults with unexplained shoulder pain after trauma may be related to the lack of timely and reasonable treatment for cervical spine injuries associated with trauma. The clinical diagnosis of this kind of disease is "shoulder inflammation", which often neglects the examination and treatment of cervical spondylosis. It is also caused by the patient's fear of pain, which eventually leads to the serious consequences of shoulder joint adhesion.
- Examinations: Paraspinal palpable muscles in the middle and lower segments of the cervical spine may be exposed to muscle tension, tenderness, and limited patient mobility. If adhesions do not occur, the humerus angle is 90-100 °.
- Treatment: According to the cause, correcting the deviated cervical vertebra with the method of cervical spine rotation reduction and eliminating the stress on the cervical spine nerve is the key to reducing or eliminating pain. Combined with massage, acupuncture, scald therapy, acupoint injection and other methods can relax muscles and stimulate vitality, promote local blood circulation, and help to reduce inflammation and restore function. For patients with a long course of disease and shoulder joints with different degrees of adhesion, if there is no contraindication, before the consultation or during treatment, it is necessary to adhere to the function of "forbearing pain" and gradually increase the range of shoulder joint movement. In order to avoid the serious consequences of shoulder joint adhesion.
Stages of neck and shoulder syndrome development
- The development of neck and shoulder syndrome is roughly divided into three periods: the period of nerve irritation, the period of nerve compression, and the period of nerve compression.
- Early in the early days of intense work, dizziness, neck and shoulder fatigue, as long as you pay attention to
Neck and shoulder syndrome symptoms
- The main symptoms: clinical symptoms of peripheral inflammation of the shoulder joint, such as shoulder and arm pain, dysfunction, etc., prominent symptoms, concealed neck symptoms, and elbows
- The accompanying symptoms are as follows: the neck tendons feel tight; the shoulder and elbow are aggravated when the neck is forcibly moved; a special abnormal feeling from the shoulder to the little finger end; upper limb numbness; upper limb may appear in some cases Mild tremor.
- Signs and symptoms: The common main lesions are multi-dimensionally distributed: deep in the back of the mid-sternocleidomastoid mastoid muscle, sclerotic lesions of muscle tendons can be found, and tenderness and pain are abnormal. A granular lesion was found on the surface of the second rib of the midline of the upper sternal collarbone. The initial segment of the scapular levator muscle (C2 to 4 transverse processes), along the way and the end of the unattached point (inner upper scapular angle), are mostly lumpy and cord-like. The upper muscles are coagulated, the middle layer is thick rope-like, and the activity is significantly reduced. The inferior muscles have deep and tight knots, and when they are pressed and inspected, abnormal conduction is often transmitted to the little finger. Check the signs and symptoms of the shoulder and arm according to the individual positioning of the meridian tendons. Common lesions are: biceps tendon length, short head point, shoulder point, humerus size node, humerus tuberosity, beak Acupoint, coracus brachialis, brachialis muscle, radial brachii muscle, pronator round muscle, three points of the elbow (center of the elbow, medial elbow, and lateral muscle tendon attachment point) and acupoints on the radial dorsal column.
Causes of neck and shoulder syndrome
- The most common cause of neck and shoulder syndrome is caused by poor sitting posture. Holding the same position for too long strains the muscles around the neck and shoulders,
- 1 the mouse is too small
- In the office, you must pay special attention to the comfort of the chair, but have you ever noticed if your mouse is comfortable to use? Should the balls inside the mouse be cleaned? Experts point out that using a poorly designed mouse or using the mouse Improper can also cause wrist joint syndrome.
- Some mice are too small and the arc is not large, resulting in unnatural use of the wrist; others are designed to require the user's wrist to bend, and long-term use will cause different degrees of damage to muscles and bones; some mice The price is cheap and crude. Such a mouse can easily accumulate dust on the balls. If you are busy, you have no time to take care of such a bar. A mouse that is very astringent requires you to drag it back and forth. Over time, your wrist starts to be sore.
- Experts suggest that when purchasing a mouse, you should choose a product with a higher arc and a wider area. If your hand feels comfortable, it means it is ergonomically designed. When using a mouse, you should maintain the correct posture: try not to suspend your arms to reduce the pressure on the wrist; the angle between the upper arm and the forearm is about 90 degrees; keep the wrist straight, do not bend; use the arm force to move the mouse without using Wrist strength.
- 2The height of the desk is too high
- The main causes of neck-shoulder syndrome in white-collar workers are the following: computer desks and mice that are not ergonomically designed, plus unhealthy
- The height of the computer table is always high, so that the computer is always high above, which increases the fatigue of the neck and shoulders of the operator, and at the same time brings more pressure to the arms and wrists that are frequently moving. Unknowingly found the door. The height of the keyboard and mouse on the computer table should preferably be lower than the elbow height when sitting, and at most the same as the elbow, so as to minimize the back, neck muscles and hand tendon sheaths when operating the computer Damage to other parts.
- An interesting phenomenon is that foreigners, whose average height is higher than that of Chinese, use shorter tables than we make. The height of the British desk is set at 71 cm. The average height of the Japanese has caught up with the Chinese in recent years, but their standard heights for men's and women's desks are 70 cm and 67 cm, respectively. In China, the height of a desk, a writing desk, or a computer desk is generally 75 cm.
- In fact, the Japanese also lowered the standard after suffering the high desk. Before 1971, the standard height they used was 74 cm. After discovering that various occupational diseases were caused by this, the Japanese government comprehensively revised the standard for office appliances.
Neck and shoulder syndrome prevention
- The preventive measures for neck and shoulder syndrome are:
- 1. Master correct sitting and hand posture. Thighs and waists, thighs and lower legs should be kept at a 90-degree bend; the curvature of the upper arms and forearms should be kept at
- 2. Try to avoid operating the computer for a long time. If your work is inseparable from a computer, take a 5-10 minute break every hour and move your neck, shoulders and wrists.
- 3. The height of the keyboard and mouse on the computer desk should be slightly lower than the height of your elbows when you are sitting. This will minimize injuries to the back, neck muscles, and tendon sheaths of the hand muscles while operating the computer.
- 4. The display screen is slightly lower than the line of sight to ensure smooth blood circulation in the neck and reduce fatigue caused by tension in the neck and shoulder muscles.
- 5. Don't let your arms hang. If possible, use the arm support to relax your shoulder muscles.
- 6. Do more neck and shoulder activities.
- Neck and shoulder syndrome can take measures:
- One: The palms of the two hands are crossed with respect to the fingers and then reversed and pushed downwards for 5 consecutive times.
- 2: Shrug your shoulders 5 times, then rub your shoulders for 3 minutes.
- Three: The palms of the two sides are opposite, slowly and separately parallel to the two sides at the maximum amplitude and then merged, with the head tilted back to one side, and then tilted back to the other side for 10 consecutive times.
Neck and shoulder syndrome pathology
- 1. The cervical intervertebral foramen is reduced and the nerve roots are squeezed. Hip osteophyte formation at the posterior edge of the vertebral body. Hyperplasia of the posterior joint and advancing of the superior articular process are common causes.
- 3 After an acute cervical spine injury, the hematoma compresses the brachial plexus nerve root or nerve root tear.
- 4 Cervical spondylotic myelopathy causes pain or numbness of the shoulder and arm, but not severely.
- 5. Neck muscles have secondary spasms, causing ischemia and hypoxia in nervous tissue. However, the main cause of pain caused by acute injury or chronic episodes is also the theoretical basis for most non-surgical treatments with integrated traditional Chinese and Western medicine.
Clinical manifestations of neck and shoulder syndrome
- I. Symptoms
- For the root pain, it often occurs in the acute or chronic phase of cervical spondylosis, especially at night. Common stiff and painful neck and arm pains, mostly intermittent pain, spread from the upper clavicle fossa to the entire shoulder and arm quickly. Coughing, sneezing, and even deep breathing can induce intolerable radiation pain, upper limb abduction, upper The pain aggravates when lifting the neck and the healthy side, and the pain is relieved when the upper limb is flexed and the elbow is flexed. Therefore, the patient likes to twist the shoulder and bend the elbow, and turn the head to the special position of the affected side to reduce the tension and activity of the brachial plexus nerve, thereby reducing the pain. Accompanied by headache, weakness in the upper limbs, decreased grip strength, or landing on the ground.
- Signs
- Neck movement is limited, and the extension and bending to the affected side are obvious, the back of the neck is stiff, and the physiological curvature becomes smaller. The tenderness points are mostly at Fengchi acupoints, spinous processes, paraspine, inner upper corners of the scapula, etc., and often radiate to the distal site. The diseased nerve root distribution area may have pain, warmth, and tactile changes, hyperalgesia in the early stage, and decreased sensation in the later stage or compression. The reflexes of the hamstrings and triceps tended to weaken, the muscle strength of the affected limb decreased, and even the muscle atrophy. The brachial plexus traction test was positive for the squeeze head test.
- Third, auxiliary inspection
- X-ray examination, changes in the physiological curvature of the cervical spine, instability, smaller intervertebral foramen, hyperplasia of the articulated vertebrae, etc .; EMG and cerebral blood flow examinations are helpful in confirming and differential diagnosis.
Neck and shoulder syndrome diagnosis points
- 1. The disease is more common in the elderly over the age of 40.
- 2. Stiff and painful neck and shoulder arms. It was radioactive and intermittent, especially at night. The tender points were mostly located in Fengchi acupoints, spinous processes, paraspinal ridges, and inner scapular angles.
- 3 Shoulder course of more than three months, shoulder adhesions often form, with varying degrees of dysfunction.
- 4 The intervertebral foramen compression test and brachial plexus root pull test were positive.
- 5. X-ray films were used to examine changes in the physiological curvature of the cervical spine, instability, smaller intervertebral foramen, and hyperplasia of the hook vertebrae.
- 6. Pay attention to distinguish it from periarthritis, thorax exit syndrome, supraclavicular mass, and progressive muscular atrophy.
Neck and Shoulder Syndrome Treatment
Neck and Shoulder Syndrome
- The development of neck and shoulder syndrome is roughly divided into three periods: the period of nerve irritation, the period of nerve compression, and the period of nerve compression.
- Early in the early days, after a long and intense work, dizziness, neck and shoulder fatigue, as long as you pay attention to appropriate physical activity and relaxation, emotional optimism, you can also do a short external treatment, you can restore the original relaxation. If the aforementioned symptoms are not noticed, and the disease is advanced to the middle stage, symptoms such as neck and shoulder muscle group spasm, neck stiffness, soreness in both upper limbs, and so on. At this time, the cervical spine has undergone degenerative changes, but it is still in the reversible stage. Serious treatment can prevent the progression of degenerative lesions, and even tissue lesions can recover. Reliable curative effect of external application of traditional Chinese medicine will quickly relieve symptoms, and with proper physical exercise, correct sitting posture can prevent recurrence. If the mid-term treatment is abandoned, the cervical spondylosis will be advanced into the later stage, the bone hyperplasia density will increase, the disc herniation will be squeezed out and the spinal canal will be narrowed, which will make the treatment difficult. Therefore, if neck and shoulder discomfort occurs, it should be treated early.
- Carry out the diagnosis and treatment rule of "stomach as a sacrifice", and perform treatment according to the conventional five treatment steps of the treatment; for the tendons of the neck, shoulders, arms, and elbows, use the methods of dissolving and unlocking the tendons to achieve tendons. The patient s tension was fully relieved, and the patient gained significant comfort and improved limb movement function. Depending on the condition and the patient s ability to bear, the method of fixing the stove with needles was applied to the neck, shoulder, arm, and elbow in stages. The tendon lesions are treated with acupuncture; the cupping is treated after acupuncture; necessary adjuvant therapies are given; those who are caused by osteopathy are treated with osteopathy.
- Nerve and neck soreness and discomfort during the nerve irritation period, as long as you pay attention to proper physical activity and relaxation, emotional optimism, or do a short external treatment, you can restore the original relaxation. If the above symptoms are not taken seriously, symptoms such as neck and shoulder muscle group spasm, neck stiffness and frequent soreness and discomfort in the nerve compression stage will occur. At this time, the progress of degenerative disease can be avoided if serious treatment is performed in time .
- Manipulative treatment: The technique of this disease has a wide range of application and is suitable for any phase of functional treatment. It can improve blood flow, promote metabolism, reduce symptoms and restore function according to the cause. In the process of functional recovery, it can remove obstacles such as adhesions. Get well.
- Oral administration of traditional Chinese medicine: According to different causes and pathogenesis, different treatment principles are adopted. For example, drugs such as liver and kidney, strengthening bones and bones, nourishing blood, Tongluo, Qufeng, dehumidification and so on.
- The development of periarthritis and neck and shoulder syndrome is a long process, and it is often related to physical fitness, specific occupations, living habits, rheumatism and cold, and trauma. It has been clinically found that people with neurasthenia, poor gastrointestinal absorption, irregular life, and long-term stressful work are susceptible to cervical spondylosis and neck and shoulder syndrome.
- First, the method of alleviating neck soreness: sit or stand, keep the upper body upright, then the forefinger, middle finger, ring finger of both hands are opposite, press on the middle line of the back of the neck, from top to bottom. Press your fingers stiffly forward and tilt your head backwards, that is, relatively hard. Doing this 2 or 3 times repeatedly can quickly eliminate the pain and stiffness in the neck caused by prolonged bowing. Second, alleviate the stiffness of the shoulders: stand upright with your hands hanging down behind your back, arms straight and your hands interlocked, and then the shoulder joints will move forward or backward, or your hands will naturally sag, and the shoulder joints will rotate around This can relieve the tension and stiffness of the shoulders. The former method can relax together with the scapula and its surrounding muscles.
- Third, the method of alleviating the stiffness of the waist: After sitting for a long time, I often feel that the waist is sore and stiff. Some people say that it doesn't feel like their own waist. At this time, many people will habitually stand up and bend their waists, or turn their waists. In fact, there is another way: one hand on the back waist, one hand on the forehead, the lower limbs stand straight, the upper body leans back, don't think it is easy to do, the effect is not simple at all. If you are at home, you can also do "Yanerfei": lying flat on the bed or a flat board, with your hands on your backs, grasping the wrists of your other hand, then bending your legs up, and lifting your upper body at the same time, this The action seems simple, but many people can only lift their upper bodies a little. Doing this a few times will feel the whole back muscles relaxed, simple and effective.
- External application of traditional Chinese medicine, treating various types of cervical spondylosis, expelling wind and dispersing cold and dehumidification, relieving muscles and promoting blood circulation, strengthening muscles and strong bones
- Pueraria serrata, 24 grams, 15 grams each of Tendon, Baiji, Salvia miltiorrhiza, 12 grams each of Qinhuang, Lingxian, Mulberry, and Bloodleaf Vine, one dose per day. Morning and evening 2 warm compresses. Cover the medicinal residue with a decoction in a cloth, and apply a towel to the neck and shoulder muscles in the morning and at night to apply heat to the neck and shoulder muscles for 20 minutes each time, for 10 days as a course of treatment.
Acupuncture therapy for neck and shoulder syndrome
- Neck headaches occur mostly in mental workers and housewives, and they occur frequently in young and middle-aged people, which can be induced by emotion and fatigue. Most patients had been misdiagnosed because there was no abnormal bone in the cervical spine. In fact, even if the X-ray of the cervical spine is normal, the blood flow to the brain may be impaired due to the tension of the myofascial fascia in the occipital triangle, which may cause cervical and shoulder syndrome without bone lesions. For those with a long course of disease, life guidance can be given at the same time as treatment, and if necessary, it can be combined with prescriptions for promoting blood circulation and removing blood stasis.
- method one
- Indications: Sore neck, numbness of fingers, weakness of upper limbs, X-ray or CT scan of the cervical spine to show bone hyperplasia, changes in cervical physiological curvature, narrowing of cervical spine space, disc herniation or bulging, spinal stenosis, etc
- Acupoint selection: Jiaji points of the neck with obvious tenderness, Fengchi, Dazhui, Bailao, Scapula, Quchi, Waiguan, Hegu, Shixuan, Yanglingquan, Tianding, Wrist-ankle acupuncture A simple method of subcutaneous acupuncture with a milli-needle at the corresponding point on the wrist or ankle to treat the disease).
- Treatment method: first massage the upper limb of the affected side, find out the neck Jiaji points with obvious tenderness, and then acupuncture. Then take the acupuncture needle and leave it, and transport the needle intermittently. For severe numbness of fingers, take a sharp needle to puncture Shixuan point for bleeding. Acupuncture points 4, 5, and 6 on the wrist and ankle, with the needle point down and leaving the needle for 30 minutes. Needle once a day for 10 days as a course of treatment. Fengchi, Quchi and other points can be added with a small dose of Danshen injection, Yanglingquan can be treated with direct moxibustion.
- Method Two
- Indications: Neck pain, unclear vision, cold limbs, dizziness, nausea, and difficulty walking.
- Acupoint selection: Jiaji points of the neck with obvious tenderness, Fengchi, Fengfu, Shangxing, Baihui, Sishincong, pension, armpit, Zhongli, Neiguan, Zusanli, Yanglingquan.
- Treatment method: first massage the upper limb and neck of the affected side until it is soft and hot and find the tender point, first acupuncture the point to make it angry, and then according to the severity of the symptoms, take acupuncture at the back point as appropriate. Among them, Zusanli and Yanglingquan can be treated with fire acupuncture or direct moxibustion.
- Method three
- Indications: Pain in the neck and shoulders, especially at night, difficulty in raising arms, stasis of veins in the elbow fossa, bruising, and even stagnation.
- Acupoints: Ruler, Quze, Quchi, Scapula, Ashi.
- Treatment method: first take the stagnation of the varicose stagnation on the inner side of the elbow joint and fasten it with a band. After routine disinfection, use a sharp needle to stab the bleeding slowly until the blood stasis is more than 10-20ml. Strict disinfection after removing the can. Implementation of this treatment depends on the strength of the patient, once every one or two weeks. Ruler Ze, Qu Ze points can also be treated with this method. The remaining points can be treated with milli-needle, moxa stick, fire acupuncture, and electro-acupuncture as appropriate, once a day or every other day.
- Method four
- Indications: Shoulder and arm pain can not be lifted forward.
- Acupoints: Article mouth through Chengshan, scapular, Quchi, Waiguan, foreign labor palace.
- Treatment method: first massage the affected part to make it soft and hot, then acupuncture the shoulders, arms, elbows, wrists, and acupuncture points, and keep the needles for 20-30 minutes after getting gas (receive the needle intermittently during the period). After taking the needle, penetrate the Chengshan acupuncture point to the side mouth, gently inhale the needle while encouraging the patient to move the affected shoulder, pay special attention to actions that could not be done before, leave the needle for 15 minutes, and then perform intermittent activities during the period. When the needle is taken, then the needle is pressed to inhale the air. The affected shoulder can be combined with moxa stick moxibustion.
- Method five
- Indications: Pain in the shoulder and arm, adhesion of soft tissues, unable to extend the affected limb.
- Acupoints: Kunlun through Taixi, scapular, Quchi, Waiguan, Houxi.
- Treatment method: After massaging the affected area, first acupuncture Kunlun Toutaixi (on the opposite side), after getting angry, instruct the patient to move the shoulder arm backward, and then acupuncture the acupuncture point and leave the needle for 20 minutes. After the gas is obtained, the patient is instructed to move the affected limb backward for several minutes. This method can be combined with fire needle and moxibustion.
- Method six
- Indications: Shoulder and arm pain, dysfunction, and the affected limb cannot be lifted sideways.
- Acupoints: Yanglingquan, Waiguan, Zhongmen through the gate, hanging bell, Quchi, Zusanli.
- Treatment method: After massaging the affected limb, first aim the first four points on the side. After getting angry, ask the patient to move the affected limb, then acupuncture the ipsilateral back point, and use moxa to treat the affected area after acupuncture.
- Method seven
- Indications: Pain around the shoulder is severe, and functional activity is acceptable.
- Acupoints: scapular, Quchi, Waiguan, foreign labor palace, Yanglingquan.
- Treatment method: Use fire needle to pierce the scapula and then pull cupping. Reuse the acupuncture point with acupuncture needle. Yanglingquan point is usually directed to the side and added direct moxibustion. The pain points can be supplemented with medicine needle injection. Danshen, angelica, astragalus, etc. Chinese medicine injection. Those involved in back pain can be directly moxibusted at the back pain point, and at night the pain can be treated with shallow fire needles.
- Method eight
- Indications: Neck and Shoulder Syndrome complicated by cervical headache, severe mental stress or fatigue, and intensified after tension. Neck palpation can show pathological displacement of cervical spinous process, or myofascial contracture in the suboccipital triangle. Pathological signs such as festivals will be reflected to the headache area when pressed.
- Acupoint selection: Baihui, Yintang, Shangxing, Fengchi, Jifeng, Quchi, Waiguan, Hegu, Zhongzhu, Houxi, Zusanli, Yanglingquan, Taichong, Shoulder Well, Tianzong.
- Treatment method: first of all, massage the acupuncture points on the head, upper extremity, neck and scapular part of the acupoints mentioned above, mainly by loosening, and then select 7 or more acupuncture points as appropriate, and leave the needles for about 20 minutes. The selected acupuncture points are rotated according to local points, adjacent points, and remote points as appropriate, and 10 days is a course of treatment.
Self-assisted treatment of neck and shoulder syndrome
- The self-assisted treatment of Neck and Shoulder Syndrome is: first prepare for the movement: sit in a chair. Eyes closed slightly and the whole body was relaxed. Then follow the steps below: 1. Comb the hair: Comb the hair with both hands and fingers, combing 20 times from front to back on the top of the head.
- 2. Run the eyes: rotate the eyes up, down, left, right, clockwise and counterclockwise 10 times each.
- 3. Turn your head: Turn your hands on your hips, turn your head up, down, left, right, clockwise and counterclockwise 10 times each.
- 4. Shrug: Shrug your shoulders and fall 10 times each, then turn forward and back 5 times each.
- 5. Knee-stretching: Put your palms on your knees, rotate them 10 times to the left and right, and then gently pat your knees and their surroundings 20 times.
- 6. Rub the back: Put palms of your hands on Shenshu points on the back waist, rub up and down 20-30 times.
- 7. Abdominal abdomen: Put your hands on the abdomen, massage each clockwise and counterclockwise 100 times, then rub your left hand on the left side of the abdomen from top to bottom 100 times.
- 8. Turn the waist: Turn your arms and elbows, and turn your upper body and waist 20 times to the left and right.
- 9. Rotate the wrist: Hold the opposite wrist with one hand, rotate 10 times clockwise and counterclockwise, and take turns with both hands. Then, with both hands, the ten fingers quickly stretched 10 times at the same time.
- 10. Curved legs: bend your legs alternately, hold your knees (close to your chest) with your hands and lower them, 10 times each
Neck and Shoulder Syndrome
- 1. The purpose of Chinese medicine is to remove wind and dispel cold, relieve spasm and clear collaterals, and promote blood circulation and stasis.
- 2. Acupuncture points commonly used for cupping and scapulohumeral treatment are: acupoints such as shoulder well, scapula, anterior shoulder, scapularity, and Tianzong. Choose two acupoints at a time and use them alternately.
- 3, scraping and scraping treatment of periarthritis of the meridian are often used: the lung outside the arm, the large intestine. Shave once or twice a week.
- 4, acupuncture and acupuncture for the treatment of scapulohumeral acupoints often used: shoulder wells, shoulder blades, anterior shoulders, shoulder shoulders, Dazhui, Quchi, Waiguan, wrist bones and other points. Use 1 to 1.5 inch acupuncture needles, disinfect the skin with 75% alcohol cotton balls, pierce the acupuncture points, and leave the needles for 20 to 30 minutes. 1 time daily. Two weeks is a course of treatment.
- 5. The physiotherapy uses ultra-short wave and other high-frequency electromagnetic therapy, once a day, and 10 days is a course of treatment. Can play anti-inflammatory, analgesic, antispasmodic, improve blood circulation, relax muscles.
- 6, functional exercise Functional exercise is very important for patients with periarthritis. "Three points of medicine and seven points of practice" should encourage patients to do more shoulder joint exercises, especially large-scale exercises. It is of great benefit to prevent shoulder joint adhesion, tightness and contracture of shoulder soft tissue.
Neck and Shoulder Syndrome
- 1. Take 30 grams of chasing bone wind and 60 grams of wine. Follow the bones and soak in the wine for 5 days. Take a few times orally.
- 2. Use 1000 grams of old ginger, 500 grams of onions, and 250 grams of liqueur. After the second medicine is smashed, stir-fry and apply the pain.
- 3. Take 500 grams of ginger, 50 grams of shallot root, 250 grams of pepper, 100 grams of cumin, and 150 grams of white wine. First chop ginger and shallot roots, mash them into mud, cumin and peppercorns, then mix the four flavors together, stir-fry in a wok, add white wine and stir, then put in gauze bags Apply to the affected area. The temperature is tolerated as a degree. Cover the towel with a quilt and make it sweaty. The next day, the medicine bag is heated with the pan and continued to be used. There is no need to change the medicine. This medicine bag can be added with wine. Once a night, adhere to the treatment, there will be a curative effect. Even if it is effective for 1 month, it usually takes 81 days.
- Snake broth: appropriate amount of black snake meat, pepper, ginger, salt, stew soup, broth with food, 2 times a day. It has the effects of tonic, expelling wind and dispersing cold. It is suitable for those with advanced frailty and rheumatism in the late stage of periarthritis.
- Chuanwu porridge: about 5g of raw Sichuan aconite, 50g of japonica rice, and about 10 drops of ginger juice. The aconite is mashed and ground into an extremely fine powder. Boil the rice first, add Chuanwu end when the porridge is ready, and use a low fire to slowly fry. When it is ripe, add ginger and honey, stir well, and cook a little. With the effect of dispersing cold and dampness, Tongli joints, warming and analgesic. Applicable to those caused by inflammation of rheumatism and cold around the shoulder.
- Baizhi peach kernel porridge: Baiji 20g, peach kernel 15g, japonica rice 60g. First, decoction the white lotus root with water, about 500ml; then peel the peach kernels, mash them like mud, add water to grind the juice, and remove the residue; use the two-flavored juice to cook the congee with japonica rice, and serve immediately. With nourishing blood and stasis, Tongluo analgesic effect. Applicable to those with advanced stasis and stasis due to periarthritis.
- Mulberry chicken soup: 60g of old mulberry branch, 1 old hen, a little salt. Cut the mulberry branch into small pieces, cook with chicken until the undercooked soup is thick, season with salt, and drink soup and eat meat. With rheumatism, meridian, qi and blood. Suitable for those with chronic periarthritis and physically weak rheumatism.