In the early stage of periarthritis of the shoulder, the pain in the shoulder on the affected side is significant, and as the motor dysfunction of the shoulder joint on the affected side becomes more and more severe, the muscles around the shoulder joint on the affected side atrophy, while the pain in the affected shoulder gradually decreases. In the later stages, the pain in the affected shoulder disappears, and the muscle atrophy around the shoulder joint on the affected side becomes more pronounced. Traditional Chinese medicine calls this "shoulder-lifting".

Pain during or after shoulder activity at first, followed by obvious pain when inactive, especially at night, but reduced after a little activity during the day, but aggravated when the amount of exercise is heavy, and there are also patients with shoulder dyskinesia first. Patients generally go through three stages: pain, obvious movement disorders, and shoulder fixation. Apraxia of the muscles around the affected shoulder develops later.

1. Methods and steps

See Figure 2-2-16.

Figure 2-2-16 Massage for periarthritis of the shoulder joint

(1) The patient is seated and the surgeon is on the affected side. First, use the palm and palm root kneading method to rub and push on the shoulder of the affected side for 3~5 minutes to relieve local tension and pain, see this figure (1).

(2) The body position remains unchanged, and the surgeon rubs the acromion, scapularity, scapular Yu, and extracapular Yu acupoints at the affected shoulder with thumb pressing and kneading for 3~5 minutes, see Figure (2).

(3) The surgeon fixes the acromion of the affected side with his left hand, and holds the wrist of the affected side with his right hand to abduct and rotate his upper arm, the amplitude depends on the condition, see Figure (3).

(4) Finally, the surgeon holds the wrist of the upper limb on the affected side of the patient with both hands and gently shakes the affected limb for 1~3 minutes, the strength should be gentle and gentle, and the patient's adaptation is the degree, see (4) and (5) in this figure.

2. Precautions

(1) Pay attention to the warmth of the local area and the upper limbs, and the upper limbs on the affected side should not be too weight-bearing.

(2) When sleeping, it is advisable to sleep on the unaffected side.

(3) Strengthen the active exercise of the shoulder joint, upper limb and shoulder back on the affected side.

(4) If there is no obvious effect after treatment and appropriate exercise, pay attention to the detection of blood sugar and other systemic diseases.

(5) Shoulder well points in pregnant patients are prohibited, and this method should be used with caution.

"Look at the picture of Tuina Massage" (16) Periarthritis of the shoulder joint is being hit by the hand, please wait for a while,

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