Periarthritis is an inflammatory disease that develops in the periarticular tissues. Usually, large joints are affected. Periarthritis of the shoulder joint is very common, at a fairly young age (after 30 years), which is associated with active overload or significant injury. Often men become rheumatologists, because they work in professions requiring constant load on the shoulder joints.
Anatomy and causes of the disease
The joints connect the bones of the skeleton and allow movement to the articulating bones. This happens with the help of muscles. Simple or complex joints have the same periarticular tissue. These include:
- The joint capsule. The capsule surrounding the articular surfaces of the articulating bones and forms a closed joint cavity.
- Articular ligaments. Heavy of connective tissue, connecting the bones with each other.
- Tendons. This is the final section of the muscles. It is with the help of tendons that the striated muscles are attached to the bones.
- Muscles. The main organ that allows to perform motor actions to the human body.
Shoulder joints are capable of a greater volume of movements than other joints due to developed ligaments and muscles.
The causes of periatritis of the right and left shoulder joints are:
- Professional activity. People who work as plasterers, carpenters, painters, sportsmen, etc. are more often sick, that is, those who, by their duty, often make diversion-leading movements, as well as hand movements up and down.
- One-time excessive load on the shoulder joint.
- Injury (fall, stroke).
- Congenital anatomical features of shoulder joints.
- Postponed myocardial infarction .
- Postoperative circulatory disorders in the shoulder joint.
How to make a diagnosis?
Periarteritis of the shoulder joint is characterized by the following symptoms:
- pain in the shoulder joint, which is always strengthened in the performance of withdrawing-leading movements, raising their hands up;
- restriction of movement in the joint when performing movements (joint stiffness);
- combined phenomena: head and neck pain, back and hand pain , numbness of fingers, dizziness.
In addition to collecting complaints, the rheumatologist appoints mandatory radiology. Auxiliary diagnostic methods are ultrasound, CT, MRI, blood test and arthrography.
How to treat the periarthritis of the shoulder joint?
To alleviate the pain syndrome doctors are prescribed orally non-steroidal anti-inflammatory drugs (Ibuprofen, Nimesil, Xefokam, Indomethacin, Diclofenac). At primary manifestations of the disease of taking drugs and temporary restriction of movements in the joint is enough for a full recovery.
Restriction of movements consists in immobilization, that is immobilization of a joint by means of a fixing bandage. In this case, the patient should understand which movements he should avoid categorically. Without this measure, the periarthritis of the shoulder joint can not be cured by any medication.
With periarthritis of the shoulder joint, local methods of treatment are used, such as ointments, electrophoresis, compresses, blockades, applications (paraffin, therapeutic mud), hirudotherapy, laser therapy. The active substances of ointments are non-steroidal anti-inflammatory drugs. LFK, massages and manual therapy have a noticeable effect in the treatment of periarthritis of the shoulder joint, provided that they are conducted after the doctor's recommendation and with the help of a certified specialist.