In order to understand shoulder pain, let's first get a general understanding of the anatomy and function of the shoulder. We say that this part of the shoulder, unlike our internal organs, has a very complicated anatomical relationship. The shoulder part is simple. From the outside to the inside, there are skin, subcutaneous tissue, muscle and blood vessels, nerve and lymphatic tissue inside. The other is the shoulder joint composed of clavicle, scapula and humerus and the attached ligament.
Because of the great activity of this link, it can complete actions such as lifting, pulling down, internal rotation, external rotation, forward extension and backward extension. When there is a disease, these activities will be affected to varying degrees.
But there are many kinds of diseases, which often cause pain with simple structures. Let's see what disease causes pain in the right shoulder. First, acute or chronic traumatic diseases such as muscles, ligaments and bones caused by trauma.
Acute injury is easy to judge, but chronic muscle or ligament, joint capsule and other injuries caused by heavy lifting and long-term load bearing can cause diseases such as hyperplasia, roughness and joint adhesion, leading to dysfunction and pain. This is usually one of the main causes of shoulder pain.
How is this disease generally treated? For the shoulder pain caused by chronic injury, we should subtract the external factors that cause shoulder pain, such as paying attention to avoiding load. In addition, physical therapy such as plaster, acupuncture and massage, local hot compress, etc. It can be done under the guidance of a professional doctor.
Second, herpes zoster causes pain.
Why do you say this disease every time you have a painful disease? Neuropathic pain diseases caused by herpes zoster are very common at present. In addition, if the shoulder herpes does not appear in the early stage, there will often be pain first, and then the pain will be atypical. Many people are misdiagnosed as shoulder pain.
Just some time ago, I experienced a patient who was misdiagnosed in an outpatient clinic. At first, I thought it was scapulohumeral periarthritis, and cupping treatment made my skin bruised and blistered. When herpes appears, it is not easy to distinguish, but if you look closely, you will find that it is this disease.
The treatment of herpes zoster is mainly antiviral, supplemented by analgesic and neurotrophic drugs.
Third, periarthritis of shoulder.
Periarthritis of shoulder, also known as "Fifty Shoulders", is the abbreviation of periarthritis of shoulder. In fact, scapulohumeral periarthritis in a broad sense also includes inflammation and pain around the shoulder joint caused by chronic injury.
The scapulohumeral periarthritis we refer to in daily life refers to the stiffness of the shoulder joint with no obvious reason and limited activity. It mostly occurs in people around 50 years old, and it is a common disease characterized by shoulder pain and motor dysfunction. It is often manifested as light day and heavy night, accompanied by different degrees of joint dysfunction, especially in the adhesion period or recovery period, which often affects daily life, such as lifting things, eating and dressing, washing your face and combing your hair.
The acute phase of the disease can be treated with anti-inflammatory and analgesic drugs and local hot compress. After the acute pain period, starting from the adhesion period, priority should be given to massage and massage, especially functional exercise. The degree and quality of functional exercise is directly related to the recovery of joint function, and persistence is very important. And avoid catching a cold. When the pain is obvious, you can also strengthen functional exercise by applying blocking therapy or nerve block.
Fourth, it involves pain.
The so-called involved pain refers to the pain or hyperalgesia caused by visceral pain far away from it.
The mechanism of involved pain is that the pain fibers of the body surface and internal organs converge in the secondary neurons. When the internal organs feel pain, the secondary neurons will be activated, which often brings the body surface pain of the same spinal cord segment, thus causing the phenomenon of involved pain.
Pain in the right shoulder is usually caused by gallbladder and liver diseases. Because the liver and gallbladder are on the right side of the human body, the pain usually radiates to the right shoulder or right scapula. This kind of pain is often accompanied by the symptoms of the primary disease. In addition, diseases such as heart can also cause shoulder pain, mainly in the left shoulder pain.
Therefore, in the treatment of such diseases, the primary disease is mainly treated.
Fifth, lung apex tumor.
The tumor at the apex of the lung causes shoulder pain, mainly because the upper part of the apex of the lung is just the outlet of the chest cavity, and there are many nerve plexus such as brachial plexus around it. When the tumor occurs at the apex of the lung, with the continuous development of the tumor, it can invade and compress the pleura at the apex of the lung and its surrounding parts, and there will be symptoms similar to scapulohumeral periarthritis such as shoulder joint and shoulder back muscle pain.
In particular, we should attach great importance to this situation, such as shoulder pain, and consider the possibility of this disease, because sometimes shoulder pain is the first symptom of lung apex tumors. Early detection can lead to early treatment.
Sixth, cervical spondylosis
Cervical spondylosis is very common at present, which is caused by long-term incorrect working and living posture. Cervical vertebra is prone to degenerative diseases such as hyperplasia, and nerve compression leads to shoulder pain.
In daily life, we often refer to the symptoms of cervical spondylosis with shoulder discomfort as "neck-shoulder syndrome". It refers to the acute and chronic injury, degeneration or soft tissue lesion of cervical spine and neck, which squeezes the cervical spinal nerve, leading to muscle spasm and contracture around the shoulder, causing shoulder pain, movement disorder and other syndromes, and is more common in middle-aged and elderly people.
At present, the treatment of the disease is mainly conservative treatment, generally manual treatment, massage, massage, acupuncture and so on. Severe cervical diseases even require surgery.
Therefore, there are many diseases that cause right shoulder pain, which need differential diagnosis.
How to do shoulder pain every day? As mentioned above, if you have shoulder pain, don't just think it is scapulohumeral periarthritis. You can't treat scapulohumeral periarthritis as a garbage can for shoulder pain. Give it to you when there is any discomfort in your shoulder.
If you have shoulder pain, you should actively look for the reasons to see if there are long-term trauma and strain, whether there is limited joint activity, whether there are other discomfort, whether it can be relieved between parts, and so on.
Furthermore, it is necessary to make a good diagnosis of the disease through relevant examinations, and don't think that shoulder pain is a "trivial matter" and ignore its attention.
In addition, shoulder care should be done every day. One is to avoid trauma, avoid long-term load-bearing strain and keep warm. Avoid holding a posture for too long every day, such as sitting at a desk for a long time. You can often do self-massage or shoulder joint activities, such as throwing, climbing walls, drawing circles and so on.
To sum up, there are many reasons for right shoulder pain. Look for the cause of right shoulder pain actively every day. In addition, you should protect your shoulders every day. If you have shoulder discomfort, you should find the cause and treat it in time. I'm a general practitioner. It's not easy to say code words. I hope my answer can help you. Thank you for your support and attention. (20 18- 10-07) The answer to the second issue of Heixiaoguo16, remember to praise and forward the attention to shoulder pain of Heixiaoguo in orthopedics, which is a common symptom in orthopedics. Many related diseases can cause shoulder pain! It is necessary to combine the patient's medical history, the doctor's physical examination and related auxiliary examinations. The following is an analysis of common clinical causes:
For a patient with shoulder pain, the first thing to consider is whether he has a history of external injury and sports strain.
If the shoulder joint hurts after falling, it is impossible to move the joint, and the passive shoulder joint hurts badly, we must first rule out the possibility of shoulder dislocation.
For friends who have been playing badminton for a long time or even have trauma, shoulder pain needs to be ruled out.
Periarthritis of shoulder-for people around 50 years old, shoulder pain suddenly appears, and women can't lift their hands and button their underwear. At this time, it is necessary to rule out the diagnosis of scapulohumeral periarthritis, which is a general diagnosis, including the rotator cuff injury mentioned above, and also belongs to one of them. This is a self-limiting disease, and the most important thing is symptomatic treatment and prevention of shoulder adhesion. However, after most patients recover, the function of shoulder joint can not be restored to its original appearance.
If you have joint pain, you may wish to add some Jianliduo amino sugar calcium tablets, which are mainly used to repair cartilage and supplement joint nutrition. This amino sugar is beneficial and harmless. You can try taking Jianliduo amino sugar chondroitin calcium tablets. This kind contains Rhizoma Drynariae, which can strengthen bones. The effect is quite good.