How to massage and treat shoulder periarthritis? Massage methods for shoulder periarthritis

Shoulder periarthritis can be relieved by massage and massage. Common methods include loosening adhesions, pressing acupoints, shaking shoulders, pinching shoulders, and rubbing shoulders and arms. Shoulder periarthritis is often caused by wind and cold invasion, chronic strain, or insufficient qi and blood, manifested as symptoms such as shoulder pain and limited mobility.

1. Release adhesions

The patient takes a sitting position, with one hand fixing the affected shoulder and the other hand holding the patient's wrist. Slowly perform passive activities such as shoulder joint abduction, adduction, and rotation, gradually increasing the amplitude to the maximum tolerance range. This method helps to release joint capsule adhesions and improve shoulder joint mobility. Attention should be paid to gentle force during operation to avoid soft tissue damage caused by violent pulling.

2. Click on acupoints

Focus on pressing on local acupoints such as Shoulder Hair, Shoulder Liao, Shoulder Zhen, etc., and combine with distal acupoints such as Hegu and Quchi. Press each acupoint for 30 seconds to 1 minute to produce a sour and swollen sensation. Pressing acupoints can unblock meridians, qi and blood, and relieve muscle spasms. Wind cold type shoulder periarthritis can be treated by pressing the Fengchi acupoint, while those with insufficient Qi and blood can be treated by pressing the Zusanli acupoint.

3. Shoulder Shake Method

The operator holds the patient's shoulder with one hand and the elbow with the other hand, driving the shoulder joint to make clockwise and counterclockwise circular movements, with the amplitude increasing from small to large. Shaking the shoulder can promote the secretion of synovial fluid in the shoulder joint and reduce joint stiffness. When the pain is obvious in the acute phase, the amplitude of shaking should be reduced, and in the chronic phase, the range of motion can be appropriately increased.

4. Pinch the shoulder

Use the thumb to apply relative force to the other four fingers, and knead along the direction of the shoulder muscles such as the trapezius and deltoid muscles, with a focus on handling linear induration and tender points. Pinch the strength to the extent that the patient can tolerate it, each time lasting 3-5 minutes. This method can relax tense muscles, improve local blood circulation, and alleviate inflammatory reactions.

5. Rub the shoulders and arms

Place the palms of both hands relative to the shoulders and quickly rub back and forth to create a warm sensation in the area; Then rub and press along the direction from the upper arm to the forearm with the palm root or large fish margin. Rubbing can warm the meridians and dispel coldness, especially suitable for wind cold shoulder periarthritis. During operation, it can be combined with media such as safflower oil or activating oil to enhance the effect of promoting blood circulation and removing blood stasis.

Tuina therapy for shoulder periarthritis should be performed daily or every other day, with 10-15 sessions per course of treatment. During treatment, lifting heavy objects and catching a cold should be avoided, and hot compress can be used to promote blood circulation. Patients with severe pain in the acute phase should reduce the amount of manual stimulation, while in the chronic phase, the intensity of manual stimulation can be appropriately increased. If skin damage or pain worsens after massage, stop immediately and seek medical attention. Usually, functional exercises such as climbing walls and pendulum movements can be performed to help restore shoulder joint mobility. Diet should be warm and nourishing, with moderate consumption of ginger and lamb warm and warm foods. Avoid eating raw, cold, and cold foods.