Massage for shoulder periarthritis is effective in relieving pain and improving shoulder joint mobility. Tuina can help restore shoulder joint function by relaxing muscles, activating collaterals, and promoting local blood circulation, but it needs to be operated by a professional physician and combined with other treatments.
Tuina has a significant effect on early shoulder periarthritis, as it can release adhered soft tissues and reduce muscle spasms. Traditional Chinese massage commonly uses kneading and grasping techniques combined with point pressing on acupoints such as the shoulder ridge and shoulder ridge. Some patients can significantly increase their arm lifting angle after multiple treatments. When the acute inflammation is severe, caution should be exercised to avoid using violent methods to worsen edema. Massage combined with hot compress or moxibustion can enhance the curative effect, and some medical institutions will combine acupuncture and moxibustion or cupping for comprehensive treatment.
Shoulder periarthritis with a disease course of more than three months or severe calcification and adhesion, the effect of simple massage is limited. The joint capsule of the frozen period patient has become fibrotic and requires joint mobilization surgery or manual release under anesthesia. Diabetes or osteoporosis patients should massage gently to avoid secondary injury. It is normal to experience brief soreness and swelling after massage, but if the pain persists, timely follow-up is necessary. Patients with shoulder periarthritis should adhere to rehabilitation training such as climbing walls and swinging pendulum, in addition to massage, and pay attention to keeping the shoulders warm to avoid catching a cold. Avoid oppressing the affected side during sleep, and take traditional Chinese patent medicines and simple preparations such as Duhuo parasitic mixture, Biqi capsule, etc. for auxiliary treatment. If conservative treatment is ineffective for six months and affects daily life, interventional treatment such as joint capsule expansion surgery should be considered.
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