The disease canoccurin several different waysandtake different forms.
For example,there isa mild form ofthe disease-
In a simplefrozen shouldershoulder painare very weakandonly occurunder certainhand movements.Feelsandsome limitationof motionin the shoulder- it is impossibleto drawupa handor have afarbehind,
touchedhis knucklestothe spine.
Pain occurswhen you try tomakethe patient'shand movementswhen the doctorfixes it.After all,at this pointthe affectedtendonis strained.
Particularly painfulin this situationare the attemptsof the patientto raise his handupagainst the resistance ofa doctor.Orattemptsto overcome the resistance,
rotate the elbowstraightenedarm aroundits axis-
in a clockwiseor
It is surprising thatthe same movementsperformedwithout resistance,do not bringabsolutely nodiscomfort.
This form iseasilytreatable,and sometimesdiscomfortdisappear by themselveswithin 3-4weeks.
However,without treatment,a simplefrozen shouldercan easilybe transformed intoacuteHUMEROSCAPULAR
PARASYNOVITIS.Such a transformationoccurs in about60% of casesand is usuallypreceded byadditionalinjuryor overloadthe patientshoulder.
HUMEROSCAPULAR PARASYNOVITIS (frozen
shoulder)occursin and of itself,
as an independentprimary disease-
onthe back of
stronghands andsharpdamagethe organism's responseto thisdamage.The consequence of thisorganism's responsebecomessuddenincreasing painin his shoulder,
which givesthe neckand arm.
At night,the pain increases.
Movementupwardthrough the sidearmandthe rotationarmaround itsaxisarehardand causesevere pain,
whileforwardmovement of the handmore freely andalmost painless.
Characteristicappearance of the patient-
hetries to keephis handbent at the elbowandpressed against thechest.On examination,the patienton thefront of the shouldermay showslight swelling.
General condition of
patientsoftendeterioratesdue tosevere painandinsomniacausedby them.
Maybeeven a smalltemperature.
Acute attacklasts a fewweeks, thenthe intensity of thepainis slightly reduced,
the movement of the upper
Alas,in about half ofcases, the diseasegoes intothe next stage- chronicHUMEROSCAPULAR
shoulderappearsmoderatepainin the shoulder,whichmany patientscould easilybe reconciled.Butoccasionally,
whenunsuccessfulmovement or rotationarm,sore shouldershootsacute pain.In addition, some
sufferingdisturbed sleepdue to feelingan achein my shoulder,
which isoftenparticularly strong inthe secondhalf of the night,
in the morning.
As such,chronicfrozen shouldercan existlong enough,
from a fewmonths to several years,
after which the diseasein some cases,"resolves
sometimeseven without anymedical intervention.
However,one-third ofpatients withchronicfrozen shoulderis transformed intoankylosingperiarthritis(capsulitis,
shoulder"). This form ismost unfavorable,
andit cangrownot onlyas an extension ofother forms ofHUMEROSCAPULAR
In this form of
periarthritispainin the affectedshoulderat firstarestupid, but
they are accompanied bya strongdeterioration ofthe mobilityof the shoulder.Shoulderbecomes very densefeel andreally looks likefrozen.
Most of thehand movements,
in which theshoulderis activated,
resulting insharp pain.
Somepatients say thatcompared to the painin a "frozenshoulder"
Although there aresuch forms of
HUMEROSCAPULAR PARASYNOVITIS "frozen
shoulder",in whichthe painis virtually absent,butthe shoulderis lockedandimmobilized.
In any case,
there ispainor not,whena frozenshoulderailingman alwaysloses the opportunity toproperlyraise your handup -forwardstraightenedhand does not riseabove the levelof the shoulder;andthrough the side ofitgoes upeven worse- is thatit is impossible toraise thearmfrom the hipto the sidefor more than40-50centimeters.In addition,
the handalmoststops spinningon its axis,
andit is impossible toget for a back.
Another form ofHUMEROSCAPULAR
PARASYNOVITIS, inflammation of
the long head ofthe bicepsoccursmainlyin mendue tomicrotrauma, which
arose after a sharphand movements,
orafter hitting thefront of the shoulder.
Inflammatory painof the long headof the bicepsshootsinfront of the shoulder.
withsomemovements.Usuallypainfulliftingfrom the floor, as
well as flexion and
extensionarmsbent at the elbow,
especially when undertakenwith the resistance-
that is,whenthese movementssomeoneinterferes.
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HUMEROSCAPULAR PARASYNOVITIS (frozen
Cold Laser Vityas device (Low
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