1, pain in left shoulder
Periarthritis of shoulder is shoulder pain centered on shoulder joint, which can limit shoulder activity. Aging and fatigue of the muscles around the shoulder joint and shoulder are usually the reasons. Because the sensory nerves of shoulder pain and heartache are very close, both of them are in the posterior horn of spinal cord, so when the heart has problems, it will also cause left shoulder pain reflexively, such as angina pectoris and myocardial infarction.
The difference between the two is that the pain in the left shoulder caused by heart disease is mostly related to activity, which is paroxysmal and regular, and can be relieved by rest or taking nitroglycerin. The pain caused by scapulohumeral periarthritis mostly occurs after fatigue, and rest with nitroglycerin can not be alleviated.
2. Pain in the right shoulder
Acute cholecystitis can stimulate the nerve endings of the right diaphragm, causing skin reflex pain in the right shoulder. The phrenic nerve is composed of the third to fifth cervical nerves, mainly the fourth cervical nerve, and its branches are distributed on the shoulder skin. When the right phrenic nerve terminal is stimulated and transmitted to the fourth cervical ganglion through phrenic nerve, the cerebral cortex will have illusion and be mistaken for pain from the right shoulder.
Therefore, when the pain in the right shoulder is difficult to relieve, color Doppler ultrasound can be done first to rule out cholecystitis. If cholecystitis is diagnosed, shoulder pain can be relieved by anti-infection, spasmolysis and analgesia.
3. The more you press it, the more it hurts.
My neck and shoulders hurt, and my family gave me a press, which immediately made me feel relaxed and comfortable, but it didn't take long for my illness to break out again, so I had to consider other diseases. For example, cervical spondylotic radiculopathy caused by nerve root edema is the most common cervical spondylosis. Don't massage, massage and traction when the condition is acute, otherwise it will aggravate nerve root edema and worsen the condition.
The correct way is to eliminate nerve root edema through systematic treatment first, and then massage, massage, traction and other treatments by professional doctors.
4, inexplicable pain
Bone metastasis of spinal malignant tumor is common, and most patients are middle-aged and elderly people aged 40~70 years. They are often misdiagnosed because their symptoms are not specific. Thoracic vertebra is the most seriously invaded part of spinal malignant tumor, followed by lumbar vertebra, cervical vertebra and sacrum. Limb pain and neurological dysfunction are signs of spinal tumors. Pain can occur due to different tumor sites, such as neck and shoulder pain, back pain, lumbago, etc., and radiate to upper limbs, intercostals and legs.
Therefore, when there is inexplicable intense pain in the neck and shoulder, don't mistake it for "scapulohumeral periarthritis", you can go to the hospital for CT examination. In addition, when lung cancer compresses the brachial plexus, it will also cause shoulder pain. Different from scapulohumeral periarthritis, lung cancer has many other symptoms besides dull pain in chest and shoulders, such as persistent cough and hemoptysis. Early chest X-ray diagnosis can avoid misdiagnosis and delay the illness.
Second, how to quickly relieve shoulder pain
1, shoulder massage. Regular shoulder massage. No need to go to the beauty salon for maintenance. You can massage at home with the help of relatives. The main method is to press and beat moderately, not too hard. Each massage lasts about 30 minutes. This method can effectively relieve pain.
2. Press the acupoints. The acupoints on the shoulders are mainly located directly above the shoulders, so pressing them with your hands will cause slight pain. This acupoint can stimulate the patrol circulation of the shoulder and relieve the symptoms of shoulder pain, which will not be obviously improved after pressing, but generally feel comfortable after 4 hours.
3, shoulder activities. Doing proper shoulder exercises every day, such as twisting the head, driving the shoulders to move clockwise and counterclockwise for dozens of times, and then stirring the shoulders back and forth several times, can effectively prevent shoulder discomfort symptoms.
4. Practice yoga. Yoga can help us to exercise our muscles and bones, and we can exercise every part. We can choose a few movements that are most suitable for our shoulders and practice them once a day after work to fully relax our shoulders, which will make us feel very comfortable.
5. Keep exercising. We can do some aerobic exercise every day, such as jogging or brisk walking and swimming. During exercise, we consciously shake our shoulders to make them fully active. This is also a good way for us to keep healthy.
6, should not be sedentary. Sedentary is undoubtedly the root cause of shoulder pain, so no matter how busy you are at work and study, you should get up every other hour and exercise your shoulders for 5 minutes each time, which can not only prevent shoulder pain, but also give yourself some rest space and increase work and study efficiency.
Third, how to treat shoulder pain?
To treat shoulder pain, you can usually turn your head in different directions. Turn your shoulders back and even stretch them. You can also use hot compress after coming home from work, or spray sore parts with warm water in the shower, which also has a certain soothing effect.
1, acupoint stimulation pressing method
① Jianjing point
When treating shoulder pain, acupoint therapy is the most effective, and Jianjing point is the most effective. Jianjing point is located in the center of the connecting line between neck root and shoulder. You can hold your armpit and put your fingers together on the other shoulder. At this point, the place where the middle finger meets is Jianjing point. When you press the acupoints on your shoulders well, you will feel very comfortable tenderness (pain when pressing), which is easy to find.
Jianjing point is a representative point for treating shoulder pain and muscle entanglement. The stiffer the shoulder muscles, the stronger the pain. Press the point of kneading the shoulder well to take the seat, and press the point of kneading the shoulder well with the middle finger of the left hand 1 2 minutes to change hands. Press the Quchi, take the seat, press the Quchi point on the right arm with the fingertip of the left thumb for 1-2 minutes, and change hands. Press the kneading valley, sit down, press the kneading point of the right hand with the fingertip of the left hand 1-2 minutes and then change hands. Press the point of Shoulder Well with your finger, the blood circulation of the shoulder will be better, and the hard shoulder will gradually relax.
② Tianzong point, Fengchi point and Tianzhu point.
When shoulder pain spreads to the back, acupressure at Tianzong point can be effective. Tianzong acupoint is located in the center of scapula. On the back of the shoulder, there are triangular bones on both sides, that is, shoulder blades.
If you touch the center of the scapula, you should feel the depression formed by the thinning of the bone. If you press it, if there is a tingling sensation, it is Tianzong point. In order to improve the effect, you can also stimulate other Fengchi points and Tianzhu points.
③ Zhongfu point
Important acupoints for eliminating shoulder pain are mainly used to treat shoulder pain caused by upper body front bow or long-term walking in high heels. Its position is about two fingers wide from the end of the clavicle. Pressing method: gently hold your shoulders with your hands and gently press Zhongfu point with your thumb.
2. Simple exercise relaxation method
1. Put your hands on your head.
Stand with your feet shoulder width apart, and hold the back of your head tightly with your hands. Elbows apart, parallel to the body. Fold your elbows, like holding your head, and cycle.
② One-handed shoulder pressing method
Take the right shoulder as an example. Feet like lunges, right foot in front, feet off the table. Straighten your left foot at the back. Put your right hand on the table, press your left palm on your right shoulder, and swing your body downward and backward.
③ Chest enlargement and shoulder separation method.
Stand with your feet shoulder width apart, hands on your chest, elbows and shoulders straight, hands on them, palms down. Open your mind, spread your shoulders and breathe in. Exhale when you reply.
④ Head pressing palm method
Before going to bed at night and getting up in the morning, sleep on your back, straighten your legs, put your palms under your head, palms up and palms down, and press your head tightly in the center of your palms (which side hurts) for 20 minutes at a time. In the first few days, you can't bend your arms too much, and it's hard to put your palms in place. You can use the method of lying on your side and pressing your palm first.
⑤ Holding arms.
Sit down, hold your right arm with your left hand, from shoulder to wrist, and then from wrist to shoulder, hold it 5- 10 times repeatedly, and change hands.
⑥ Rotating shoulder rubbing method
Sit down, put the palm of your left hand on your right shoulder, and rub your shoulder 50 ~ 100 times to make it feel warm, and change hands.
⑦ Three-finger parallel grasping method
In any hand, the middle finger of the index finger and the ring finger are put together to form a hook shape, and then you scratch the painful part of the shoulder hard from bottom to top, just like tickling, except that you put the three fingers together and try hard.