為什么你的肩膀會長時(shí)間持續(xù)疼痛?

為什么你的肩膀會長時(shí)間持續(xù)疼痛?

Shoulder pain is a common symptom of a variety of causes. Untreated long-term pain will make the patient tired, debilitating, and seriously affect quality of life. Pain relievers only provide temporary relief and cannot be completely treated. Correct diagnosis of the cause and proper treatment is the effective solution to cure the root of shoulder pain.

肩痛是多種病因的共同癥狀。長期疼痛得不到治療，會使患者感到疲勞、衰弱，嚴(yán)重影響生活質(zhì)量。止痛藥只能暫時(shí)緩解疼痛，不能完全治療。正確診斷病因，正確治療是根治肩痛的有效途徑。

About the shoulder belt anatomy is an anatomical complex made up of 3 bones, the collarbone, scapula and the arm bone, connected by 4 joints that are the hip-arm joint (often called the shoulder joint), the shoulder-collar joint, thymus-collar joint and thoracic shoulder joint.

肩部是由鎖骨、肩胛骨和臂骨3塊骨頭組成的復(fù)雜解剖結(jié)構(gòu)，由4個(gè)關(guān)節(jié)連接，它們分別是:髖-臂關(guān)節(jié)(通常稱為肩關(guān)節(jié))、肩領(lǐng)關(guān)節(jié)、胸骨領(lǐng)關(guān)節(jié)和胸肩關(guān)節(jié)。

Shoulder belts have the widest range of motion in the body. That is why there are many problems with the shoulder belt such as instability, the friction of the tendon structure with the bone structure leads to shoulder joint pain. Shoulder pain can occur with exercise or pain even at rest. Shoulder pain may be transient, but it can also be severe and should be diagnosed and treated by a specialist.

肩帶對身體的活動范圍最廣。這就是為什么肩帶會有很多問題，比如不穩(wěn)定，肌腱結(jié)構(gòu)與骨骼結(jié)構(gòu)的摩擦導(dǎo)致肩關(guān)節(jié)疼痛。肩部疼痛可在運(yùn)動時(shí)發(fā)生，也可在休息時(shí)發(fā)生。肩膀疼痛可能是暫時(shí)的，但也可能是嚴(yán)重的，應(yīng)該由專家診斷和治療。

What causes frequent shoulder pain?

經(jīng)常肩膀痛的原因是什么?

Inflammation of the synovial sac

滑膜囊炎癥

Synovial sacs are small, fluid-filled sacs (synovial fluid) that cushion the bone and soft tissue, helping to reduce friction when there is soft tissue (tendon) movement relative to the bone.

滑膜囊是小的，充滿液體的囊(滑膜液)，它緩沖骨頭和軟組織，當(dāng)軟組織(肌腱)相對于骨頭運(yùn)動時(shí)，幫助減少摩擦。

Excessive use of the shoulder joint (usually over-head movements) can cause inflammation of the synovial sac located between the rotator cuff tendon and the apex of the shoulder, known as a bursitis.

過度使用肩關(guān)節(jié)(通常是頭頂運(yùn)動)可導(dǎo)致位于肩袖肌腱和肩尖之間的滑膜囊發(fā)炎，稱為滑囊炎。

Synovial bursitis can be either alone or in combination with rotational tendonitis leading to shoulder pain, shoulder swelling, limited mobility of the shoulder joints, affecting daily activities such as not being able to comb hair, with hands on the back or small tunic (women), unable to raise hands ...

滑膜滑囊炎可單獨(dú)發(fā)生，也可與旋轉(zhuǎn)肌腱炎合并，導(dǎo)致肩膀疼痛、肩膀腫脹、肩關(guān)節(jié)活動受限，影響日常活動，如不能梳理頭發(fā)、手放在背上或穿小束腰衣(女性)、不能舉起手……

Tendinitis

肌腱炎

Long-lasting shoulder pain, affecting activities: Doctor of the University of

Tendons are structures that connect muscles to bones. Tendonitis has 2 forms:

肌腱是連接肌肉和骨骼的結(jié)構(gòu)。肌腱炎有兩種形式:

Acute: Occurs after an exertion in the shoulder area such as playing sports, carrying heavy loads ...

急性:在肩部進(jìn)行運(yùn)動、負(fù)重等劇烈運(yùn)動后發(fā)生。

Chronic: Degenerative tendinitis or repetitive micro-trauma.

慢性:退行性肌腱炎或重復(fù)性小創(chuàng)傷。

Tendonitis in the shoulder area can have the following diseases: tendonitis rotated shoulder joint, tendonitis of the tendon of the head.

肩關(guān)節(jié)的肌腱炎可以有以下幾種疾病:肩關(guān)節(jié)旋轉(zhuǎn)肌腱炎，頭部肌腱炎。

Tendon tear / rupture

肌腱撕裂/破裂

As with tendinitis, tendon rupture / rupture is a common injury to the rotator cuff tendon of the shoulder joint and the tendon of the long tus. Tendon tear / rupture can also occur acute after traumatic or chronic due to degenerative inflammation or traumatic inflammation. Partial or complete fracture / tear of the body tendon. A common site of a tendon rupture is where the tendon attaches to the bone. When a tendon rupture, the end of the tendon that is torn is often pulled away from its attachment position. The symptoms of tendon tear / rupture of the shoulder joint are pain and limited mobility of the shoulder joint, muscle weakness.

與肌腱炎一樣，肌腱斷裂/破裂是肩關(guān)節(jié)肩袖肌腱和長肌肌腱的常見損傷。肌腱撕裂/破裂也可能發(fā)生在急性創(chuàng)傷后或慢性退行性炎癥或創(chuàng)傷性炎癥后。身體肌腱部分或完全斷裂/撕裂。肌腱斷裂的常見部位是肌腱與骨頭的連接處。當(dāng)肌腱斷裂時(shí)，撕裂的肌腱末端通常會被拉離其附著位置。肩關(guān)節(jié)肌腱撕裂/斷裂的癥狀是疼痛，肩關(guān)節(jié)活動受限，肌肉無力。

Shoulder joint loss (dislocation or semi-dislocation)

肩關(guān)節(jié)缺失(脫位或半脫位)

Shoulder dislocation occurs when the arm cap is dislodged from the shoulder plate. This can happen after a major trauma or as a result of repeated trauma. When ligaments, tendons, sheaths, and other shoulder joints become loose or severe damage can lead to recurrent shoulder deflection.

肩關(guān)節(jié)脫位發(fā)生在臂帽脫離肩關(guān)節(jié)板時(shí)。這可能發(fā)生在嚴(yán)重創(chuàng)傷后或由于重復(fù)創(chuàng)傷的結(jié)果。當(dāng)韌帶、肌腱、鞘和其他肩關(guān)節(jié)松動或嚴(yán)重?fù)p傷時(shí)，可導(dǎo)致復(fù)發(fā)性肩偏曲。

Shoulder joint loss is manifested by pain, loosening of the joint, and lack of willingness / fear of shoulder movements in relation to shoulder shape and extra-shoulder rotation. Shoulder joint instability leads to degenerative shoulder joint inflammation.

肩關(guān)節(jié)損失表現(xiàn)為疼痛、關(guān)節(jié)松動、不愿/害怕與肩形和額外的肩旋轉(zhuǎn)相關(guān)的肩部活動。肩關(guān)節(jié)不穩(wěn)定導(dǎo)致退行性肩關(guān)節(jié)炎癥。

Arthritis

關(guān)節(jié)炎

One of the most common causes of shoulder pain is arthritis. There are different types of arthritis. The most common shoulder arthritis is osteoarthritis of the shoulder, which usually occurs in the middle age or the elderly, with symptoms of pain, swelling, limited joint mobility, and stiffness in the shoulder. Degenerative shoulder joint inflammation can progress slowly and get worse over time.

關(guān)節(jié)炎是肩膀疼痛最常見的原因之一。關(guān)節(jié)炎有不同的類型。最常見的肩關(guān)節(jié)是肩膀的骨關(guān)節(jié)炎，通常發(fā)生在中年或老年人，有疼痛、腫脹、關(guān)節(jié)活動受限、肩膀僵硬等癥狀。退行性肩關(guān)節(jié)炎癥可能進(jìn)展緩慢，并隨著時(shí)間惡化。

Degenerative shoulder joint inflammation is often associated with inflammation, tearing the tendon muscle of the shoulder joint. Some cases of osteoarthritis of the shoulder due to infection. Arthritis often causes limited mobility and stiffness.

退行性肩關(guān)節(jié)炎癥通常與炎癥有關(guān)，撕裂肩關(guān)節(jié)的肌腱肌肉。一些病例是由感染引起的肩骨關(guān)節(jié)炎。關(guān)節(jié)炎常引起活動受限和肩部僵硬。