Pain in the right back below the shoulder blade

Pain below the right shoulder blade refers to the gap between the right shoulder cartilage and muscle. The pain in this area is generally related to maintaining a certain posture for a long time while working. If the symptoms are more serious, it may turn into periarthritis of the shoulder. At this time, you must pay attention to more activities, avoid sitting for a long time, and avoid maintaining a certain posture. It can be treated through certain methods.

Frozen shoulder is the abbreviation of periarthritis of the shoulder.

The age of onset is mostly around 50 years old, and it is also known as "frozen shoulder" or "leaky shoulder". It is a common disease characterized by shoulder pain and movement dysfunction. It often occurs in people with a history of shoulder sprain or bruise, chronic shoulder injury, or those whose shoulders are often exposed to wind and cold. The patient's shoulder joint is stiff and difficult to move, as if frozen together, so it is also called "shoulder stiffness" or "frozen shoulder".

In the early stages, patients with periarthritis of the shoulder mainly experience soreness and pain in the shoulder, especially at night or in winter. The pain is severe when at rest, the shoulder is inflexible, there is a feeling of stiffness, and local fear of cold. The pain then gradually affects the neck and upper limbs, limiting shoulder movement and even hunching the shoulders (shoulder lifting phenomenon). It is difficult to raise the arms, and they cannot abduct them, comb their hair, undress, or put their hands on their waists. It is also difficult to take out pockets of clothes, and some people even dare not move at all. The shoulder muscles are often tense at the beginning of the disease, and atrophy occurs in the later stages. In the later stage, various shoulder activities are restricted, muscle atrophy is obvious, but the pain is not obvious.

Some patients tend to recover on their own through their own activities and exercises, but most patients need effective treatment to recover.

The main treatment measures are:

(1) Western medicine treatment: You can take indomethacin, vitamin B1 or other drugs with anti-inflammatory and analgesic effects. At present, there is no specific effective drug. (2) Treatment with Chinese medicine: Early use of Chinese medicine that can dredge the meridians, activate blood circulation, unblock the collaterals and relieve pain, combined with acupuncture, massage and functional exercise, has a good therapeutic effect. (3) Acupuncture treatment: Select the Jianneiling, Jianguyu, Jianzhen, Jianyu, Tianzong and other acupoints and perform the tonifying method or the balanced tonifying and draining method once a day. Alternatively, select the Tiaokou acupoint and perform the draining method, combined with the tonifying method at Tianzong and Jianzhen acupoints, combined with hot compress, cupping or warm acupuncture, for better results. (4) Massage therapy: Use the thumb or middle finger to massage the Jian Nei Ling, Jian Gu Yu, Tian Zong, Jian Zhen and other acupoints for two minutes each; and use pinching, rubbing, shaking and other techniques in combination with shoulder joint movement therapy for treatment.