Koo's Acupuncture & Herbal Clinic
(860) 232-1212 & 123 Park Rd, West Hartford, CT 06119
Glenohumoral Joint Tissue Disease

Glenohumoral joint periphery tender tissues disease

[Concept]

The source of shoulder joint peripheral tender tissue disease is complicated in clinical practice, mostly seen symptoms are shoulder pain and various dysfunctions. The main sypmtoms of shoulder joint peripheral tender tissue disease are peripheral shoulder joint inflammation, muscle supraspinatus tendonitis, subacromial bursitis. In Chinese medicine, it belongs to Bi syndrome. Thus, wind-cold-damp-pathrogenic factors invade into shoulders and obstructs meridian, which prevents Qi-Blood from spreading and extending, resulting in disease via abnormal mechanism of action in muscular regions.

 

(1)perishoulder joint inflammation

Degenerative and inflammatory disease of shoulder joint bursa and shoulder joint peripheral tender tissue. It occurs more often in women than men. It is also known as "50 shoulder" since it occurs mostly before and after age 50. Sources can be light sprain, over work, chill-cold around some regions but clear sources sometimes can not be found.


[manifestation]

Radiating pain of shoulders are minimal during day but becomes severe and disrupts sleep during night. Pain that becomes alleviated in the morning by rotating the shoulders, are known as static pain. In part, it is a wide range of pain and abduction is limited. Depending on the development of disease, injured tissues adhere together which leads to functional disorders which is known as "frozen shoulder" and "frozen congelation." In early stage, it is pain but becomes functional disrorders in the latter stages.

(2)muscle supraspinatus tendinitis

This disease occurs past middle ages and for physical laborers. The muscle of supraspinatus mainly acts as a helper to deltoid muscles to abduct upper arms. The lower part of muscle of supraspinatus is closely connected to shoulder joint, therefore, is connected with adjoining upper part and subacromial buslight trauma or repetitious working movements can cause degenerative, inflammatory changes in the ligament.


[manifestation]

Pain and intense pain can be felt when abdution is 1/3 of width (about 60 Ö¯-120 Ö¯) but pain can not be felt when abduction is below 60 Ö¯ and above 120 Ö¯. The disease is advanced into the peripheral tissues and affect the inflammation process leading to muscles of supraspinatus to change into harden paste which will cause pain and dysfunction when it fractures.

(3).subacromial bursitis

Subacromial bursitis is located in between deltoid muscle and rotator muscle plexus, the main function is to have slippery movements in between subacromial and head of humerus. Subacromial bursitis usually occurs simultaneously as chronic degneration and inflammation of muscle supraspinatous tendonitis with adjacent localized tissues.

[manifestation]

Lateral side of shoulder that have a pressing pain is important. Pain dysfunctions will form when upper arm is abducted. Serious inflmmation will lead to enalrgement of shoulder joints.

(4)muscle bicep longus tendosynovitis

Muscle bicep longus head is located in intertubercular synovia along humeri intertubercular groove and continuous overwork of shoulder joints will lead to damage and this disease.


[manifestation]

Pain, pressing pain accompanied by swelling in found in bicep longus head part. Bent elbow with applied pressure on forearm will show obvious pain. There will be a rubbing sensation when elbow joint is flexed.

[healing] Treatment will be based on "Treat different disease same as method" as below

1.acupuncture

principle treatment:disperse & extend Qi-Blood, spread sinew pass through luo connecting channel

main point:Li15,Si11,Sj10,Jianqian,Li16

Extra point:Li11,Li4,Lu5, Lu9,Li5

Method:St38 through to UbXX,Sp9 aroundXXX, apply needle 5-10/m exercise then LiXX,LiXXSi11,Sj10,Jianqian stimulate by three directional way, moxa which is direct or indirect.

2.auricular acupuncture

main point:tender point,subcortex,shenmen,adrenal, embedding ear-seed

3.cupping:tender point

4.electro acupuncture

LiXX+SjXX:low wave stimulation

[prescribed example]

(1)Si9 through Ht1,Si6 through Pc6,Jiansanzhen,St38 through Ub57

(2)pain as like fracture:Si6,Ub10

(3)can't lift a thing up:Li11,Sj15

(4)shoulder back swollen-pain:Sj14,Ub12,Sj3,Ub11

※exercise included as part of treatment

[herbal medicine]:XX XXXtang,XXXXXXtang,XXXXXXXtang,XXtang