(Massage Therapy)
GENERAL EXPLANATION:
It is a degenerative and inflammatory condition of the joint capsule and peripheral tissue of the shoulder. Its occurrence is related to local injury, invasion of cold, and degenerative change which can cause joint adhesion and muscular atrophy. The clinical manifestations are pain in the shoulder, pain aggravated at night, functional disorders of the shoulder joint, muscular atrophy, and spasm of the shoulder and upper arm. Because it mostly of fifty, it is also called “the fifty-year shoulder.” Massage therapy is applied to soothe the tendons, dredge the collateral’s, circulate Qi, activate the blood, and stop pain predominantly in the early stages, and relax adhesion and lubricate the joint predominantly in the latter staged. Massage therapy can improve blood circulation in the local area, accelerate the absorption of exudate and promote the rehabilitation of sick tendons and ligaments.
NOTES:
1. It is necessary to keep the shoulder warm.
2. It is advisable to gradually and persistently train the shoulder functions with the following methods:
(a) Climb the wall: Stand facing the wall and slowly climb up the wall with both hands to the top and then slowly come back down 10 to 20 times.
(b) Pull the hand behind the neck: Move both hands behind the back and pull the sick wrist upwards with the healthy hand 10 to 20 times repeatedly.
(c) Extorsion: Stand with the back towards the wall with the fist clenched and the elbow flexed in a 90 degree angle and rotate both arms outwards to enable the dorsum of the fist to touch the wall 10 to 20 times.
(d) Adduction and Adduction: Hold the posterior neck with both hands and adduct the shoulder joint to its limit 10 to 20 times.
(e) Swing the head: Drop both hands beside the body and swing the hands forwards and backwards with increasing amplitude.
TREATMENT:
1. Apply the roll method to the anterior part of the shoulder and the medial side of the upper arm on the sick side together with the passive and abducent and extorsive movements of the sick limb.
2. Apply the roll method on the lateral side of the sick shoulder and the posterior auxiliary part and press Jianyu(LI-15) and Jianzhen(SI-11), with passive movement of the lift and adduction of the sick limb.
3. Press Jianyu(LI-15), Jianliao(SJ-14), Jianzhen(SI-11), Jianjing(GB-21), Tianzong(SI-11) and Jianneiling for 30 seconds each.
4. Knead Tiakou and ask the patient to raise the sick limb 10 to 20 times.
5. Dig and press Hegu(LI-4), Waiguan(SJ-5) and Houxi(SI-3) on the healthy and sick side in turn for 30 seconds each.
6. Shake the shoulder by holding the patient’s elbow with one hand and holding the shoulder with the other hand, shaking and rotating the shoulder joit clockwise 10 to 20 times.
7. Hold the patient’s shoulder with both hands and rub-roll and knead the shoulder downwards all the way to the upper limb and wrist. Then, hold the patient’s wrist, shaking the upper limb 3 to 5 times.
