The arms consist of the girdles of the upper limbs: the collarbone, shoulder blades and free upper limbs - the humerus and bones of the forearms, and hands. The subclavian artery supplies blood to the upper limb. Venous drainage occurs through the subclavian vein. Lymphatic vessels run along the back of the finger to the lateral and palmar surfaces, heading from here towards the palms, forearm, shoulder to the lymph nodes: subclavian and axillary. Nerves in the brachial plexus supply innervation to the arms.
Hand massage
Hand massage is necessary for the treatment of inflammatory and joint diseases, to activate hand mobility after fractures, wounds, arthrosis and arthritis, osteoporosis, pain relief and for cosmetic purposes. The benefits of massaging your arms, hands, fingers and palms in salons or at home are always tangible.
Hand massage technique
The patient is in a chair or lying on a table. Hand massage is performed with one or two hands. If you massage with one hand, use the other to fix the limb being massaged, helping to grasp the muscles that are being affected.
The massage technique involves directing massage movements along the lymphatic vessels, moving towards the lymph nodes to cleanse the activated lymph: the area of the elbow and armpits.
Massage of the hands along the radius along the shoulder (its back surface) using the deltoid muscle is completed by stroking the area of the lymph node above the collarbone. Then continue the hand massage with grasping stroking on the elbow bone, the front surface of the shoulder and complete the movement in the area of the lymph node under the armpits.
The difference between osteoarthritis and arthrosis
Arthrosis and osteoarthritis are similar diseases, between which, however, there are differences. While arthrosis often occurs as a result of injury, osteoarthritis has other roots. The disease is degenerative-dystrophic changes in the joint that occur with age under the influence of negative factors. According to WHO statistics, signs of osteoarthritis are observed in 16% of the population over 45 years of age.
With osteoarthritis of the shoulder, aging of bone and cartilage tissue occurs with abnormalities. Salts accumulate in the joint, which leads to inflammation. If treatment is not carried out, the disease progresses to deforming osteoarthritis. The same thing happens with ineffective therapy. As a result, the mobility of the bone joint and the motor function of the hand are impaired.
The risk of osteoarthritis is increased by previous joint diseases, such as synovitis and arthritis. Additional factors can be hormonal and metabolic disorders, as a result of which the cartilage does not receive enough phosphorus and calcium. In the occurrence of tissue destruction, circulatory disorders play a role, in which the joint is less well supplied with nutrients and oxygen.
The disease occurs in 4 stages, the most recent of which leads to a complete lack of mobility at the junction of the bones. The bone heads are exposed and fusion occurs. Irreversible deformation occurs. The diagnosis is made on the basis of clinical manifestations and is confirmed by CT, MRI and laboratory results.
Advanced stage of osteoarthritis is an indication for surgery. If the disease has just begun to develop, the patient is prescribed conservative treatment, which includes taking:
- non-steroidal anti-inflammatory drugs;
- means that improve blood circulation;
- chondoprotectors for the restoration of cartilage tissue;
- general muscle relaxants to relieve muscle spasms.
Injection blockade with drugs from the corticosteroid group can be used. Additionally, physiotherapeutic and massage procedures are prescribed. Massage for osteoarthritis of the shoulder joint has the same indications and contraindications as for arthrosis of the shoulder. All movements must be slow, smooth and careful.
Hand massage
Massage of the hands
Hands are massaged at home:
- flat stroking and pincer-like stroking on the dorsum of the hand. They start from the fingertips and further grasp the middle third of the forearm;
- Next, massage the fingers ( each finger separately) from the tips to the base along the back, palmar and lateral surfaces;
- rubbing the fingers (on the lateral and palmar surfaces): circular, straight, comb-shaped. Next, hatching, sawing;
- kneading: pincer-like, pressing, sliding, stretching;
- vibration: puncturing, tapping, shaking, acupressure techniques, passive and active movements.
Let's take a closer look at finger massage at home. In the area of the fingers there are short muscles, and on the surfaces of the palms there are elevations of the muscles of the 1st-5th fingers. Between the metacarpal bones are the interosseous muscles. The tendons of the forearm muscles, 2 finger flexor tendons and one extensor tendon extend along the hand towards the fingers (each).
Between the individual phalanges of the fingers, the main phalanges and the metacarpus there are small joints, as well as the metacarpals and carpals. The joint capsules of the palm are thickened.
Surgical treatment
Treatment of this injury must be timely, since after fourteen days the joint begins to gradually heal, which makes the doctor’s task much more difficult. Reduction of a fresh dislocation is carried out under general or local anesthesia, and upon completion of the procedure, the shoulder is fixed in a certain position.
Statistics show that in approximately 80% of patients the affected arm may be dislocated for the second time. The cause of relapse is the inability of the injured limb to fully recover. Such cases require surgical intervention, namely arthroscopy.
Shoulder surgery is recommended in the following cases:
- There is external deformation of the head of the shoulder joint.
- Dislocation with complications - damage to tendons, nerves, blood vessels, the presence of a fracture.
- If there is a tear of the joint capsule.
Surgery can also serve as one of the ways to strengthen and restore muscle tissue to avoid re-damage.
Massage of fingertips
The fingers of the hands have a great mission: they participate in all human activities. They have biologically active points through which internal organs can be treated.
By performing a massage of the fingers, especially their tips, we force the whole body to work more actively - the benefits of this will be obvious if we start massage techniques from the nail phalanx to the main one: stroking, stroking, pinching, kneading, pulling away from the bone, shifting the lumbrical and interosseous muscles. Supplement with passive and active movements in the joints. Massage of the hands in the palm area on all sides is also performed using acupressure techniques, using “their” energetically active zones.
Massage therapy - indications and contraindications
Massage for shoulder arthrosis is part of a comprehensive treatment. It is prescribed for all forms of arthrosis to restore mobility in the joint and improve the nutrition of cartilage tissue. Massage procedures can prevent the appearance of osteophytes, eliminate stagnation, and help strengthen muscles and ligaments. Degenerative changes in the joint and surrounding tissues are stopped.
Due to the fact that the disease is protracted and progressive, massage should be carried out regularly over a long period of time.
This therapy slows down the development of arthrosis, its transition to the deforming stage is delayed. It is important to remember that massage for this disease cannot be performed in the acute stage, when severe pain occurs.
Contraindications also include the following conditions:
- severe pathological changes in bones;
- serious vascular damage;
- fresh hematomas;
- oncological diseases;
- significant swelling;
- disruption of lymph flow;
- purulent abscess;
- acute condition after joint injury;
- recent surgery (any).
Massage for arthrosis of the shoulder joint is possible only after examination and diagnosis. The procedure must be prescribed by a doctor.
Forearm massage
At home, the forearm is massaged:
- in the area of the elbow - by stroking: flat and grasping, comb-shaped and forceps-shaped, rake-shaped and ironing;
- rubbing: straight, circular, spiral, sawing, crossing, hatching, planing;
- kneading: longitudinal, transverse, felting, pressing, sliding, stretching;
- vibration: tapping, patting, chopping, shaking, continuous labile and stable vibration, acupressure techniques: linear and local.
The forearm is bent at an angle of 110-120˚ to the shoulder and placed on a massage table. There are two muscle groups located on the forearms: flexors and pronators (first group), wrist extensors and supinators (posterior group). There are two layers of muscles located on the anterior and posterior surfaces of the forearm: superficial and deep. The extensors need to be massaged with the opposite hand, and the flexors with the same hand.
Shoulder massage
At home, you need to use the services of a visiting massage therapist or the “kind hands” of relatives to achieve the effect. The shoulder is massaged:
- stroking towards the axillary fossa: flat, grasping, pincer-shaped;
- rubbing: straight, circular, spiral, crossing, sawing, hatching, planing;
- kneading: felting, transverse and longitudinal, stretching, shifting, pinching, pressing;
- separate kneading of flexors and extensors;
- vibration: shaking, puncturing, patting, tapping, chopping, shaking, acupressure or Su Jok, based on inserting needles into a specific point. The hand massage technique also involves putting a massage ring on the finger to improve the function of the limbs.
Shoulder massage
Shoulder massage
The massage technique is aimed at developing joint mobility and relieving pain. Perform:
- stroking: flat, grasping, pincer-shaped, ironing, rake-shaped;
- rubbing: circular, straight, spiral, hatching;
- kneading: pressing;
- vibration: point, puncturing;
- passive and active movements.
Before massaging the shoulder joint, first massage the deltoid muscle. When the massage therapist is in front of the patient, the hand is placed behind the back for better access; when he is behind, the patient’s hand is placed on the other shoulder. The lower surface of the joint capsule will become more accessible to the massage therapist if the hands are moved to the side or placed on the massage therapist's shoulder.
In case of lymphostasis - pathological outflow of lymph, hand massage is performed using a special technique, provided that there is no inflammatory process, for example, erysipelas. The hand is raised vertically and the palm rests on the surface of the wall. Using the fingertips of your healthy hand, make stroking movements from the elbow to the shoulder, then in the opposite direction. The arm is worked from all sides using moderate pressure, but without causing pain. Perform a suction massage for 5 minutes 2-3 times a day, with severe swelling - the time and amount of massage is increased. An elastic compression bandage is used.
Symptoms and stages of the disease
Most often, shoulder arthrosis makes itself felt by the appearance of aching pain in the morning. Discomfort and pain can also occur when the weather changes. The affected joint cannot withstand physical activity and becomes sensitive to touch.
As arthrosis progresses, pain begins to appear even with no load. To maintain the functions of the joint, the patient has to use a special device - an orthosis. Over time, a person loses his ability to work, and it becomes difficult for him to care for himself.
Doctors divide the course of the disease into stages, each of which has its own symptoms:
- In the first stage, pain occurs during physical activity or immediately after it. It is difficult for a person to make sudden movements with his hand. With rest, the discomfort subsides.
- At the second stage, exacerbations occur even due to minor forces exerted by the affected joint. A reaction to the weather also begins to appear. When you raise your arm up and rotate your shoulder, a crunching sound occurs, which indicates a decrease in the amount of synovial fluid. The pain begins to radiate to the shoulder blade.
- The third stage is considered advanced. Pain and discomfort become constant, periods of remission are shortened. A person's sleep is disturbed due to persistent night pain. It becomes impossible to move your arm back or raise it up. A bony protrusion appears at the junction of the shoulder and shoulder blade.
In addition, at any stage of arthrosis, swelling and redness may occur at the site of the affected joint, which indicates the presence of an inflammatory process. During an exacerbation, the general body temperature may also rise.