Exercise therapy for developing the shoulder joint.

What is brachial plexitis

Plexitis, or plexopathy, of the shoulder joint in medicine is usually called an inflammatory pathology affecting the branches of the nerve plexus located in the shoulder near the subclavian artery.
The degree of damage to nerve fibers in plexitis of the shoulder joint can vary from local inflammation of individual nerve bundles to the spread of the inflammatory process along the entire long branch of the nerve trunk, innervating the skin and muscles of the adjacent upper limb from the shoulder to the fingertips.

The presence of the disease is indicated by pain not only in the area of the shoulder joint and collarbone, but also in the neck, scapular region, and arm. Due to the fact that in most cases the pathology affects the leading arm, a person suffering from plexitis partially or completely loses the ability to work.

Contraindications to massaging the shoulder girdle area

You should not consider the procedure only as a way to relieve tension or get pleasant sensations. At the moment when the massage therapist kneads the patient’s shoulders, the entire body is “involved” in the work, the most complex mechanisms aimed at self-regulation and recovery are launched. Such an action can lead to irreversible consequences if a person has a history of:

severe congenital or acquired pathologies of the structure of the joint or bones;
serious vascular defects: aneurysms, compression, malformations;
oncological diseases;
fresh hematomas;
swelling;
acute conditions with bruises, dislocations, fractures;
the first week after any surgical intervention;
abscesses;
serious disorders of lymph flow and blood circulation;
diseases of the shoulder girdle structures in the acute phase.

A questionable diagnosis is also an absolute contraindication to massaging the shoulder girdle area. Only a doctor can prescribe the procedure. If it is not possible, he will select another, more gentle, but no less effective treatment.

Pathogenesis

This disease has two stages:

Neuralgic. This form is characterized by the severity of symptoms that are associated with irritation of nerve endings. This may include, for example, pain in muscles and skin, which increases significantly if you perform even the simplest movements;
Paralytic. Symptoms associated with impaired functioning of nerve fibers predominate. This is characterized by the manifestation of muscle weakness, the presence of edema, as well as a significant decrease in the function of tissue nutrition.

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Causes of the disease

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Hello. My name is Inna. I am an obstetrician-gynecologist, director of the women's health center. After graduating from the university with a degree in General Medicine, there was a subordination in the profile of Obstetrics and Gynecology and after that an internship at a clinical maternity hospital.

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The brachial plexus is formed by the lower cervical and upper thoracic spinal nerves.

The following factors can lead to their inflammation:

Traumatic injuries – dislocations, fractures, wounds, sprains and bruises in the area of the collarbone and shoulder joint.
Long-term irritating effects on the nerves that form the brachial plexus due to the characteristics of professional activity (the effect of vibration), compression of the nerve branches due to an uncomfortable posture during sleep, walking with crutches.
Thoracic or cervical osteochondrosis.
Hypothermia.
Birth trauma in a child.
Pathologies of lymph nodes.
Viral or bacterial infection (cytomegalovirus, herpes, etc.).
Compression of nerve fibers by malignant neoplasms, accessory cervical ribs or an aneurysm - a pathological protrusion of the wall of a nearby blood vessel.
Metabolic disorders and related diseases - diabetes, gout, etc.

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Symptoms of the disease

After the development of plexitis of the shoulder joint begins, its symptoms become more and more noticeable.

As a rule, it has the following characteristics:

Plexitis of the shoulder joint differs in the nature of its course (chronic or acute), the extent of damage to the nerve bundles and the stages of the process.

It is customary to distinguish the following stages of pathology:

neuralgic, when the patient is bothered by a sharp pain that worsens when trying to move the arm in the shoulder joint;
paralytic, which manifests itself in a decrease in strength in the hand on the side of the affected brachial plexus (monoparesis), or in the complete absence of voluntary movements of the limb (paralysis).

Massage for plexitis

Massage for plexitis https://massaj-spb.com/wp-content/uploads/2014/11/plexit.jpg 225 225 Massage St. Petersburg Massage St. Petersburg https://massaj-spb.com/wp-content/uploads/2014/ 11/plexit.jpg 02.11.201418.12.2015

Plexitis is a lesion of the nerve plexus, which is formed by the anterior branches of the spinal nerves. There are cervical, shoulder, lumbosacral plexitis. Plexitis is characterized by sensory, trophic and motor disorders.

After acute symptoms are relieved, a patient with plexitis is often prescribed a special massage for complete recovery. Only with timely, complete treatment, the outcome of the disease is favorable. Therefore, you need to approach the choice of a massage therapist responsibly.

Only here:

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Reasonable prices and flexible system of discounts;

Possibility to choose a form of payment for services.

How to cure plexitis of the shoulder joint?

Treatment of plexitis of the shoulder joint is complex and is aimed at solving several problems at once: firstly, relieving pain, secondly, improving tissue nutrition and blood circulation in the affected area, and thirdly, restoring normal nerve function and returning functional abilities to the sore arm.

To relieve pain, the doctor prescribes painkillers (selected individually based on the patient’s condition). The main therapy for plexitis is anti-inflammatory.

Non-steroidal anti-inflammatory drugs are often prescribed; they perform two functions at once - they reduce the inflammatory process and relieve pain.

These medications are available in both tablet and injectable liquid form.

When the disease is at an advanced stage, more serious hormonal-type drugs are required to reduce inflammation. They effectively fight inflammation and promote tissue regeneration.

The type of treatment depends on the underlying cause of the disease. So, if plexitis provoked an infectious process, then antibiotics will definitely be present in the prescription. Treatment is often supplemented with a course of vitamins to improve processes occurring in the body.

During drug treatment, in order to prevent or slow down muscle atrophy, electrical stimulation is prescribed - an electrical effect on soft tissue, which stimulates the muscles to contract and thereby keeps them in good shape.

Physiotherapy methods for plexitis of the shoulder joint are divided into several groups depending on the type of their effect:

to reduce pain, electroanalgesia with short pulses or medicinal electrophoresis is prescribed;
UHF therapy will help prevent fluid accumulation in the joint
to prevent fluid accumulation in the joint capsule - UHF therapy;

infrared laser therapy and ultrasound therapy will help accelerate tissue restoration;
neurostimulating procedures – neuroelectric stimulation and bioregulated stimulation;
Irradiation with infrared rays and high-frequency magnetic therapy will contribute to the expansion of blood vessels.

Treatment of the chronic form of the disease also involves undergoing sanatorium-resort treatment.

For plexitis of the shoulder joint, you can also resort to alternative medicine methods:

The goal of the treatment measures for plexitis is to get rid of the causes that caused the disease. In this case, the following tasks are solved:

pain is eliminated,
measures are taken to improve blood circulation and nutrition of the tissues of the affected area,
normal nerve function is restored,
the functional abilities of the sore arm return.

Depending on the factors that triggered the development of the disease, the following treatment methods are used:

After an injury that causes plexitis, treatment consists of immobilizing the damaged area - applying a fixing bandage to the area of the shoulder joint for a certain period or using a special orthosis.
In the future, a course of therapeutic exercises is prescribed, starting from the simplest exercises and ending with complex ones.
If plexitis is infectious, the nature of the infection is determined, the necessary medications are selected correctly, and antiviral or antibacterial therapy is prescribed. Antibacterial treatment may be accompanied by local or general anti-inflammatory and analgesic therapy. Additionally, a course of vitamin therapy is carried out, in which special attention is paid to B vitamins.
Compression plexitis caused by a tumor is treated with surgery.
Plexitis caused by cervicothoracic osteochondrosis can be treated with non-steroidal anti-inflammatory drugs, muscle relaxants, massage, physical therapy and physiotherapeutic procedures.
For plexitis of ischemic and metabolic-dystrophic etiology, gradual and long-term therapy is necessary.

After the main course of treatment and elimination of the factor contributing to the development of plexitis, they move on to healing types of procedures designed to eliminate all the symptoms of the disease, restore normal blood supply, trophism in the tissues, sensitivity and motor functions of the shoulder joint and the affected limb.

Experts recommend:

therapeutic ozokerite, paraffin and mud applications;
if the pain syndrome persists, electrophoresis using lidocaine and novocaine;
massage shower;
balneotherapy;
acupuncture;
amplipulse therapy (electrical stimulation of the shoulder area);
exercise therapy classes.

The success and speed of treatment of brachial plexitis directly depend on the speed of the patient’s visit to the doctor after the discovery of characteristic symptoms.

According to statistics from American doctors, the lack of adequate treatment for plexitis within a year causes an extremely low percentage of complete recovery (less than 10% of cases).

To avoid such an outcome, the appearance of persistent pain in the shoulder requires immediate examination by an experienced specialist in order to identify the cause of the pathology and prescribe appropriate treatment.

Author's methods of massage and exercise therapy

Since ancient times, people have been looking for ways to combat pain and degenerative changes occurring in the tissues of the shoulder joint. Knowledge about the capabilities of the human body is becoming deeper, medical science is developing, and new therapeutic techniques are appearing. Some of them actually prove their effectiveness and become famous.

Dunaev's developments

They say that blind people often become excellent massage therapists. Their fingers are so sensitive that when they touch a person’s body, they “read” it like Braille, feeling every muscle, every joint or ligament, easily identifying changes in them. Igor Vitalievich Dunaev is one of these specialists. The doctor, who once lost his sight, after retraining became a well-known massage practitioner and theorist, describing the use of techniques in the treatment of specific diseases.

The master paid much attention in his works to the shoulder area and its structures. Many diseases begin with the appearance of pain in the joint located here. With glenohumeral periarthritis, they are characterized as shooting or aching and in the first stage of the disease they appear only when turning the shoulder or raising the arms. They can be eliminated using a special massage technique, including impact on the neck, trapezius, shoulder girdle, area of the pectoralis major muscle, and shoulder.

When working on a joint, Dunaev recommends:

grasping stroking with the palm of the hand;
rubbing in a spiral, which is performed with four fingers;
semicircular kneading;
point circular pressing of the joint surface;
forceps-like effect.

The master suggests removing severe pain in the structure of the joint reflexively, using a mechanical massager with a semicircular rubber or ebonite head. They massage the paravertebral zone on the affected side, the inner edge of the scapula, the supraspinatus fossa and trigger points of the latissimus dorsi muscle.

Healing procedures

If there is an exacerbation of plexitis of the shoulder joint, it is not recommended to treat the disease with the help of certain physiotherapeutic procedures, since the limbs should be ensured complete immobility.

It is best to fix the injured shoulder with a plaster splint, and then start taking anti-inflammatory and painkillers.

Doctors recommend carrying out a whole range of procedures to quickly defeat the disease. The most common recommendations include:

Drug therapy. It is carried out without fail, since it is impossible to do without medicines. The most commonly prescribed drugs are non-steroidal anti-inflammatory drugs and analgesics. These can be either ointments and tablets, or injections;
Paraarticular blocks. Painkillers and anti-inflammatory drugs are used for them;
Physiotherapy. It consists of using a number of measures aimed at relieving pain and improving blood circulation. The course of physiotherapeutic procedures includes applications using mud and paraffin, electro- and phonophoresis, magnetic therapy, dynamic currents, as well as some other methods of influence;
Physiotherapy. A very effective method aimed at performing a specific set of exercises. The purpose of exercise therapy for plexitis is to develop the shoulder joints and muscles, and accelerate blood circulation. Prohibited for use during periods of exacerbation;
Massage. The course is selected individually in order to prevent muscle atrophy, as well as improve nutrition in them, oxygen delivery, and so on;
Balneological methods of therapy. Treatment with mineral water, which is obtained naturally or created artificially. The popularity of this technique peaked in the 19th century, but even now these procedures can provide significant assistance in recovery.
Acupuncture. Impact using needles of a special structure on improving the functioning of tissues;
Hirudotherapy. Treatment with medicinal leeches can also give certain results.

Traditional methods of treatment are not prescribed by doctors, but can be used to enhance the effect of medications.

The main thing is that there is no allergy to the products that will be used.

The importance of professional massage for plexitis

Each massage procedure for plexitis lasts from 15 to 20 minutes daily for one hand. A full treatment course includes 15-20 sessions. If necessary, courses are recommended to be repeated after 3-4 weeks. After the first procedures, pain significantly decreases, the limb becomes less tense. As a rule, if the client comes on time, one or two massage courses are enough for complete recovery. Don't put off visiting a professional - he can determine the quality of your life for years to come.

Plexitis of the shoulder joint: treatment with folk remedies

Traditional medicine procedures deserve separate consideration, since several measures can significantly help in the treatment of plexitis.

It is recommended to take baths, make warm compresses, and also take decoctions of the following herbs:

White willow bark;
Mumiyo;
Mint;
St. John's wort;
Chamomile;
Oregano;
Oak bark;
Currant leaf.

It is worth considering that the effectiveness will increase if you use several types of herbs and herbs in combination, this will significantly increase the effect of the resulting decoction on the body.

All of them are capable of reducing the development of the inflammatory process.

Therapeutic exercises and disease prevention

To treat plexitis, special physical training and massage sessions are additionally prescribed. In both the first and second cases, a set of exercises is compiled individually for each patient to achieve the best effect. Here is an example of a workout for a patient with brachial plexitis:

the first exercise is raising and lowering with the shoulders, it must be repeated up to 10 times;
Next, you need to carefully bring your shoulder blades together and return to the starting position. The number of repetitions is the same;
the sore arm needs to be bent at the elbow, lowered again and moved to the side;
you also need to stretch the shoulder itself, to do this you need to make circular movements with your hand bent at the elbow;
lean forward a little and relax your sore arm. Next, you need to make light circular movements with your hand clockwise and counterclockwise;
you need to position yourself in the same way and bend the sore arm with the help of the healthy one;
Additionally, you need to warm up your fingers and wrist joint.

As for massage, you should start the procedures with professional sessions, and then you can continue on your own. The process usually comes down to a thorough kneading of the neck, arms and shoulder girdle, often with a technique of targeted impact on biologically active zones.

Moderate swimming is an excellent method of preventing plexitis.

After recovery, it is imperative to follow preventive measures to avoid recurrence of the disease.

As a preventive measure, experts recommend swimming and other physical activities, but within reasonable limits.

Plexitis resulting from a birth injury will certainly manifest itself over time. That is why it is necessary to pay special attention to a set of measures that can prevent the development of the disease.

In addition to the selected treatment, children must undergo an intensive complex of exercise therapy.

Otherwise, the affected shoulder may subsequently lag significantly in development. Limitations in the production of passive movements may also appear.

It is recommended to observe the following conditions to prevent brachial plexitis:

Fractional meals;
Do not overcool;
Strengthening immunity;
Hardening;
Timely treatment of diseases;
Balanced diet.

In addition, it is also recommended to engage in physical education. Swimming and stretching exercises will be especially beneficial, as they can increase joint flexibility and elasticity.

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Anna
2014-09-17 12:10:10
Let me express my gratitude to all the staff of the Bobyrya clinic! Previously, I was examined in many clinics (I will not name the clinics for ethical reasons), but the desired result was not achieved. However, a miracle happened! I was treated by doctors M.A. Bobyr. and Toroptseva D.A.,… Read more
Nignatulina Nuria, Kazakhstan
2014-09-17 12:11:08
For 15 years now, with some frequency, I have been undergoing treatment at the Bobyrya clinic due to the presence of chronic diseases. Despite my age (63), I only enjoy the treatment! Manual therapy is usually followed by a massage. I am very pleased with the opportunity to undergo a comprehensive… Read more
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I went to the clinic with back pain, and after undergoing an MRI, they found a herniated disc. On the doctor’s recommendation, I began treatment and did not regret it at all, since the pain went away completely after two sessions, and after completing the full course of treatment, the hernia disappeared. The most important thing is that all this is without surgery. Sincerely… Read more
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2014-09-22 13:21:33
I express my gratitude to the chiropractor at the Bobyrya clinic, Dr. Vlasenko A.A.! He is a master, and his technique really works! After the first procedures, within the first two days, I felt like a different person! Low bow! Read more