Frozen Shoulder

Question 0

frozen shoulder definition?

Answer 0

broad inflammation caused by degenerative pathological changes around shoulder joint and periarticular soft structures (synovial membranes, tendons, associated muscles)

Question 1

what is the western medical name for frozen shoulder?

Answer 1

periarthiritis shoulder

Question 2

frozen shoulder clinical features?

Answer 2

slow onset, resting pain, worse at night/winter, alleviated with movement/daytime, muscle atrophy, limited ROM, usually unilateral, radiating pain to neck/upper back/arm

Question 3

frozen shoulder etiology

Answer 3

EPF—>W-C-D——————-\
overwork/injury/pregnancy—> Qi/blood stg———> SHI
chronic disease—> Qi/blood xu——-> XU

Question 4

What are the 3 other western diseases that can be tx under frozen shoulder?

Answer 4

1) supraspinatus tendinitis
2) adhesive capsulitis
3) bicipital tendinitis

Question 5

frozen shoulder POT?

Answer 5

1) dispell W-C-D
2) reg. Qi/blood
3) circulate channels

Question 6

frozen shoulder ACU points:

Answer 6

1) general= SI-3, LI-15, SJ-14, jianqian
2) local= GB-20, GB-21, DU-14, SJ-13
3) distal= LI-4, SJ-5, SJ-3, SI-3, GB-34, UB-57 (thread ST-38 to UB-57), LU-7

Question 7

TX technique for W-C-D?

Answer 7

moxa with ginger (LU-7, LI-4)

reduce

Question 8

TX technique for Qi/blood stg?

Answer 8

bleed sharp tender ashi points
bleeding cupping
reduce

Question 9

TX technique for Qi/blood xu?

Answer 9

UB-23, UB-17, ST-36

tonify

Question 10

TX technique for PH-damp?

Answer 10

ST-40, SP-9, ST-36

reduce

Question 11

How can you distinguish which meridian is involved in frozen shoulder?

Answer 11

1) pain location (palpate SI, LI, LU, SJ)

2) limited ROM

Question 12

TX technique for taiyang meridian?

Answer 12

• posterior pain
• extension/flexion difficulty
• SI-3, UB-57, SI-9/10/11/12/13

Question 13

TX technique for yangming/shaoyang meridian?

Answer 13

• anterior/lateral pain
• abduction difficulty
• ST-38, ST-36, GB-34, SJ-5, LI-4

Question 14

How would you needle RIGHT frozen shoulder?

Answer 14

needle LEFT leg points, right shoulder/local points

Question 15

frozen shoulder alternative remedies?

Answer 15

1) electro (cervical jiaji, SI-9, jianqian), low freq, 20 minutes
2) auricular (shoulder, clavicle, adrenal, shenmen, LIV, SP, K), can bleed
3) moxa/warming needle= ashi points
4) bleeding/bleeding cupping= ashi points *no more than 2 points

Question 16

frozen shoulder education?

Answer 16

1) avoid EPF
2) reg. exercise/stretching
3) self massage/tuina