Frozen Shoulder "50's shoulder"

Question 0

Wandering pain in shoulder
aggravated by wind-cold and alleviated by warmth
Slight restriction of joint mobility may be present

Answer 0

Invasion of Wind cold damp

Question 1

Definition of Frozen shoulder

Answer 1

Periarthritis of shoulders
Inflammation of cause degeneration pathological changes around shoulder joint and periarticular soft structures
Pain and limited movements of unilateral or bilateral and its surrounding tissues

Question 2

Pale tongue, thin and white coating

Superifical or wiry pulse

Answer 2

Tongue and pulse for Invasion of Wind Cold Damp

Question 3

SnS of Qi and blood stagnation

Answer 3

Fixed sharp or stabbing pain which becomes worse during the night
May be swelling of shoulder
Limited movement shoulder

Question 4

Tongue and Pulse of Qi and blood stagnation

Answer 4

Tongue: Purple with thin, white or yellow coating
Pulse: Wiry and thready and choppy

Question 5

Soreness and pain in the shoulder aggravated by overstrain
limited movement of shoulder, may have muscular atrophy
SOB, lassitude dizziness, blurred vision, palpitation, tinnitus

Answer 5

Qi and blood Deficiency

Question 6

POT of frozen shoulder

Answer 6

Dispel W-C-D, regulate Qi and blood

Circulate collaterals

Question 7

What are the 3 shoulder needles

Answer 7

LI15, SI9 and SJ 14

Question 8

What other remedies would you use?

Answer 8

Auricular: shoulder joint, clavicle, adrenal, Shen men, Liv, Sp and Kid
Herbal paste - Ensure patient has no reaction
Electro acupuncture: SJ14, LI15, Jian Qian + SI19, Jiaji points - low frequency 2-4Hz
Moxa: AShi and local poiints, combine with warming needles/moxa stick
Bleeding tender spots, use cups after

Question 9

Which meridian is involved if there is pain in the Posterior shoulder, extension and flexion difficulty

Answer 9

Taiyin

Question 10

Where would pain be presented if the Yang Ming and Shaoyang meridians are involved

Answer 10

Anterior, lateral side usually combined together, Difficulty abducting
Numb fingers on dorsal side - Shao Yang

Question 11

Which 3 meridians are involved

Answer 11

Hand Taiyin - LU
Hand Shaoyang - SJ
Hand Yangming - LI

Question 12

Indications of Taiyang meridian

Answer 12

On Back: SI
Occurs is posterior shoulder
Most difficult flexion (forward) and adduction (across body)
May radiate to upper back area

Question 13

Indications of Taiyin meridian

Answer 13

More medial LU1-2 area

Difficult extending arm

Question 14

Shaoyang/Yangming meridian

Answer 14

More lateral pain (post and ant)
Difficult to abduct
Palpate the most tender spot to determine dominant meridian
Shaoyang pain may radiate to elbow
Radiate pain from SJ5 area but the dorsum of hand