为什么你的肩膀会长时间持续疼痛?

为什么你的肩膀会长时间持续疼痛?

Shoulder pain is a common symptom of a variety of causes. Untreated long-term pain will make the patient tired, debilitating, and seriously affect quality of life. Pain relievers only provide temporary relief and cannot be completely treated. Correct diagnosis of the cause and proper treatment is the effective solution to cure the root of shoulder pain.

肩痛是多种病因的共同症状。长期疼痛得不到治疗，会使患者感到疲劳、衰弱，严重影响生活质量。止痛药只能暂时缓解疼痛，不能完全治疗。正确诊断病因，正确治疗是根治肩痛的有效途径。

About the shoulder belt anatomy is an anatomical complex made up of 3 bones, the collarbone, scapula and the arm bone, connected by 4 joints that are the hip-arm joint (often called the shoulder joint), the shoulder-collar joint, thymus-collar joint and thoracic shoulder joint.

肩部是由锁骨、肩胛骨和臂骨3块骨头组成的复杂解剖结构，由4个关节连接，它们分别是:髋-臂关节(通常称为肩关节)、肩领关节、胸骨领关节和胸肩关节。

Shoulder belts have the widest range of motion in the body. That is why there are many problems with the shoulder belt such as instability, the friction of the tendon structure with the bone structure leads to shoulder joint pain. Shoulder pain can occur with exercise or pain even at rest. Shoulder pain may be transient, but it can also be severe and should be diagnosed and treated by a specialist.

肩带对身体的活动范围最广。这就是为什么肩带会有很多问题，比如不稳定，肌腱结构与骨骼结构的摩擦导致肩关节疼痛。肩部疼痛可在运动时发生，也可在休息时发生。肩膀疼痛可能是暂时的，但也可能是严重的，应该由专家诊断和治疗。

What causes frequent shoulder pain?

经常肩膀痛的原因是什么?

Inflammation of the synovial sac

滑膜囊炎症

Synovial sacs are small, fluid-filled sacs (synovial fluid) that cushion the bone and soft tissue, helping to reduce friction when there is soft tissue (tendon) movement relative to the bone.

滑膜囊是小的，充满液体的囊(滑膜液)，它缓冲骨头和软组织，当软组织(肌腱)相对于骨头运动时，帮助减少摩擦。

Excessive use of the shoulder joint (usually over-head movements) can cause inflammation of the synovial sac located between the rotator cuff tendon and the apex of the shoulder, known as a bursitis.

过度使用肩关节(通常是头顶运动)可导致位于肩袖肌腱和肩尖之间的滑膜囊发炎，称为滑囊炎。

Synovial bursitis can be either alone or in combination with rotational tendonitis leading to shoulder pain, shoulder swelling, limited mobility of the shoulder joints, affecting daily activities such as not being able to comb hair, with hands on the back or small tunic (women), unable to raise hands ...

滑膜滑囊炎可单独发生，也可与旋转肌腱炎合并，导致肩膀疼痛、肩膀肿胀、肩关节活动受限，影响日常活动，如不能梳理头发、手放在背上或穿小束腰衣(女性)、不能举起手……

Tendinitis

肌腱炎

Long-lasting shoulder pain, affecting activities: Doctor of the University of

Tendons are structures that connect muscles to bones. Tendonitis has 2 forms:

肌腱是连接肌肉和骨骼的结构。肌腱炎有两种形式:

Acute: Occurs after an exertion in the shoulder area such as playing sports, carrying heavy loads ...

急性:在肩部进行运动、负重等剧烈运动后发生。

Chronic: Degenerative tendinitis or repetitive micro-trauma.

慢性:退行性肌腱炎或重复性小创伤。

Tendonitis in the shoulder area can have the following diseases: tendonitis rotated shoulder joint, tendonitis of the tendon of the head.

肩关节的肌腱炎可以有以下几种疾病:肩关节旋转肌腱炎，头部肌腱炎。

Tendon tear / rupture

肌腱撕裂/破裂

As with tendinitis, tendon rupture / rupture is a common injury to the rotator cuff tendon of the shoulder joint and the tendon of the long tus. Tendon tear / rupture can also occur acute after traumatic or chronic due to degenerative inflammation or traumatic inflammation. Partial or complete fracture / tear of the body tendon. A common site of a tendon rupture is where the tendon attaches to the bone. When a tendon rupture, the end of the tendon that is torn is often pulled away from its attachment position. The symptoms of tendon tear / rupture of the shoulder joint are pain and limited mobility of the shoulder joint, muscle weakness.

与肌腱炎一样，肌腱断裂/破裂是肩关节肩袖肌腱和长肌肌腱的常见损伤。肌腱撕裂/破裂也可能发生在急性创伤后或慢性退行性炎症或创伤性炎症后。身体肌腱部分或完全断裂/撕裂。肌腱断裂的常见部位是肌腱与骨头的连接处。当肌腱断裂时，撕裂的肌腱末端通常会被拉离其附着位置。肩关节肌腱撕裂/断裂的症状是疼痛，肩关节活动受限，肌肉无力。

Shoulder joint loss (dislocation or semi-dislocation)

肩关节缺失(脱位或半脱位)

Shoulder dislocation occurs when the arm cap is dislodged from the shoulder plate. This can happen after a major trauma or as a result of repeated trauma. When ligaments, tendons, sheaths, and other shoulder joints become loose or severe damage can lead to recurrent shoulder deflection.

肩关节脱位发生在臂帽脱离肩关节板时。这可能发生在严重创伤后或由于重复创伤的结果。当韧带、肌腱、鞘和其他肩关节松动或严重损伤时，可导致复发性肩偏曲。

Shoulder joint loss is manifested by pain, loosening of the joint, and lack of willingness / fear of shoulder movements in relation to shoulder shape and extra-shoulder rotation. Shoulder joint instability leads to degenerative shoulder joint inflammation.

肩关节损失表现为疼痛、关节松动、不愿/害怕与肩形和额外的肩旋转相关的肩部活动。肩关节不稳定导致退行性肩关节炎症。

Arthritis

关节炎

One of the most common causes of shoulder pain is arthritis. There are different types of arthritis. The most common shoulder arthritis is osteoarthritis of the shoulder, which usually occurs in the middle age or the elderly, with symptoms of pain, swelling, limited joint mobility, and stiffness in the shoulder. Degenerative shoulder joint inflammation can progress slowly and get worse over time.

关节炎是肩膀疼痛最常见的原因之一。关节炎有不同的类型。最常见的肩关节是肩膀的骨关节炎，通常发生在中年或老年人，有疼痛、肿胀、关节活动受限、肩膀僵硬等症状。退行性肩关节炎症可能进展缓慢，并随着时间恶化。

Degenerative shoulder joint inflammation is often associated with inflammation, tearing the tendon muscle of the shoulder joint. Some cases of osteoarthritis of the shoulder due to infection. Arthritis often causes limited mobility and stiffness.

退行性肩关节炎症通常与炎症有关，撕裂肩关节的肌腱肌肉。一些病例是由感染引起的肩骨关节炎。关节炎常引起活动受限和肩部僵硬。