五十肩的中醫治療方法

五十肩是什麼?

五十肩,又稱肩周炎 (英文稱Frozen Shoulder),是肩關節周圍肌肉、肌腱、滑囊和關節囊等軟組織的慢性炎症,導致肩關節疼痛和活動受限制,常發生在四、五十歲的中年人身上。肩周炎發病過程緩慢,但一旦出現症狀,就會迅速加重。初期可能只是肩關節僵硬,舉高及轉動手臂困難,肩部隱隱作痛,許多人誤以為只要休息一下就會自然康復,而忽略了及時治療。然而,隨著時間增長,症狀會逐漸加重,最終嚴重影響日常生活,連進行簡單的動作如吃飯、穿脫衣服、摸背、洗臉、梳頭等等簡單動作都變得困難。

五十肩的成因

現代醫學認為,五十肩的發生與多種因素有關。長時間不動,例如中風、偏癱患者、或因肩部骨折、脫位而需長期固定肩部,或在固定期間不注意肩關節的功能鍛鍊,都可誘發肩周炎。值得注意的是,有些患者沒有明顯的誘因,卻會自發性地出現五十肩。

中醫稱五十肩為「漏肩風」,認為主要是肝腎不足、氣血虧虛、筋肉失於濡養加上外傷勞損、風寒濕邪侵襲而導致。患者通常在晚上或天氣多變、轉冷時疼痛加重,肩部經常畏寒怕冷,尤其後期更出現肩關節的粘連,活動能力明顯受限。

中醫針對肩周炎的治療方法
藥物治療一般宜補氣血、益肝腎、溫經絡、袪風濕為主,減輕患者的痛苦。
針灸治療對於疼痛較嚴重的患者來說治療效果較好,因患者肩部腫痛,難以活動,而針灸可以達到舒筋通絡,祛瘀止痛之功效。
推拿療法在患者的痛處進行推拿按摩或局部熱敷,可令疼痛得到緩解,以剝離粘連,恢復關節活動功能,亦是大眾較容易接受的治療方法。


除了上述的治療方法外,患者還須靠訓練,才能明顯改善肩部的功能。

爬牆訓練患者面對牆壁用雙手或患側單手沿牆壁緩慢向上爬動,使患肢盡量向上舉高,然後再緩慢向下回到原處,反覆進行,循序漸進,不斷提高爬牆的高度,以解除粘連。
環轉運動患者站立,單臂或雙臂由前向後轉肩數次,再由後向前轉肩數次,做環轉活動。
雙手向後背伸由健手拉住患肢腕部,逐漸向上提拉,反覆進行。
外旋訓練背部緊靠牆壁而立,上臂緊貼身體兩側,屈肘90度握拳,做肩部外旋動作,盡量使拳接近牆壁,反覆進行。


肩周炎的治療需要耐心和毅力,因為病程較長,療效也需要時間顯現。但只要患者積極配合治療,並加強訓練,就能有效縮短病程,加快痊癒。

*以上資料只供參考,如有疑問,請向註冊中醫師查詢。

撰文:基督教聯合那打素社康服務 賽馬會天水圍社區健康中心 註冊中醫師 陳俊偉

房協長者安居資源中心以長者關注的健康議題,為長者設計了五個不同主題的身體測試項目,包括:整體健康、認知能力、視覺功能、關節及肌肉。中心提供的健康探索團,由專人帶領參觀及講解,查詢請電 2839 2882。

*此服務由香港房屋協會提供,撰文機構及中醫師僅提供內容作教育用途。

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五十肩的中醫治療方法
最新
五十肩是什麼?

五十肩,又稱肩周炎 (英文稱Frozen Shoulder),是肩關節周圍肌肉、肌腱、滑囊和關節囊等軟組織的慢性炎症,導致肩關節疼痛和活動受限制,常發生在四、五十歲的中年人身上。肩周炎發病過程緩慢,但一旦出現症狀,就會迅速加重。初期可能只是肩關節僵硬,舉高及轉動手臂困難,肩部隱隱作痛,許多人誤以為只要休息一下就會自然康復,而忽略了及時治療。然而,隨著時間增長,症狀會逐漸加重,最終嚴重影響日常生活,連進行簡單的動作如吃飯、穿脫衣服、摸背、洗臉、梳頭等等簡單動作都變得困難。

五十肩的成因

現代醫學認為,五十肩的發生與多種因素有關。長時間不動,例如中風、偏癱患者、或因肩部骨折、脫位而需長期固定肩部,或在固定期間不注意肩關節的功能鍛鍊,都可誘發肩周炎。值得注意的是,有些患者沒有明顯的誘因,卻會自發性地出現五十肩。

中醫稱五十肩為「漏肩風」,認為主要是肝腎不足、氣血虧虛、筋肉失於濡養加上外傷勞損、風寒濕邪侵襲而導致。患者通常在晚上或天氣多變、轉冷時疼痛加重,肩部經常畏寒怕冷,尤其後期更出現肩關節的粘連,活動能力明顯受限。

中醫針對肩周炎的治療方法
藥物治療一般宜補氣血、益肝腎、溫經絡、袪風濕為主,減輕患者的痛苦。
針灸治療對於疼痛較嚴重的患者來說治療效果較好,因患者肩部腫痛,難以活動,而針灸可以達到舒筋通絡,祛瘀止痛之功效。
推拿療法在患者的痛處進行推拿按摩或局部熱敷,可令疼痛得到緩解,以剝離粘連,恢復關節活動功能,亦是大眾較容易接受的治療方法。


除了上述的治療方法外,患者還須靠訓練,才能明顯改善肩部的功能。

爬牆訓練患者面對牆壁用雙手或患側單手沿牆壁緩慢向上爬動,使患肢盡量向上舉高,然後再緩慢向下回到原處,反覆進行,循序漸進,不斷提高爬牆的高度,以解除粘連。
環轉運動患者站立,單臂或雙臂由前向後轉肩數次,再由後向前轉肩數次,做環轉活動。
雙手向後背伸由健手拉住患肢腕部,逐漸向上提拉,反覆進行。
外旋訓練背部緊靠牆壁而立,上臂緊貼身體兩側,屈肘90度握拳,做肩部外旋動作,盡量使拳接近牆壁,反覆進行。


肩周炎的治療需要耐心和毅力,因為病程較長,療效也需要時間顯現。但只要患者積極配合治療,並加強訓練,就能有效縮短病程,加快痊癒。

*以上資料只供參考,如有疑問,請向註冊中醫師查詢。

撰文:基督教聯合那打素社康服務 賽馬會天水圍社區健康中心 註冊中醫師 陳俊偉

房協長者安居資源中心以長者關注的健康議題,為長者設計了五個不同主題的身體測試項目,包括:整體健康、認知能力、視覺功能、關節及肌肉。中心提供的健康探索團,由專人帶領參觀及講解,查詢請電 2839 2882。

*此服務由香港房屋協會提供,撰文機構及中醫師僅提供內容作教育用途。