五十肩の痛みが短期間で激減しました

五十肩かも?

こんにちは。五十肩リハビリ中の利津川悦子です。

つい1ヶ月前まで五十肩の痛みで辛い毎日を送っていました。
洗濯物を干したりお風呂でシャンプーして腕を上げると悲鳴をあげてしまう程痛く、日常生活に苛立つことが多くなりました。

五十肩を経験した友人は「痛みに慣れたからそのうち治ればいいかな」とか
「五十肩の痛みって我慢するしかないでしょ?」などと、整形外科で診察を受けていない様子。痛みに弱い私は地元の整形外科に駆け込んで治療を受け、肩関節受動術という施術を受けて20日後には日常生活でほとんど痛みを感じないまでに回復しました。

この記事では五十肩の痛みでお悩みの方に私の経験と調べたことをお伝えします。

五十肩かな?と感じたらまず整形外科で治療を受けるべき3つの理由

まず整形外科へ行きましょう

①整形外科以外は医療機関ではないため、血液検査やレントゲン検査などの精密な検査ができません。

五十肩かそれ以外の病気かは整形外科で診断を受けましょう。

②腱板断裂の場合は外科手術が必要

同じ腕の痛みでも五十肩と腱板断裂とは治療法が全く違います。

痛みが長引くときは腱板断裂を疑う。五十肩と腱板断裂では痛みの現れ方が違うことが多い。五十肩では腕を上げる途中に痛みがなく「これ以上は上がらない」という動きの最後の時点で痛みが起こることが多く、腱板断裂では腕を上げる途中に痛みが起こることが多い。

引用:東北大学整形外科教室 「腱板断裂と五十肩の違い」より

最近の研究から、腱板断裂が生じると、その病状や断裂の大きさが経時的に進行すると考えられています。進行すれば、手術治療はより困難となり、回復の可能性も相対的に下がります。(中略)一般に75歳以下の健康で活動的な方は、手術治療を勧めております。

引用:聖路加国際病院ホームページより

③整形外科とリハビリセンターが併設されている病院が超便利

  1. 整形外科→リハビリ、リハビリ→整形外科の行き来が同日予約可能
  2. 整形外科医とリハビリスタッフの情報共有で患者の治療内容を一元管理
  3. 関節受動術は外科医師と柔道整復師が立ち会うので安心できる

こんな自覚症状は五十肩かも?

五十肩かも?

五十肩かも?

  • 腕を直角以上に上げられない
  • 腕を後ろへほとんど動かせない
  • 日常生活では腕を使う場面で痛みが伴い不自由になる
    EX.洗髪、髪をとかす、歯磨き、炊事、洗濯物を干す、電車のつり革につかまる、洋服を着る、寝返りを打つ、ブラジャーのホックに手が届かないなど

私は腕を動かす時の痛みに加え、寝ている安静時にも腕がシクシクと痛みがあり、睡眠不足になりました。

発症当初はわずかな痛みですが、次第に痛みが増しひんぱんになってきます。
五十肩の痛みを我慢して動かすと症状が悪化する場合があるので、すみやかに医師の診察を受けましょう。

  1. <参考>五十肩とは? 肩関節の周囲に起こる炎症の疾患群のこと。
    1. 肩に痛みと運動障害(可動域が狭くなる)がある
    2. 患者の年齢が40歳以降である(40代の患者を四十肩と呼ぶ)
    3. 明らかな原因がない(いつの間にか痛くなっていた)

    以上の3条件を満たす症状がある場合、五十肩(四十肩)と診断されます。
    出典:ウィキペディア を参照して作成

五十肩の治療~肩関節受動術とは?

「肩関節授動術はいわゆる四十肩五十肩の治療で、互いに貼り付いて内容積の小さくなった関節の袋を広げる治療です。四十肩五十肩の症状は頑固な痛みとともに肩関節が動きにくくなることです。種々の原因で関節を包んでいる関節包という袋の容積が小さくなり関節が動きにくくなっています。基本はリハビリにより肩の動きを改善させることですが、関節の袋がかなり小さくなると改善しません。小さくなる原因としては、関節包という袋の内面を覆っている滑膜という絨毯(じゅうたん)の様なものが互いに絡まり内面が小さくなることです。授動術によりこの滑膜の絡まりを引きはがします。局所麻酔を行い、メスを使わずに手の力ではがすことが可能で外来診療中に行えます。
引用:相模大野駅タワー 整形外科・リウマチ科ホームページより

肩関節受動術を受けた私の体験談

人生初の局所麻酔を右手に打ち30分程経過すると、腕の感覚が全くなくなり、脳が自分の腕と認識しなくなるという不思議な感覚でした。

柔道整復師を携えて担当医師が私の右腕を持ち上げ、上下右左に倒すとバリバリと膜が剥がれる音が聞こえます。これが関節包と呼ばれる袋なのでしょう。
「全方向で(関節包が)剥がれるのは異例。これをリハビリで治すとかなり時間がかかるだろう。肩関節授動術をしてよかったね」と担当医師から言われました。

どうりで腕の可動域が狭くなり痛みが多発していたのですね。
施術後は局部麻酔で腕の感覚がない為、三角巾で右腕を固定しました。
費用は社会保険適用で約5500円程度。局部麻酔が完全に切れるまで18時間位要し、帰宅してからは安静にして過ごしました。
施術後2週間は肩の脱臼を起こしやすいので、無理に動かさないように注意が必要です。
肩関節受動術後はすぐに痛みが治まると思いきや、腕の可動域は正常時の6~7割程度。
1~2ヶ月間の可動域を広げるリハビリが必要です。

術後20日後現在、五十肩で上がらなかった右腕は余裕で耳の後ろまで上がるようになりました。腕の可動域は正常時の9割程度まで戻っていると思います。腕を背中で組んで上に上げる動作、左側へ引く時に少し痛みがありますが、日常生活での痛みは激減しました。

五十肩になりやすい人の生活習慣とは?

肩関節が前側にずれて「前肩」状態が長期間続くと炎症が起こると五十肩が発症します。

五十肩になりやすい人の生活習慣

あなたの前肩度をチェックしましょう。

いつもどおりに普通に立ち姿勢をした時に
真横から見て、両手が体の真横より前側に来ている人は前肩状態。
両手が体の真横に来ている人は肩関節の位置は正しい状態です。

 

真横から前肩度をチェックしましょう

真横から前肩度をチェックしましょう

五十肩を防ぐ「肩甲骨ストレッチ」

アンミカさん流肩甲骨エクササイズ

 

整形外科医・中村格子さんが指南する「肩関節ストレッチ」は簡単でいいかも!

肩位置が整い、肩こりも解消!3つの肩関節ストレッチ

まとめ

  1. 五十肩はある日突然発症するのではなく、長年かけて積み重なった炎症の結果起こる
  2. 痛みを感じたらなるべく早く整形外科で診察を受ける
  3. リハビリで時間をかけて自然治癒、痛みが長引く場合は主治医と肩関節授動術を相談する
  4. 五十肩ではなく腱板断裂なら外科手術が必要
  5. 日頃から肩甲骨、肩関節ストレッチで五十肩を予防することが大事

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Подключение к Интернету могут обеспечить довольно большое мера портативных девайсов благодаря наличию в устройстве соответствующего специального разъёма чтобы карты связи оператора. При этом возникают некоторые неудобства в применении, когда приходится около каждое портативное шедевр сам доставать для каждого из них SIM-карту с подходящим тарифным планом alias вертеть ее с одного приспособления на другое. В этом в случае чтобы эффективности использования времени и средств несравненно лучше обеспечить единое интернет-соединение, около котором однако устройства будут пользоваться высокоскоростное подключение.

По этой причине портативные 3G/4G модемы и мобильные рутеры станут лучшей альтернативой для беспроводного подключения к Всемирной паутине.

Подключить беспроводной интернет ради 1 гривну >>

3G USB-модем: описание характеристик и достоинств

3G USB-модем – это девайс ради обеспечения доступа к Интернету для высокой пропускной способности. Сообразно внешнему виду 3G USB-модемы выглядят ровно flash-накопители. Преимуществом модемного подключения является обязанность использования внешней антенны в регионах с низким уровнем приема цифрового сигнала. Значительную пакет времени 3G USB-модем находится в комплекте с компьютером или ноутбуком. Будто и в других случаях, модемы поставляются с соответствующим драйвером.

Использование модема довольно простое: воеже нет в Интернет, необходимо подключить его к ПК, затем автоматический установить драйвер, потом чего установить дистанционное соединение, готово! 3G USB модемы дозволено задействовать в качестве резервного доступа к домашней сети. Чтобы этого должен подключить USB-модем к настольному маршрутизатору и выполнить соответствующие настройки. USB 3G модем также может служить для связи сквозь USB-кабель с графическими планшетами. Все не весь пользователи устройств с Android могут скрываться готовы к работе с 3G USB-модемом.

Также USB-модем применяют, когда должен подключить к интернет изрядно устройств.

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