Internal Medicine, Surgery, Urology, Gynecology, Pediatrics, Otolaryngology, Plastic Surgery, Oncology, Dermatology, Orthopedics, Hepatology, Nephrology, Neurology, More> > Initially, periarthritis of the shoulder generally presents with shoulder pain. During an episode, this pain can be extremely severe. Do you know what the common symptoms of periarthritis are? Below, authoritative experts will explain it for us. It is hoped that after reading this article, it will be helpful to you. The main symptoms of periarthritis include: (1) Restricted shoulder joint movement: This is a common symptom of periarthritis. Movement in all directions of the shoulder joint may be restricted, especially abduction, elevation, and internal/external rotation. As the condition progresses, long-term disuse causes adhesion of the joint capsule and soft tissues around the shoulder, leading to a gradual decline in muscle strength. Additionally, factors such as the coracobrachialis ligament being fixed in a shortened internal rotation position result in both active and passive movements in all directions of the shoulder joint being restricted. When the shoulder joint abducts, there is a typical "shoulder carrying" phenomenon. Actions such as combing hair, dressing, washing face, and placing hands on the waist are difficult to complete. In severe cases, elbow joint function can also be affected. When bending the elbow, the hand cannot touch the same side shoulder, especially when the arm is extended backward, making it impossible to bend the elbow. (2) Muscle spasm and atrophy: In the early stages, muscles around the shoulder such as the deltoid and supraspinatus may experience spasms. In the late stages of periarthritis, clinical manifestations can lead to disuse muscle atrophy, resulting in typical symptoms such as prominent shoulder peaks, difficulty in raising arms, and limited backward bending. At this point, the pain symptoms actually decrease. There may be mild atrophy of the deltoid and trapezius spasm. The tendons of the supraspinatus, biceps brachii (long and short heads), and anterior/posterior edges of the deltoid can have significant tenderness. Shoulder joint movement is most obviously restricted in abduction, external rotation, and extension. A small number of people may also experience restriction in adduction and internal rotation, but less so in forward flexion. This is also a common symptom of periarthritis. (3) Shoulder pain: Initially, the clinical presentation of periarthritis is characterized by intermittent shoulder pain, mostly chronic onset, followed by gradually worsening or sudden sharp pain, or knife-like pain, which is persistent. Climate changes or overwork often exacerbate the pain. Do you know if periarthritis is related to trauma? Pain can radiate to the neck and upper limbs (especially the elbow). When the shoulder is accidentally bumped or pulled, it can cause tearing-like severe pain. The characteristic of this disease is that the pain is lighter during the day and worse at night. Most patients often report being awakened by pain in the second half of the night, unable to sleep, especially unable to lie on the affected side. This situation is more obvious in those caused by blood deficiency; if caused by cold, they are particularly sensitive to climate changes. This is a milder type of periarthritis symptom. The above introduces the symptoms of periarthritis, hoping it will be helpful to everyone. If you have any unclear points, feel free to consult online experts who will provide appropriate advice. Thank you for your support and trust in our website. Here, we sincerely wish you good health.