颈源性肩周炎发病与推拿治疗机制研究概况

An Overview of Mechanisms of Pathogenesis of Scapulohumeral Periarthritis due to Cervical Spondylosis and Treatment of Tuina

笔者通过查阅国内外相关文献,总结颈源性肩周炎发病与推拿治疗的相关机制,发现颈椎病引发的颈神经根、窦椎神经和交感神经受刺激,影响肩关节及其周围软组织的正常代谢,产生炎症反应,是颈源性肩周炎的发病机制。而推拿治疗本病的机制有解除肌肉痉挛、改善血液淋巴循环、松解软组织粘连、恢复颈椎力学平衡及镇痛。

By consulting the relevant literature at home and abroad, the authors summarize the related mechanism of pathogenesis of scapulohumeral periarthritis due to cervical spondylosis as well as the treatment of tuina. It is found that the stimulation of cervical nerve roots, sinuvertebral nerves and sympathetic nerves caused by cervical spondylosis can affect the normal metabolism of shoulder joint as well as surrounding soft tissue and lead to inflammatory reaction, which is the pathogenesis of scapulohumeral periarthritis due to cervical spondylosis. The mechanism of tuina treating this disease is to relieve muscle spasm, improve the circulation of blood and lymph, release soft tissue adhesion, restore cervical mechanical equilibrium and ease pain.