
1 GENERAL OBJECTIVE
– Shoulder periarthritis is a disease, including all cases of pain and limitation of movement of the shoulder joint, the damage is in the soft tissue around the joint, mainly tendons, muscles, ligaments and joint capsule.
The causes of shoulder arthritis are complex. Local causes are usually trauma, occupational habits, tendonitis.
- Causes far from the body are diseases of the pleura, myocardial infarction, coronary artery disease, nerve damage...
The disease usually lasts from 6 months to several years and often leaves sequelae of muscle atrophy, reduced mobility, limited movement of the upper extremities, greatly affecting the ability to work and delicate movements of the patient. arm.
2 SMALL INDICATIONS
– Shoulder periarthritis of all ages, acute or chronic inflammation.
3 CONTRAINDICATIONS
- Inflammation around the shoulder joint due to trauma, due to tendonitis.
- Diseases caused by vascular, cardiovascular, lung diseases
4 PREPARATION
4.1. Practitioners Doctors and medical practitioners trained in the specialty of traditional medicine shall be granted practice certificates in accordance with the law on medical examination and treatment.
4.2. Vehicle
- Standard operating room.
– Dissolved catgut thread, sterile lumbar puncture needle.
– Enamel tray, clip with clip, sterile cotton gauze, iodine alcohol, adhesive tape, sterile gloves.
- Anti-shock medicine box.
4.3. Patient
- Be consulted, explained before entering treatment
- To be examined and make medical records according to regulations.
- Posture exposes the area of the point where the thread is implanted.
5 PREVENTION STEPS
5.1. Diagram of acupoints
+ Coke (GI4) + Bonded (TR5) + Khuc Tri (GI11)
+ Perseverance (GI15) + Perseverance (IG9) + Perseverance (TR14)
+ Ty Nhu (GI14) + Thien Tong (IG11)
– Depending on the disease, choose the right implant point, usually choose from 2-4 acupoints only once.
5.2. Tips
- Wash hands and wear sterile gloves.
– Cut Catgut thread into pieces about 1cm. Thread the thread into the barrel of the needle.
- Determine the exact acupoint for thread implantation. Disinfection of acupoints
– Insert the needle quickly through the skin and push it slowly to the point.
– Push the barrel of the needle so that the thread stays in the acupoint.
– Gently pull out the needle.
– Place sterile gauze on the point just implanted.
- Secure gauze with adhesive tape.
5.3. Treatment course
– Each transplant of Catgut only works for about 20-25 days.
– After 20-25 days of implantation, only come back for a follow-up examination for further indications.
6 TRACKING AND TREATMENT OF HAZARDS
6.1. Monitoring: Patient's condition during each procedure.
6.2. Handling accidents
– Bleeding: Use sterile dry cotton gauze to press on the spot, do not rub.
– Pain and swelling at the place of implantation: Apply heat, anti-edema medication or oral antibiotics if infection is suspected.