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大拇指掌腕關節炎

簡介: 手的第一個掌腕關節是手腕最常發生退化性關節炎和疼痛的地方。 可由高齡、過度使用和傷病史加速關節退化。 癥狀: 手腕活動疼痛和觸痛。   治療: 藥物治療和短期睡覺時使用大拇指固定環。將類固醇針劑注射到關節中可助於減緩徵狀。在未解決的病例中,可以考慮手術。 Thumb Spica Brace 此護具能固定拇指跟手腕連結處. 短暫使用能減少媽媽手或大拇指掌腕關節炎的症狀. 長期使用可能導致關節僵硬, 請勿長期穿戴. Purchase

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Thumb carpometacarpal joint arthritis

>60 years old –Thumb carpometacarpal joint arthritis Intro: The first carpometacarpal joint of the hand is a common area to develop degeneration and therefore arthritis and pain. Advance age, overuse, and prior injury are some exacerbating factors. Symptoms: The first carpometacarpal joint of the hand is a common area to develop degeneration and therefore arthritis

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肩(肩峰下)滑囊炎

肩(肩峰下)滑囊炎 簡介: 肩部/肩峰下滑囊炎是肩部的常見病因,其原因是肩袖肌腱在通過肩胛骨外緣(肩峰)骨尖下方時受壓。這種情況由肩袖肌腱和肩峰下滑囊(肩峰和肌腱之間的滑膜腔)的刺激而引起疼痛。 癥狀: 頭頂活動和側睡時疼痛。 治療:物理治療和藥物治療。將類固醇針劑注射到肩峰下腔可以緩解癥狀。促進肌腱癒合的血小板(PRP)針劑注射也可幫忙治療促進肌腱癒合。在罕見無法解決的病例中,可以進行肩峰下減壓手術,擴大肌腱通過的空間。 https://youtu.be/jnYiRvN0SBY

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退化性肩關節炎

>60歲,肩膀活動受限 – 退化性肩關節炎 簡介: 退化性肩關節炎是一種關節老化疾病,往往於年邁者身上即過往肩部受傷而產生。 癥狀: 疼痛和肩部活動減少。 治療: 物理治療和藥物治療。關節針劑注射類固醇也可以緩解癥狀。當非手術治療失效時,可考慮肩關節置換手術

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五十肩(沾黏性肩關節囊炎)

 <60歲,肩膀活動受限 – 五十肩(沾黏性肩關節囊炎) 簡介: 沾黏性肩關節囊炎,也稱為五十肩,是一種涉及關節囊增厚和僵硬的肩部疾病。它最常見於40-60歲左右的患者,尤其糖尿病和甲狀腺疾病者。 癥狀: 肩膀活動減少,疼痛,特別是在側睡時。五十肩自行消退機率高,但可能需要六個月到一年多的時間。肩膀越不動越容易使病情惡化。 治療:物理治療和藥物治療。  類固醇關節針劑注射可緩解症狀。對於持續性情況,可由手術治療。

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少棒肩

<18歲,棒球運動員—少棒肩 簡介: 少棒肩是年輕棒球運動員,特別是投手和捕手常見的關節疾病。它通常是由投球時手臂骨(肱骨)生長板的壓力,導致生長板變寬。  癥狀: 肩膀移動時不適和疼痛。 治療: 停止投擲和物理治療,然後在返回比賽之前進行投擲復健訓練。如有此症狀,建議停止投擲,並儘快就醫評估。

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Shoulder (subacromial) impingement

None of the above – Shoulder (subacromial) impingement Intro: Shoulder/subacromial impingement is a common cause of shoulder which results from compression of rotator cuff tendons as it passes underneath the bony tip of the outer edge of the shoulder blade (acromion). This condition causes pain due to irritation of the rotator cuff tendons and the subacromial

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Shoulder Osteoarthritis

>60-year-old with limited range of motion – Shoulder osteoarthritis Intro: Osteoarthritis of the shoulder is a degenerative joint disorder that may manifest the elderly naturally or in individuals with prior shoulder injury. Symptoms: Pain and decreased motion of the shoulder. Treatment: Physical therapy and medications. A steroid injection into the joint may provide relief as well.

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Frozen Shoulder

<60-year-old with limited range of motion – Frozen shoulder (adhesive capsulitis) Intro: Adhesive capsulitis, also known as frozen shoulder, is a condition of the shoulder that involves thickening and stiffness of the joint capsule. It most commonly occurs in individuals around 40-60 years of age, with diabetes and thyroid disorders being a risk factor. Symptoms: Decreased

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