還沒50歲 就有五十肩50-year-old has not frozen shoulders

還沒50歲 就有五十肩 反覆性、局部性用力 致病主因 老師是高危險群 還沒50歲 就有五十肩。 ●「教書20多年，5年多前右上臂竟然有點提不起來，同事說是五十肩，還不到50歲就五十肩，我真有點被嚇到！」 台灣彰化某國中黃姓教師說，他幾乎每天寫黑板，一天寫下來，覺得手臂痠痛，有時候手腕隱隱痠麻，遇到這種情況，晚上睡前熱敷10多分鐘，會舒服一點。大概痠痛沒完全消除，積年累月下來，他只好求助復健科，每星期固定做一次復健，現在兩側肩膀和手臂可以舉高，好多了。彰化市精誠中學的陳靜盈老師，擔任教職約4年，她說，要是多寫黑板，肩膀和上臂就有點痠，不舒服的程度還不到需要求醫，我常利用下課時間做手臂伸展操，拉一拉筋再放鬆，肌肉和肩膀、手肘關節的不適感減輕很多。我建議教師空閒時候多做運動，打打球、跑一跑，全身關節動一動，對於改善關節與肌肉的「痠、緊」也很有效。 台灣秀傳紀念醫院復健科醫師鄭美麗說，長期性、反覆性、局部性的用力，是造成肩膀、手臂、手肘、手腕和手掌痠痛的主因。 老師每天握筆改作業、打電腦、寫黑板，肩膀到手指無可避免重覆相同動作，鄭美麗表示，握筆、拿粉筆猛寫字，手掌肌腱和食指、中指容易痠痛甚至發炎，打電腦手腕容易罹患俗稱「媽媽手」的腕隧道症候群。 此外，老師常不自覺扭轉右肩、右臂和右手腕，一邊寫黑板一邊面對學生講課，固然可以掌握學生的反應，卻容易造成手臂韌帶拉傷和手腕扭傷。 鄭美麗說，老師也習慣高舉手臂由上而下寫黑板，讓肩膀既痠又痛，發生肩部黏連性囊炎，雖然叫做五十肩，但未必年近半百的人才如此，發生機率與過度使用次數成正比，她的門診有一位老師患者常常高舉手臂寫黑板，40出頭就有五十肩。 還不到退休年齡，已經出現痠痛或發炎症狀的教師，怎麼辦？鄭美麗建議，上完一節課，輕輕揉捏寫字、寫黑板的手臂和手掌，如果感到肩膀微微的痠，伸直手臂，手肘向內彎，手掌扣住另一隻手的手掌，做拉筋的動作，然後換另一邊手臂，拉筋、放鬆重覆做三遍。 冰熱敷 勤復健 大多可痊癒 熱敷能有效改善肌腱、肌肉和關節痠痛，外加全身肌肉放鬆，舒緩痠痛症狀，萬一已經發炎導致紅、腫，必須改用冰敷，鄭美麗說，發炎最好迅速求醫與服藥。 彰化市有一位國中教師求助醫院復健科治療肩膀和手臂痠痛，一年前，她年滿55歲退休，退休後再做一次復健，從此沒出現，醫護人員追蹤詢問，這位老師回答說：「不寫黑板、不改作業，少打電腦，肩膀和手臂沒什麼痠痛了。」 鄭美麗表示，只要不再重覆傷害肩膀、手肘關節和韌帶的動作，五十肩等不當運動傷害大多能夠自然痊癒，時間也許需要一年，也許很多年。（簡慧珍） 手部易受傷害族群 上班族 打電腦「媽媽手」、肩膀痠痛。 家庭主婦 做家事「媽媽手」、肩膀痠痛。 文書人員 蓋章，手掌肌腱發炎，肩膀痠痛。 機械操作員 肩膀痠痛、手臂肌腱拉傷。 資料來源秀傳紀念醫院 2008-10-04 50-year-old has not frozen shoulders Over and over again, forced local disease is the main cause of teachers at high risk 50-year-old has not frozen shoulders. ● "teaching for more than 20 years, more than five years ago right upper arm was a little bit not to mention, my colleagues said to be frozen shoulders, less than the 50-year-old frozen shoulders, I was scared to death to be a little bit!" Changhua, Taiwan a country in the capacity of teachers said that he was almost on a daily basis to write on the blackboard, write it down one day and felt pain in my arm, wrist and sometimes faint Suanma, find themselves in this position before going to bed at night hot more than 10 minutes, will be a little uncomfortable . Probably not completely eliminate the pain, Jinian down year after year, he had no choice but to seek help from rehabilitation, fixed once a week, rehabilitation, is now on both sides of the shoulders and arms can move higher, much better. Chen Changhua absolute sincerity of surplus secondary school teachers, as teaching about 4 years, she said, if the blackboard and writing, You Diansuan on the shoulder and upper arm, the degree of discomfort does not need to seek medical attention, I often use class time to do stretching exercises arm, Reinforcement and then pull a relaxed muscle and shoulder, elbow hand to alleviate a lot of discomfort. I suggest that teachers free time to exercise regularly, play to play, run, Dong Yidong body joints, muscles and joints to improve the "acid, bear," is also very effective. Taiwan's Chuan-show Memorial Hospital rehabilitation, said Dr. Cheng beautiful, long-term, over and over again, the local force, is caused by the shoulder, arm, elbow, wrist and hand the main cause of the pain. Wobi teachers to work every day, playing computer, writing on the blackboard, shoulder to the fingers will inevitably repeat the same actions, said Cheng beautiful, Wobi, using chalk to write Meng, the palm of your hand and index finger tendon, soreness or inflammation of the middle finger easy , Wrist computers vulnerable to attack known as the "mother hand" of carpal tunnel syndrome. In addition, teachers often unconsciously turn right shoulder, right arm and right wrist, while students write on the blackboard in the face side of the lectures, of course, students can grasp the reaction, but it easily arm ligament injury and a sprained wrist. Zheng said that the beautiful, the teachers used to hold high the arm from the top down to write on the blackboard so that both shoulder pain and acid, the occurrence of adhesion of shoulder bursitis, although known as frozen shoulders, but may not be a hundred years, nearly half of the people of this, and the incidence of excessive Use direct proportion to the number of times, she's a patient teacher, often in patients with arm held high to write on the blackboard, 40 had early frozen shoulders. Less than the retirement age, has symptoms of pain or inflammation of the teachers, how do? Zheng beautiful proposals on a class End gently kneading write, write on the blackboard in the arm and hand, if the shoulder was slightly acid, straight arm, elbow bent inwards, hold the palm of one hand the palm of your hand, Reinforcement of the action to do, and then for the other side of the arm, reinforcement, so relax repeat three times. Hot ice field can be recovered most of the rehabilitation Hot effective in improving the tendon, muscle and joint pain, plus full-body muscle relaxation, ease pain symptoms, the event has led to inflammation of the red, swollen, to switch to ice, beautiful Zheng said rapid inflammation of the best medical treatment and medication . Changhua City, a teacher in the State Hospital for help rehabilitation treatment on the shoulder and arm pain, a year ago, she reached the age of 55-year-old retired after doing a rehabilitation, not from this, medical staff asked follow-up, the teacher Replied: "I do not write on the blackboard, not to work, less play computer, the shoulder and arm pain a little." Zheng said that the beautiful, as long as no harm to repeat the shoulder, elbow and hand movements ligament, frozen shoulders, and other improper most of the injuries to heal naturally, the time may be needed a year, perhaps for many years. (Jane Huizhen) Hand vulnerable groups Working Computer to play "mother", the shoulder pain. Housewives Housework, "mother", the shoulder pain. Clerical staff Seal, the palm of your hand tendon inflammation, pain in the shoulder. Machine operators Sore shoulder, arm tendon injury. Source show-Memorial Hospital 2008-10-04 View more information, see the World Journal reported that e-ePaper

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