形 · Frozen Shoulder · 五十肩
Frozen Shoulder Treatment
五十肩调理 · Kuala Lumpur & Penang
An arm that will not lift past a certain point, pain when you reach behind your back or put on a shirt, waking at night when you roll onto that side. At Virtue TCM we look at the shoulder, shoulder blade, ribs and upper back together, then use SRM structural therapy, acupuncture or tuina as needed.
手举到一个高度就上不去、手伸不到背后、穿衣服会痛、晚上压到那一侧就痛醒。醫道閣会一起看肩膀、肩胛、肋骨与上背，再视需要使用 SRM 系统还原手法、针灸或推拿。
五十肩通常以「月」计算，不是一两次。第一次之后会老实说明预期。
Be honest about time · 先说实话
Frozen shoulder takes patience.
五十肩，需要耐心。
- It often runs in stages
First mostly painful, then mostly stiff, then slowly loosening. On its own this can take many months, sometimes longer.
通常先是痛为主，再来是僵硬为主，最后慢慢松开。不处理的话，常常要好几个月，甚至更久。 - Age and room to move matter
In younger people a stiff shoulder can settle within weeks. Later in life the tissues have less room to give, so progress is slower and steadier.
年轻人的肩膀卡住，几个礼拜就可能松开；年纪越大，组织能让出的空间越少，进度会比较慢，要稳稳地走。 - What we aim for
Less night pain, more height when you lift, and getting dressed without help, measured visit by visit.
我们看的目标是：晚上痛得少一点、手抬得高一点、自己穿衣服不用人帮，每次回诊一起确认。 - More common with diabetes and thyroid conditions
Please tell us about them, and keep your regular medical follow-up.
糖尿病、甲状腺问题的人比较常见，请先告诉医师，并继续原本的西医追踪。
形 · How SRM looks at a stiff shoulder · SRM 怎么看五十肩
The shoulder hangs on the rib cage.
肩膀，是挂在胸廓上的。
醫 · 形 · 養, for frozen shoulder
Assess · Structure · Recover
评估 · 结构 · 复元
醫
Assess · 评估
Pulse, tongue, sleep and how high and how far behind you the arm can go, read together.
把脉、看舌、问睡眠，再看手能抬多高、能伸到背后多远。
形
Structure · 结构
SRM for the shoulder, shoulder blade, upper ribs and upper back, without forcing the joint.
SRM 处理肩、肩胛、上段肋骨与上背，不硬扳关节。
養
Recover · 复元
Acupuncture for pain and sleep, warmth, and a few daily movements between visits.
针灸缓解疼痛、帮助睡眠，加上保暖与每天几个小动作。
Before your first visit · 来之前
Common questions
How many sessions will I need? 需要做幾次？
Frozen shoulder usually needs a series of visits over weeks to months. After the first session your practitioner will suggest a rhythm and review progress with you, without a fixed package upfront.
五十肩通常需要几个礼拜到几个月、分次处理。第一次之后医师会建议回诊节奏，一起看进度，不需要先买配套。
Should I keep moving it? 要不要一直動？
Yes, gently and within comfort. Pushing hard through sharp pain often makes it worse. Your practitioner will show you which movements suit your stage.
要动，但要温和、在可以忍受的范围内。忍着剧痛硬拉，常常更糟。医师会依你目前的阶段，教你适合的动作。
Is all shoulder pain frozen shoulder? 肩膀痛都是五十肩嗎？
No. Tendon strain, pain coming from the neck and other causes can look similar. The assessment helps tell them apart, and your practitioner will refer you for a scan if needed.
不是。肌腱拉伤、从颈部传来的痛等，看起来都很像。评估可以帮助分辨，需要时医师会建议你去照影像。
General acupuncture or SRM? 做一般針灸，還是 SRM？
General acupuncture, chosen along the meridians, is often used to calm pain and help sleep. SRM releases what is holding the shoulder, using hands-on work and SRA (Systemic Resilience Acupuncture): shallow needles placed along the lines of tension from the ribs and shoulder blade, often on the dominant side, released layer by layer with the arm held at the right angle. The assessment decides the mix.
一般针灸依经络选穴，常用来缓解疼痛、帮助睡眠；SRM 则用手法和系统还原针法（SRA）松开卡住肩膀的地方：系统还原针法浅浅扎在皮下，沿着肋骨、肩胛传来的张力，常常扎在惯用手那一侧，配合手臂的角度一层一层松开。怎么搭配，看评估结果。
When should I see a medical doctor first? 什麼情況要先看西醫？
Shoulder pain after a fall or accident; a shoulder that looks out of shape; a hot, red, swollen joint or fever; arm weakness or numbness; or left shoulder or arm pain with chest pain, breathlessness or sweating (go to A&E straight away).
跌倒或车祸后的肩痛、肩膀外形改变、关节红肿热或发烧、手臂无力或麻木；左肩或左手痛同时胸闷、喘、冒冷汗，请立刻到急诊。
Related · 延伸阅读：肩膀按完松了，隔天又硬回来 · 针灸 · 疤痕调理 · 结构疗法
Individual conditions vary. Recommendations follow consultation and practitioner assessment. 个人情况因人而异，疗程建议需经问诊与医师评估后决定。
