肩(jian)周(zhou)炎是以肩(jian)關(guan)(guan)節(jie)疼(teng)痛(tong)和(he)活(huo)動(dong)(dong)不(bu)便(bian)為主要(yao)癥狀的(de)(de)常(chang)見病(bing)(bing)癥。，本(ben)病(bing)(bing)早期肩(jian)關(guan)(guan)節(jie)呈(cheng)陣(zhen)發性疼(teng)痛(tong)，常(chang)因天(tian)氣(qi)變化(hua)及(ji)勞累而誘發，以后逐漸發展為持續(xu)性疼(teng)痛(tong)，并(bing)(bing)逐漸加重，晝(zhou)輕夜重，肩(jian)關(guan)(guan)節(jie)向(xiang)各(ge)個方向(xiang)的(de)(de)主動(dong)(dong)和(he)被動(dong)(dong)活(huo)動(dong)(dong)均受限。肩(jian)部(bu)(bu)受到牽拉(la)時，可(ke)(ke)(ke)引起劇(ju)烈(lie)疼(teng)痛(tong)。肩(jian)關(guan)(guan)節(jie)可(ke)(ke)(ke)有廣泛壓(ya)痛(tong)，并(bing)(bing)向(xiang)頸部(bu)(bu)及(ji)肘部(bu)(bu)放射，還可(ke)(ke)(ke)出(chu)現不(bu)同程(cheng)度(du)的(de)(de)三角肌的(de)(de)萎縮。本(ben)病(bing)(bing)女性多(duo)于男性，左側(ce)(ce)多(duo)于右側(ce)(ce)，亦可(ke)(ke)(ke)兩側(ce)(ce)先后發病(bing)(bing)。多(duo)為中(zhong)、老年患(huan)病(bing)(bing)。 逐漸出(chu)現肩(jian)部(bu)(bu)某一處肩(jian)周(zhou)炎痛(tong)，與動(dong)(dong)作、姿勢有明顯關(guan)(guan)系。隨(sui)病(bing)(bing)程(cheng)延長，疼(teng)痛(tong)范圍擴大，并(bing)(bing)牽涉到上臂中(zhong)段，同時伴肩(jian)關(guan)(guan)節(jie)活(huo)動(dong)(dong)受限。如欲增大活(huo)動(dong)(dong)范圍，則有劇(ju)烈(lie)銳痛(tong)發生。嚴重時患(huan)肢不(bu)能梳頭、洗面和(he)扣腰帶。夜間因翻身移(yi)動(dong)(dong)肩(jian)部(bu)(bu)而痛(tong)醒。病(bing)(bing)人(ren)初期尚能指出(chu)疼(teng)痛(tong)點，后期范圍擴大，感覺疼(teng)痛(tong)來于肱骨。

中醫認為，因外(wai)感風(feng)濕(shi)、肺(fei)(fei)受風(feng)熱、強力負(fu)重(zhong)，跌(die)(die)仆損傷等原因，傷及(ji)手三陽(yang)所致(zhi)。以肩(jian)(jian)為手三陽(yang)經(jing)交(jiao)會處(chu)，又(you)屬肺(fei)(fei)臟分(fen)域。由外(wai)感風(feng)濕(shi)所致(zhi)者，肩(jian)(jian)痛(tong)偏后，常與背痛(tong)并見，治宜祛風(feng)化濕(shi)，方(fang)用(yong)(yong)羌活勝濕(shi)湯加減;如(ru)因肺(fei)(fei)受風(feng)熱者，證(zheng)見肩(jian)(jian)痛(tong)偏前，痛(tong)連(lian)手臂，方(fang)用(yong)(yong)防風(feng)湯、羌活散(san)等。如(ru)因強力負(fu)重(zhong)或跌(die)(die)仆損傷者，痛(tong)有(you)定處(chu)，伸屈不利(li)，或痛(tong)引頸項(xiang)等，可結(jie)合傷科、推(tui)拿、針灸(jiu)治療。

肩(jian)膀(bang)痛(tong)(tong)(tong)(tong)可(ke)以是肩(jian)關(guan)節(jie)(jie)本(ben)身(shen)的(de)疾(ji)病(bing)(bing)，如(ru)肩(jian)關(guan)節(jie)(jie)炎(yan)癥或損傷；但(dan)有(you)時肩(jian)關(guan)節(jie)(jie)疼(teng)(teng)痛(tong)(tong)(tong)(tong)并不一定是肩(jian)關(guan)節(jie)(jie)本(ben)身(shen)的(de)原因(yin)。頸部(bu)的(de)疾(ji)患，如(ru)最常見的(de)頸椎病(bing)(bing)就可(ke)以導致肩(jian)部(bu)疼(teng)(teng)痛(tong)(tong)(tong)(tong)。心(xin)臟疾(ji)病(bing)(bing)如(ru)心(xin)肌梗(geng)塞、心(xin)絞痛(tong)(tong)(tong)(tong)有(you)時也會向(xiang)左肩(jian)部(bu)放(fang)射，而(er)被誤診為(wei)肩(jian)周炎(yan)。膽(dan)(dan)囊(nang)疾(ji)病(bing)(bing)如(ru)膽(dan)(dan)結石、膽(dan)(dan)囊(nang)炎(yan)疼(teng)(teng)痛(tong)(tong)(tong)(tong)向(xiang)右肩(jian)部(bu)放(fang)射。總(zong)之，能夠引起肩(jian)部(bu)疼(teng)(teng)痛(tong)(tong)(tong)(tong)的(de)疾(ji)病(bing)(bing)很多，對于肩(jian)部(bu)疼(teng)(teng)痛(tong)(tong)(tong)(tong)應該仔細尋找病(bing)(bing)因(yin)。