肩(jian)(jian)周炎是(shi)以肩(jian)(jian)關(guan)節(jie)(jie)疼(teng)(teng)(teng)痛(tong)(tong)和活(huo)動不(bu)便為(wei)主要癥(zheng)狀(zhuang)的(de)常(chang)見(jian)病(bing)癥(zheng)。，本病(bing)早期(qi)肩(jian)(jian)關(guan)節(jie)(jie)呈(cheng)陣發性疼(teng)(teng)(teng)痛(tong)(tong)，常(chang)因天氣變化(hua)及勞累(lei)而(er)誘發，以后(hou)逐(zhu)漸發展為(wei)持續性疼(teng)(teng)(teng)痛(tong)(tong)，并逐(zhu)漸加重(zhong)，晝輕夜重(zhong)，肩(jian)(jian)關(guan)節(jie)(jie)向(xiang)(xiang)各(ge)個方(fang)向(xiang)(xiang)的(de)主動和被動活(huo)動均(jun)受限。肩(jian)(jian)部受到(dao)牽拉時，可(ke)(ke)(ke)引起劇烈疼(teng)(teng)(teng)痛(tong)(tong)。肩(jian)(jian)關(guan)節(jie)(jie)可(ke)(ke)(ke)有廣泛(fan)壓痛(tong)(tong)，并向(xiang)(xiang)頸部及肘部放射，還可(ke)(ke)(ke)出(chu)現不(bu)同程(cheng)度(du)的(de)三角肌(ji)的(de)萎縮(suo)。本病(bing)女性多(duo)于男(nan)性，左側多(duo)于右側，亦可(ke)(ke)(ke)兩側先后(hou)發病(bing)。多(duo)為(wei)中、老(lao)年患(huan)病(bing)。 逐(zhu)漸出(chu)現肩(jian)(jian)部某一處肩(jian)(jian)周炎痛(tong)(tong)，與動作(zuo)、姿(zi)勢有明顯關(guan)系。隨病(bing)程(cheng)延長(chang)，疼(teng)(teng)(teng)痛(tong)(tong)范(fan)圍(wei)擴大，并牽涉到(dao)上臂中段，同時伴肩(jian)(jian)關(guan)節(jie)(jie)活(huo)動受限。如欲增大活(huo)動范(fan)圍(wei)，則有劇烈銳痛(tong)(tong)發生(sheng)。嚴重(zhong)時患(huan)肢不(bu)能(neng)(neng)梳頭、洗面(mian)和扣腰(yao)帶。夜間因翻身移(yi)動肩(jian)(jian)部而(er)痛(tong)(tong)醒。病(bing)人初期(qi)尚(shang)能(neng)(neng)指出(chu)疼(teng)(teng)(teng)痛(tong)(tong)點，后(hou)期(qi)范(fan)圍(wei)擴大，感覺疼(teng)(teng)(teng)痛(tong)(tong)來于肱骨。

中醫認(ren)為(wei)，因(yin)外感風(feng)濕(shi)(shi)、肺受風(feng)熱、強力負(fu)重，跌(die)(die)仆(pu)損傷(shang)等原(yuan)因(yin)，傷(shang)及(ji)手(shou)三陽所(suo)致(zhi)。以肩為(wei)手(shou)三陽經交會處，又屬肺臟分域。由外感風(feng)濕(shi)(shi)所(suo)致(zhi)者，肩痛(tong)(tong)(tong)偏(pian)(pian)后，常與背痛(tong)(tong)(tong)并見，治(zhi)宜祛風(feng)化濕(shi)(shi)，方用羌(qiang)活勝濕(shi)(shi)湯加(jia)減;如因(yin)肺受風(feng)熱者，證見肩痛(tong)(tong)(tong)偏(pian)(pian)前(qian)，痛(tong)(tong)(tong)連手(shou)臂，方用防風(feng)湯、羌(qiang)活散等。如因(yin)強力負(fu)重或(huo)跌(die)(die)仆(pu)損傷(shang)者，痛(tong)(tong)(tong)有定處，伸(shen)屈不利，或(huo)痛(tong)(tong)(tong)引頸項(xiang)等，可結合傷(shang)科、推拿、針灸治(zhi)療。

肩(jian)(jian)膀(bang)痛可(ke)以(yi)是肩(jian)(jian)關(guan)節(jie)(jie)本身(shen)(shen)的(de)(de)疾(ji)病，如(ru)肩(jian)(jian)關(guan)節(jie)(jie)炎(yan)(yan)癥或(huo)損傷；但(dan)有時肩(jian)(jian)關(guan)節(jie)(jie)疼痛并不一定是肩(jian)(jian)關(guan)節(jie)(jie)本身(shen)(shen)的(de)(de)原因(yin)(yin)。頸部(bu)(bu)(bu)的(de)(de)疾(ji)患，如(ru)最常見的(de)(de)頸椎病就可(ke)以(yi)導(dao)致肩(jian)(jian)部(bu)(bu)(bu)疼痛。心臟(zang)疾(ji)病如(ru)心肌梗塞、心絞痛有時也(ye)會(hui)向左(zuo)肩(jian)(jian)部(bu)(bu)(bu)放射(she)，而(er)被誤(wu)診為(wei)肩(jian)(jian)周(zhou)炎(yan)(yan)。膽(dan)囊(nang)疾(ji)病如(ru)膽(dan)結石、膽(dan)囊(nang)炎(yan)(yan)疼痛向右(you)肩(jian)(jian)部(bu)(bu)(bu)放射(she)。總(zong)之(zhi)，能夠引起肩(jian)(jian)部(bu)(bu)(bu)疼痛的(de)(de)疾(ji)病很多，對于肩(jian)(jian)部(bu)(bu)(bu)疼痛應該仔細尋找病因(yin)(yin)。