What medication is effective for shoulder periarthritis?

Generally, periarthritis of the shoulder is a condition caused by an aseptic inflammation of the soft tissues surrounding the shoulder joint. Common symptoms include shoulder pain, restricted movement, and worsening pain at night. Patients may take medications such as ibuprofen sustained-release capsules, diclofenac sodium enteric-coated tablets, celecoxib capsules, eperisone hydrochloride tablets, and etoricoxib tablets according to medical advice. Detailed explanations are as follows:

1. Ibuprofen Sustained-Release Capsules

These belong to nonsteroidal anti-inflammatory drugs (NSAIDs) that exert anti-inflammatory and analgesic effects by inhibiting prostaglandin synthesis. They can effectively relieve shoulder pain and inflammation caused by periarthritis of the shoulder, with a long duration of action, reducing discomfort during daily activities. These are suitable for patients with mild to moderate pain.

2. Diclofenac Sodium Enteric-Coated Tablets

Also a nonsteroidal anti-inflammatory drug, it has a stronger anti-inflammatory and analgesic effect. It can inhibit cyclooxygenase activity, reducing the release of inflammatory mediators, significantly relieving shoulder swelling and pain caused by periarthritis of the shoulder. It is suitable for patients with obvious pain symptoms.

3. Celecoxib Capsules

These work by selectively inhibiting cyclooxygenase-2, providing anti-inflammatory and analgesic effects with relatively fewer gastrointestinal side effects. They can improve shoulder pain and joint mobility in patients with periarthritis of the shoulder, making them suitable for patients with weak gastrointestinal function or a history of gastrointestinal disease.

4. Eperisone Hydrochloride Tablets

This is a centrally acting muscle relaxant that can relieve muscle tension and spasm around the shoulder joint. By improving muscle spasm conditions, it reduces shoulder pain exacerbated by muscle tension and helps restore shoulder joint mobility. It is often used in combination with anti-inflammatory analgesics.

5. Etoricoxib Tablets

This is a selective cyclooxygenase-2 inhibitor that provides significant anti-inflammatory and analgesic effects with a rapid onset of action. It effectively controls inflammatory responses in periarthritis of the shoulder, relieves pain, and improves restricted shoulder joint movement. It is suitable for patients with moderate to severe pain or those who do not respond well to other nonsteroidal anti-inflammatory drugs.

In daily life, it is important to avoid overexertion of the shoulder, maintain the same posture for prolonged periods (such as sitting for long durations or keeping the arms raised), perform appropriate shoulder stretching exercises, keep the shoulder warm, and avoid cold exposure that may worsen symptoms.