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  • Category: Orthopedics

    What is the relation between diabetes and a frozen shoulder problem?

    Want to know about the relation between diabetes and frozen shoulder? Searching for medical advice to know the connection between both here? On this ask expert page you can read the responses from experts for your queries.

    A frozen shoulder is caused by the muscles stiffening up and it takes quite a long while for it to loosen up, primarily through physiotherapy and regular exercises.

    I would like to know why people immediately ask, on knowing that somebody has a frozen shoulder, whether he/she is a diabetic. What is the connection between the two? Is it the case that a diabetic is likely to develop a frozen shoulder (even though vice-versa this may not be the case)?
  • #149126
    Long-term complications of diabetes may include changes in connective tissue that occur as a result of high glucose levels. Frozen shoulder( adhesive capsulitis) refers to a pathological condition of the shoulder joint. This will cause a gradual loss of motion. Generally, it happens in just one shoulder.

    Adhesive capsulitis (AC) is reported to occur in 10 to 29% of those with diabetes. Generally, it is caused by glycosylation of the collagen within the shoulder joint triggered by the presence of high blood sugars.
    Stages of Adhesive Capsulitis
    Stage 1: The Initialization Stage is for a duration of 0 to 3 months. It is associated with pain and reduced range of motion.
    Stage 2: It is the Freezing Stage. It will last from 3 to 9 months, There will be chronic pain and further reduced ROM. The inflammatory stage will move to the fibrotic process. X-rays reveal decreased joint space.
    Stage 3: It is the Frozen Stage. It will be lost for a duration from 9 to 14 months with minimal pain and there will be a significant decrease in the range of motion in the shoulder.
    Stage 4: It is the Thawing Stage. The duration is about 15 to 24 months. During this stage, the pain will reduce and there will be a progressive improvement in ROM. An individual has to recover ROM by strength and conditioning exercises.
    Early detection and proper staging and appropriate treatment may allow the patient who is having diabetes to avoid the painful consequences of this problem.

    always confident

  • #149131
    Normal Shoulder: The shoulder joint is a shallow ball(upper end of humerus bone) and socket joint (shallow pit in the scapula) that has a smooth capsule with ligaments around it that make way for a wide range of movement. Majority of the strength and stability of the shoulder is provided by the rotator cuff.

    Frozen shoulder: Presence of a stiff, painful shoulder with varying degrees of movement restriction. Over an average period of two years, the frozen shoulder progresses from pain to stiffness and then resolution.

    Diabetics and Shoulder disease: Two of the most common disorders of the shoulder include Frozen shoulder and Rotator cuff disease. Both occur in diabetic individuals. Frozen shoulder is far higher (disease prevalence) in Diabetic patients(27.5%) when compared to non-diabetic patients (5%).

    Why does Frozen shoulder happen in Diabetic patients? Although the exact mechanism is not known, it is attritube to a. sub-optimal micro-circulation in diabetic patients, b.high levels of advanced glycosylation end products that increase the stickness of the tendons and ligaments, making them less pliable and less stronger.

    What to be to done to reduce Frozen Shoulder?

    Many links have been explored, although not proven statistically, shoulder problems are higher in patients with longer duration of diabetes, poorer control and co-existence of hyperlipidemia. It can occur in one or both shoulders. After assessment by an expert,a combination of oral anti-inflammatory medications and physiotherapy help to ease the symptoms. Prior to physiotherapy, it is better to do warm-up exercises to ease the stiffness.

  • #149138
    Yes, there is a definite relationship between diabetes and frozen shoulder. Long-term complications of diabetes include changes in connective tissue which occur as a result of high glucose levels. Adhesive capsulitis, in common parlance, ''frozen shoulder'' is a pathological condition of the shoulder joint which causes a gradual loss of motion usually in one shoulder.

    However, frozen shoulder may happen due to various other reasons like awkward pose during sleeping, improper exercise, etc. So, the frozen shoulder does not always imply diabetes.

    Only a qualified physician can conclusively tell the problem and the possible reasons behind it after conducting confirmatory tests.

    Caution: Explosive. Handle with care.

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