Frozen shoulder is a painful restriction of shoulder movement. It affects 11 to 30% of people with diabetes, as opposed to 2 to 10% of people who dont have diabetes. Frozen shoulder is also known as adhesive capsulitis, shoulder periarthritis, or obliterative bursitis. The capsule of a shoulder joint includes the ligaments that attach the shoulder bones to each other. When inflammation occurs within the capsule, the shoulder bones are unable to freely move within the joint.
The main symptom of frozen shoulder is pain and, as result, stiffness sets in. Over time and/or with treatment, mobility can slowly return. Treatment often includes non-steroidal anti-inflammatory medications (NSAIDs), steroid injections, and physical therapy. People with diabetes who are treated with steroid injections may experience increased blood sugar levels over 24 to 48 hours after receiving the injection.
In people without diabetes, frozen shoulder can present itself about the age of 50. For people with diabetes, this condition can occur in those as young as 40, sometimes younger. While frozen shoulder is usually less painful for those who are afflicted at a younger age, treatment may not be as effective and the condition may last a longer time. Tight control over blood sugar levels helps in the prevention of frozen shoulder.
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I'm always amazed when I hear how much time quarterback Peyton Manning puts in at practice. More than 15 seasons playing NFL football at the highest level and he still finds areas in his game that require fixing. It's been 10 years for us in the game of type 1 diabetes and I still have so much to learn. Not to compare my diabetes management success to Peyton Manning's football success. If anything, I'm more like Peyton's brother, Eli. I...