Frozen Shoulder

 

Musculoskeletal Issues 

Frozen Shoulder

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.

Last Modified Date: May 15, 2013

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by Lindsey Guerin
Last Saturday, I’d been struggling with an entire week above 200 that just didn’t seem to want to budge. So I decided that I couldn’t risk the Omnipod anymore and I had to pull it from my management routine, at least until things settled down. I started twice-daily Lantus injections on Saturday night and have been working out the kinks of being back on MDIs since then. The first three days of switching to MDIs were rough. Watching the Lantus take effect slowly was like waiting for...