Frozen Shoulder, and Diabetics.

Frozen shoulder is a disorder that causes stiffness and discomfort in the shoulder joint. Frozen shoulder, occurs when the connective tissue around the shoulder joint becomes swollen and rigid. 
The musculoskeletal system can be affected by diabetes in a number of ways. The shoulder is one of the frequently affected sites. 
One of the rheumatic conditions caused by diabetes is frozen shoulder which is characterized by pain and severe limited active and passive range of motion of the joints particularly external rotation.
Shoulders are made up of bones, ligaments, and tendons that are wrapped in a connective tissue capsule. When the capsule around the shoulder joint thickens and tightens, it gradually restricts movement. 
The condition usually occurs in three distinct stages:
1.Freezing Stage:
This happens between the ages of six and nine months. Your shoulder hurts to move, and you’ve lost a lot of range of motion.
2.Frozen stage:
This period lasts four to twelve months, during which time your pain may become more bearable, but your mobility may deteriorate as your stiffness develops.
3.Thawing Stage:
You may notice that your mobility improves and that you may resume numerous tasks six months to many years following the beginning of symptoms.
Osteoarthritis is the most common rheumatic condition. There are many risk factors for shoulder osteoarthritis including age, genetics, sex, weight, joint infection, history of shoulder dislocation, and previous injury, in older age patients, diabetes is a risk factor for shoulder.
If you have chronically high blood sugar levels, sugar molecules may attach to collagen. Collagen is a major protein that makes up the connective tissue that holds your joints together. When the sugar attaches to the collagen, it gets sticky, so movement becomes restricted and your shoulder starts to stiffen. 
When you try to work through the stickiness, it causes pain that progresses from mild to severe. In some cases, your shoulder becomes impossible to move.
Women are more prone to frozen shoulder than males, and those between the ages of 40 and 60 are the most likely to get it.
Frozen shoulder can be diagnosed only on the basis of signs and symptoms. A physician, on the other hand, would usually make the diagnosis by examining your active range of motion (by asking you to move your shoulder) as well as your passive range of motion (by asking you to move your shoulder) (by moving your arm for you).
Most people will, of course, choose non-operative therapies initially, such as physical therapy and non-steroidal anti-inflammatory drugs.
Some people choose for steroid injections to relieve joint discomfort and enhance range of motion, but keep in mind that if you have diabetes, they might cause dangerously high blood sugars that can last up to a week, so talk to your doctor first.
Frozen shoulders are common among diabetics patients, few precautions are essential:
1.Maintain as close to normal blood sugar levels as possible.
2.Before you acquire frozen shoulder, exercise and stretch your shoulders on a regular basis.
3.Anti-inflammatory medications can be used to relieve pain.
4.Strengthen your shoulder and enhance range of motion with the help of a physical therapist.
5.If nothing else works, surgery may be an option.
6.Don’t wear a shoulder sling or cease using your arm entirely.
A Frozen shoulder can be uncomfortable and restrict many of your everyday activities, but the good news is that with proper treatment, the disease usually resolves.
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