Understand how the shoulder can signal diabetes

Diabetes is a metabolic condition associated with symptoms such as excessive thirst, frequent urination and fatigue. But it can also manifest itself in less obvious ways, including musculoskeletal symptoms. Surprisingly, the shoulder can be one of these signs.

The shoulder is a complex joint that allows a wide range of movement. However, certain medical conditions, including diabetes, can affect the tissues around the shoulder.

According to the Brazilian Society of Shoulder and Elbow Surgery (SBCOC), inflammation and stiffening of the shoulder joint capsule may occur. This can lead to symptoms such as pain, stiffness and weakness.

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Diabetes can manifest itself in less obvious ways, causing shoulder pain.

Frozen shoulder syndrome

One of the common problems associated with diabetes that can affect the shoulder is adhesive capsulitis, also known as “frozen shoulder”.

This condition is characterized by inflammation and thickening of the shoulder joint capsule, leading to intense pain and restricted movement.

Although the exact cause of adhesive capsulitis in diabetic patients is not fully understood, it is believed to be due to changes in blood circulation and tissue healing associated with diabetes.

Diabetic neuropathy

Another musculoskeletal condition related to diabetes is diabetic neuropathy, which affects peripheral nerves. Diabetic neuropathy can cause pain, tingling, numbness and weakness in the shoulders and upper limbs.

These symptoms may manifest as diffuse pain or burning in the shoulder, which may worsen at night.

Additionally, diabetes is also associated with an increased risk of degenerative joint disease such as osteoarthritis.

Osteoarthritis can affect any joint in the body, including the shoulder, and causes pain, stiffness and limited movement.

Although osteoarthritis can be a chronic, age-related condition, individuals with diabetes have an increased risk of developing it early and more severely.

How is frozen shoulder syndrome treated in diabetics?

Treatment of frozen shoulder syndrome in diabetic patients requires a careful and comprehensive approach aimed at relieving pain, restoring range of motion, and preventing long-term complications.

Physiotherapy plays a fundamental role in treatment.

Specific stretching and strengthening exercises help improve shoulder flexibility and mobility.

Doctors may also prescribe medications to help manage pain and inflammation.

But in some cases, corticosteroid injections directly into the shoulder joint may be needed to provide temporary relief from pain and inflammation.

In addition to conventional approaches, alternative therapies such as acupuncture, chiropractic and massage therapy can be a complement to standard treatment.

These therapies can help relax tense muscles, improve blood circulation, and promote the patient’s overall well-being.

In severe cases that are resistant to conservative treatment, surgery may be an option.

Surgical procedures for frozen shoulder syndrome may include releasing the joint capsule and removing adhesions.

The goal is to restore range of motion and relieve chronic pain.