The stiff shoulder in diabetic patients

Int J Rheum Dis. 2016 Dec;19(12):1226-1236. doi: 10.1111/1756-185X.12890. Epub 2016 Jun 16.

Abstract

Shoulder stiffness is associated with diabetes mellitus. It is characterized by pain and restriction of active and passive range of motion. Like other complications of diabetes (e.g., arterial stiffness, pancreatic or renal fibrosis), shoulder stiffness is due to a fibrotic process. The clinical course is generally benign, but it can last for months, with remaining disabilities in the long term. Several possibilities of treatment are being used. The practitioner should be aware of this complication, its natural history, and the current treatments available in order to adequately tailor the best treatment to the patient, sometimes combining more than one option.

Keywords: disease aetiology and pathogenesis - human; education; soft tissue rheumatism and regional pain syndromes.

Publication types

  • Review

MeSH terms

  • Biomechanical Phenomena
  • Diabetes Complications / diagnosis
  • Diabetes Complications / etiology
  • Diabetes Complications / physiopathology*
  • Diabetes Complications / therapy
  • Disability Evaluation
  • Female
  • Fibrosis
  • Humans
  • Joint Diseases / diagnosis
  • Joint Diseases / etiology
  • Joint Diseases / physiopathology*
  • Joint Diseases / therapy
  • Male
  • Middle Aged
  • Range of Motion, Articular
  • Recovery of Function
  • Risk Factors
  • Shoulder Joint / pathology
  • Shoulder Joint / physiopathology*
  • Shoulder Pain / diagnosis
  • Shoulder Pain / etiology
  • Shoulder Pain / physiopathology*
  • Shoulder Pain / therapy
  • Treatment Outcome