The Frozen Shoulder: What's Diabetes Got to Do With It?
Adhesive capsulitis—commonly known as frozen shoulder—can make routine activities like getting dressed and changing your insulin pump, nearly impossible. It is the the most prevalent upper body musculoskeletal injury in people with diabetes. Learn more.
Adhesive casulitis, also known as frozen should, is a rheumatic condition which can leave you unable to reach above your head or behind your back. It results from inflammatory changes in the connective tissue of an area called the shoulder capsule. Over time, the tissue can thicken and become tight. Stiff bands of tissue called adhesions develop, making movement of the joint painful and even blocking the shoulder joint’s normal range of motion.
Eventually the shoulder becomes extremely stiff and extremely painful to move, as if it’s “frozen” in place. If you wear an insulin pump, this condition can be especially challenging.
DiabeticLifestyle Editorial Board Member Amy Hess Fischl, MS, RD, LDN, BC-ADM, CDE says she’s worked with several type 1 women diagnosed with frozen shoulder. “One of my patients who had long used an insulin pump, had to switch back to insulin injections until her shoulder issue resolved since inserting infusion sets was too difficult,” Hess Fischl explained. “Fortunately, she was able to resume her insulin pump after several months of regular physical therapy but in the interim more frequent communication was required between us to help her adjust her insulin doses to account for the pain, reduced sleep and less activity.”
There are two types of adhesive capsulitis.In the first, th Continue reading