The Link Between Diabetes and Frozen Shoulder: Maryland Orthopedic Specialists: Orthopedic Surgeons (2024)

The Link Between Diabetes and Frozen Shoulder: Maryland Orthopedic Specialists: Orthopedic Surgeons (1)

If you have stiffness and pain in your shoulder, you may be suffering from a condition known as frozen shoulder. Also known as adhesive capsulitis, frozen shoulder occurs when you have swollen, stiff connective tissue around the shoulder joint.

This inflammation can make it hard to do daily activities, and as the condition worsens, your pain and stiffness becomes even more debilitating.

People with diabetes are at an increased risk of developing frozen shoulder because unmanaged blood sugar levels can affect collagen, a major protein that makes up your connective tissue.

At Maryland Orthopedic Specialists, you benefit from expert care for frozen shoulder associated with diabetes or other factors. Our orthopedic experts improve your movement and treat your pain, but we don’t overtreat your condition.

Learn more about diabetes and your risk of frozen shoulder and what we can do about this painful, limiting condition.

What is frozen shoulder?

Frozen shoulder is a painful condition in which your shoulder loses some or all mobility. The condition usually occurs in three distinct stages:

Freezing stage

This occurs in the first six weeks to nine months. Your shoulder is painful to move and you lose much of your range of motion.

Frozen stage

This stage lasts four to 12 months during which pain may become more manageable, but your mobility decreases to a greater extent as stiffness worsens.

Thawing stage

Anytime after six months up to several years after the first onset of symptoms, you find that mobility improves and that you can resume many tasks.

Every patient has a unique experience with frozen shoulder. Early appropriate intervention can reduce the severity of your personal case.

What does diabetes have to do with frozen 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.

What are other risk factors?

Long-term immobility of your shoulder, if it were in a cast, for example, puts you at risk of developing frozen shoulder. The condition can also occur after you’ve experienced injury, such as a rotator cuff tear.

Women are more susceptible to the condition than men are, and those ages 40-60 are most likely to develop frozen shoulder.

What can be done for frozen shoulder?

We here at Maryland Orthopedic Specialists work to reduce your pain and improve range of motion. We offer physiotherapy, such as shoulder exercises and stretching to prevent progression and further stiffening. We’re careful that our therapy doesn’t interfere with your natural thawing stage.

You may also benefit from deep massage of the trigger points at your shoulder and, in some cases, therapeutic injections.

We individualize your treatment dependent on your health, the history of your condition, and its severity.

If you’re experiencing symptoms that suggest frozen shoulder, contact our Bethesda or Germantown, Maryland, office to get some relief and help prevent further progression. Don’t delay. Call the office for an appointment.

The Link Between Diabetes and Frozen Shoulder: Maryland Orthopedic Specialists: Orthopedic Surgeons (2024)

FAQs

Is there a correlation between diabetes and frozen shoulder? ›

A meta-analysis of six case–control studies including 5388 people estimated the odds of developing frozen shoulder for people with diabetes to be 3.69 (95% CI 2.99 to 4.56) times the odds for people without diabetes.

What is the best treatment for diabetic frozen shoulder? ›

For severe or persistent symptoms, other treatments include:
  • Steroid injections. Injecting corticosteroids into the shoulder joint might help decrease pain and improve shoulder mobility, especially if given soon after frozen shoulder begins.
  • Hydrodilatation. ...
  • Shoulder manipulation. ...
  • Surgery.
Aug 19, 2022

Which doctor is best for frozen shoulder? ›

An orthopedist can help with this painful condition. Frozen shoulder, a condition that affects approximately 2 to 5 percent of the general population, causes pain and immobilization in the shoulder joint.

What is often misdiagnosed as frozen shoulder? ›

Rotator cuff tears, frozen shoulder, and shoulder impingement are some of the most common conditions that shoulder orthopedic surgeons in Atlanta treat every day. These conditions are commonly confused, especially the frozen shoulder and rotator cuff tear.

What does diabetic shoulder pain feel like? ›

What are the symptoms? Frozen shoulder causes pain or tenderness with shoulder movement, stiffness of the joint, and decreased range of motion.

What deficiency causes frozen shoulder? ›

Immobility or reduced mobility. People who've had to keep a shoulder somewhat still are at higher risk of developing frozen shoulder. Restricted movement can be the result of many factors, including: Rotator cuff injury.

How I cured my frozen shoulder? ›

Broadly, treatment works in 3 main steps:
  1. Pain relief – avoid movements that cause you pain. Only move your shoulder gently. ...
  2. Stronger pain and swelling relief – prescribed painkillers. Maybe steroid injections in your shoulder to bring down the swelling.
  3. Getting movement back – shoulder exercises once it's less painful.

What is the new injection for frozen shoulder? ›

HYDRODILATATION (also called hydrodistension) AND POST-INJECTION STRETCHING is an injection and stretching technique where a Radiologist “blows up” or distends the shoulder joint with fluid, and breaks down the contractures. The aim is to advance the patient more quickly through the stages of frozen shoulder.

What is the best pain medication for frozen shoulder? ›

To decrease pain, physicians frequently recommend anti-inflammatory medications such as aspirin, ibuprofen (Motrin, Advil), Naprosyn or Aleve. Pain pills such as Tylenol or narcotics may be prescribed to decrease the pain after therapy or to help with sleep at night.

What is the new treatment for frozen shoulder? ›

However, many patients do not know that they can now try a minimally invasive alternative treatment for frozen shoulder called adhesive capsulitis embolization (ACE). This procedure has already shown excellent results in successfully relieving capsulitis shoulder pain.

What happens if you don't fix a frozen shoulder? ›

Even left completely untreated, range of motion and use of your shoulder continue to get better on their own, but often over a slower course of time. Full or nearly full recovery is seen after about two years. Frozen shoulder (adhesive capsulitis) can be a debilitating condition to live with.

What is the most painful part of frozen shoulder? ›

Pain due to frozen shoulder is usually dull or aching. It can be worsened with attempted motion. The pain is usually located over the outer shoulder area and sometimes the upper arm. The hallmark of the disorder is restricted motion or stiffness in the shoulder.

What other diseases is frozen shoulder associated with? ›

In addition, diabetic patients with frozen shoulder tend to have a greater degree of stiffness that continues for a longer time before "thawing." Other diseases. Some additional medical problems associated with frozen shoulder include hypothyroidism, hyperthyroidism, Parkinson's disease, and cardiac disease.

What is the root cause of frozen shoulder? ›

Also known as adhesive capsulitis, frozen shoulder is usually caused by inflammation. The capsule of the shoulder joint has ligaments that hold the shoulder bones to each other. When the capsule becomes inflamed, the shoulder bones are unable to move freely in the joint.

Could frozen shoulder be something else? ›

Why did I get a frozen shoulder? Frozen shoulder often begins with a shoulder injury. It could be an acute injury like a fracture or an overuse injury like rotator cuff tendonitis or bursitis.

What illness causes frozen shoulder? ›

When the capsule becomes inflamed, the shoulder bones are unable to move freely in the joint. Most of the time, there is no cause for frozen shoulder, though risk factors include: Diabetes. Thyroid problems.

Is frozen shoulder a form of neuropathy? ›

Historically, frozen shoulder has seemed to develop as a complication of the neuropathic process. Both neuralgic amyotrophy and frozen shoulder have a poorly understood pathogenesis, and their combined presence is presumed to be rare.

Is frozen shoulder an autoimmune disease? ›

The actual cause of adhesive capsulitis is a matter of debate. Some believe it is caused by inflammation, such as when the lining of a joint becomes inflamed (synovitis), or by autoimmune reactions, where the body launches an "attack" against its own substances and tissues.

Is frozen shoulder a degenerative disease? ›

The most common cause of an anatomical frozen shoulder is osteoarthritis or degenerative joint disease.

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