• The incidence of adhesive capsulitis is two to four times higher in diabetics than in the general population.
• The prevalence of diabetes in patients with adhesive capsulitis was 38.6%, whereby the total prevalence of a diabetic condition in patients with adhesive capsulitis was 71.5%
• Shoulder capsulitis is common in type I and type II diabetic patients. However, it is associated with age in type I and II diabetic patients and with the duration of diabetes in type I patients.
Diabetics have a higher incidence of frozen shoulder, probably because poor circulation leads to abnormal collagen repair and degenerative changes. The theory is that platelet derived growth factor is released from abnormal or ischemic blood vessels, which will then act as a stimulus to local myofibroblast proliferation. What follows has been proposed that microvascular disease, abnormalities of collagen repair and predisposition to infection may link diabetes with frozen shoulder.
The take away from this article is to be aware of these findings alerting you to the risk of diabetes in patients presenting with adhesive capsulitis of the shoulder.
Ronald Grisanti D.C., D.A.B.C.O., M.S., has 29 years of clinical practice and extensive functional medicine training and experience has positioned him as an authority in the management of a variety of chronic health conditions such as fibromyalgia, arthritis, digestive disorders, anxiety and other common ailments. He serves on the South Carolina Chiropractic Investigative Committee. For more information on free training go to www.FunctionalMedicineTraining.com/AC-Primer.
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