Adhesive Capsulitis Diabetes. After a period of worsening symptoms frozen shoulder tends to get better although full recovery may take up to 3 years. Possible mechanisms include alterations in inflammatory processes and increases in glycosylation products due to chronically elevated blood sugars and low level systemic inflammation that often accompanies diabetes.
Studies have shown it is caused by glycosylation of the collagen within the shoulder joint triggered by the presence of high blood sugars. These patients generally do not respond well to treatment as well as non diabetic patients do. Interestingly the rate of antihypertensive medication usage was also notably higher in our cohort lending support to the idea that hypertension may be an additional factor in the development of adhesive capsulitis.
This hinders the function of shoulder which is crucial in many activities of daily living.
This disorder is one of the most common musculoskeletal problems seen in orthopedics 11 15. Condition in patients p resenting with adhesive capsulitis. Adhesive capsulitis AC has a prevalence of 2 in the general population but is reported to occur in 10 to 29 of those with diabetes. The second group n 21 had conventional physical therapy CPT group including active.