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Other Complications of Diabetes
Published in Jahangir Moini, Matthew Adams, Anthony LoGalbo, Complications of Diabetes Mellitus, 2022
Jahangir Moini, Matthew Adams, Anthony LoGalbo
Carpal tunnel syndrome is related to other conditions besides diabetes, including rheumatoid arthritis, hypothyroidism, acromegaly, amyloidosis, and pregnancy-induced carpal tunnel edema. However, most cases are idiopathic, yet can be worsened by repetitive flexion and extension of the wrist. The autosomal dominant condition of Dupuytren contracture, with variable penetrance, is most common in patients with diabetes, alcoholism, or epilepsy. Specific causative factors are unknown. Causes and risk factors for primary adhesive capsulitis include diabetes, stroke, lung disease, connective tissue disease, thyroid disease, heart disease, and autoimmune disease. Secondary adhesive capsulitis develops after shoulder injury or surgery. Sclerodactyly is related to diabetes, scleroderma, and autoimmune disorders.
Photobiomodulation Therapy in Orthopedics
Published in Kohlstadt Ingrid, Cintron Kenneth, Metabolic Therapies in Orthopedics, Second Edition, 2018
Ip and Fu studied elderly patients with painful adhesive capsulitis of the shoulder [169]. Thirty-five unselected elderly patients with mean age of 65 years were treated with PBM. All patients in this prospective cohort study had documentation of the diagnosis by contrast-enhanced magnetic resonance imaging before study entry and had failed to respond to a combination of conventional physical therapy and nonsteroidal anti-inflammatory medications. PBM used an 810 nm GaAIAs laser with 5.4 J per point at 20 mW/cm2, on six predetermined anatomic points and two acupuncture points at 3× per week for 8 consecutive weeks. A total of 50 painful shoulder joints were treated, and all but four joints showed significant improvement in Constant-Murley shoulder score at the end of 8 weeks. The improvement was maintained at 1- and 2-year follow-up.
Upper extremity impairments in type 1 diabetes with long duration; common problems with great impact on daily life
Published in Disability and Rehabilitation, 2019
Kerstin Gutefeldt, Christina A. Hedman, Ingrid S. M. Thyberg, Margareta Bachrach-Lindström, Hans J. Arnqvist, Anna Spångeus
Facing the limitations of using self-reported symptoms and difficulties in getting specific diagnoses from these, we tried to make a proxy variable (shoulder impairment) for frozen shoulder (adhesive capsulitis) by combining shoulder pain and stiffness [2,3,21]. The shoulder impairment variable was reported in 38% of the patients. This finding is consistent with the recently published report on musculoskeletal complications in the DCCT/EDIC cohort with patients’ characteristics similar to the present study, i.e., a mean age of 52.2 ± 6.9 years vs. 50.3 ± 9.6 years and diabetes duration of 31.1 ± 4.9 years vs. 35.1 ± 9.5 years [1], where adhesive capsulitis was found in 31% of the patients. In other reports on younger patients with type 1 diabetes with a duration of about 20 years, the prevalence of adhesive capsulitis was 10–16% [2,11,21]. Shoulder pain is common in the general population with a reported prevalence of 7–27% [22], while the prevalence of adhesive capsulitis has been estimated to be 2–5% [3,22]. In our study, shoulder impairment, as suggestive of adhesive capsulitis, had a prevalence as high as 18% in the control group why it is conceivable that the questions we used for this condition is somewhat unspecific, but nevertheless highlights a high prevalence of shoulder impairments in patients, in part explained by frozen shoulder, and that these impairments were more prevalent in patients with diabetes than in controls.
Effectiveness of Ultrasound Guided Erector Spinae Plane Block Compared to Ultrasound Guided Modified Pectoral Nerves Block in Modified Radical Mastectomy: A Randomized Single Blinded Study
Published in Egyptian Journal of Anaesthesia, 2022
Mohamed Elsaid Abdel Fattah, Osama Sayed Ibrahim, Nevine Mahmoud Gouda, Mohamed Mohamed Abdel-Hak
Breast cancer is the most frequent cancer among women [1]. Approximately, 40–60% of breast surgery patients endure severe acute postoperative pain, with over 10% of patients experiencing severe pain for 6–12 months (post mastectomy pain syndrome) [2]. Severe pain may lead to create long-term disability, disrupt sleep, and interfere with everyday activities; this results in adhesive capsulitis of the shoulder (frozen shoulder) or complicated regional pain syndrome (causalgia) and altered sensibility, putting a financial strain on the health-care system [3].
Reduced acromiohumeral distance and increased critical shoulder angle: implications for primary care clinicians
Published in The Physician and Sportsmedicine, 2020
Helen Razmjou, Veronica Palinkas, Monique Christakis, Susan Robarts, Deborah Kennedy
This was a prospective study of consecutive patients with shoulder conditions who were referred to a tertiary shoulder center. Patients with previous rotator cuff repair or advanced osteoarthritis of the glenohumeral joint [20] were excluded. Patients with adhesive capsulitis of the shoulder joint were excluded from analysis of pseudoparalysis to avoid the impact of capsular tightness on active flexion. Approval for use of the clinical and imaging data was obtained from the Research Ethics Board of the Sunnybrook Health Sciences Centre.