Musculoskeletal complications caused by diabetes. Diabetes is a metabolic disease growing in popularity and rapid growth. The complications caused by diabetes in many organs of the body is what makes the doctor …
Diabetes is a metabolic disease growing in popularity and rapid growth. The complications caused by diabetes in many organs of the body is what makes doctors and patients the same concerns, including musculoskeletal complications.
Diabetics need to exercise, check your blood sugar regularly to prevent musculoskeletal complications, especially the hands, feet, …
Diabetes contributes to bone and joint system diseases occur earlier heavier or faster progress. On the other hand, the bone density of patients with diabetes by 20-30% lower than normal. Therefore, the complications of diabetes that affect so many issues to osteoarthritis. The disease usually progresses silently, initially only patients feeling trouble stretching your fingers until fully finger bends and sharp pain. The injury caused fibrosis and shrinkage can also occur in the feet and can hang male genitals. Complications of diabetes greatly affect the patient’s quality of life because of its harmful effects on the ability of labor, daily needs, as well as aesthetic, spiritual … The treatment of myopathy this very difficult match. Musculoskeletal complications of diabetes patients are usually caused by damage to nerves and blood vessels associated with the declining resistance helps the body vulnerable to infections. Due to nerve damage and blood vessels causing the disease decreased sensation in the injured area to the more subjective as leading to more severe complications.
A number of musculoskeletal disease in patients with diabetes
Tendon complications: Carpal tunnel syndrome, neck tube legs: Patients with symptoms of numbness in the hands or feet. Numbness increasing the patient standing in a posture such as a pendant hand (or foot), bending the wrists, ankles for hours. Pain increases when patients have to fold the wrist stretching as holding books, typewriter, driving, using knives, chopsticks … This syndrome is found in 20% of patients with diabetes.
Hard hands Syndrome: Or syndrome limited joint mobility with hand expression to thicken the skin, hardening almost like scleroderma. Movement restrictions indicated by the finger can not be folded and stretched out a normal range of motion, stretching tendon fibrosis bags and folded fingers. In the more severe, the patient may not 2 palms pressed together. This syndrome is about 1/3 of patients having diabetes mellitus type 1.
Dupuytren Syndrome: The tendons in the palms folded and thickened due to fibrosis, shrinkage (Dupuytren disease) causes the hands and fingers were twitching, Bushy back arched feet like birds, common in the ring finger but sometimes spreading to the index finger. The reason is that the injury is small, discreet, occurred in people with pre-diabetes have microvascular complications, the damage to the tendons become scar and gradually make the retractor. This syndrome is common in 25% of patients with diabetes.
Syndrome spring fingers (trigger finger): A form of another similar disease Dupuytren disease but respond well to conservative treatment methods or surgical pathology is the trigger finger (aka the finger springs). This is a fairly common complication include inflammation of tendons by folding fingers. Patients feel like locked fingers stiffen normal stretch can not be that strong to try to turn off or else broke it with his finger. Contracted fingers forming a trigger, because the patient can not open bung finger once tried folded. Now fold or open fingers, the patient feels like to pass when the stopper pulled the trigger.
Complications in the joints and organizations around the joints:
Frozen shoulder syndrome: Hay shrinkage shoulder joints with symptoms almost completely limited amplitude movements of the shoulder joint, especially the shape and rotate the shoulder movements. Symptoms are usually mild and do not adequately make limited patient mobility. This is a common syndrome in about 20% of diabetes.
Shoulder Hand Syndrome: Also known as pain syndrome nerve reflex dystrophy (Sudeck syndrome) might encounter and is associated with frozen shoulder syndrome. Diffuse pain patients from spreading down to the table on his shoulders, fingers, lots of pain accompanied by vasomotor disturbances (arm swelling, skin red, purple …) and minimum muscle metabolism, muscle atrophy if at a later stage .
Inflammation of the tendon calcification sticking point is common, the proportion of patients 3 times normal people without the disease to manifest diabetes shoulder pain is sudden, violent, more limited joint mobility.
Diabetes who need room musculoskeletal complications
Diabetes causes a lot of complications for motor apparatus, which affect living and quality of life. Complications of diabetes match are very dangerous, so the need to prevent the right from the early stages of the disease.
Stable blood sugar is the decisive factor in preventing musculoskeletal complications in patients with diabetes. Means that patient has to combine treatments (medications, diet and activity, weight control) methodically and efficiently. Abandon the harmful habit of eating, living, lifestyle: eat lots of sweets, do too much or too lazy, poor hygiene, drink, smoke … Be hard campaigning, with regime reasonable diet and regular blood glucose testing, to avoid unnecessary complications. Exercises for the hands, feet, ensuring adequate blood supply is circulated to the full limbs. If you see a hand with the abnormal expression of numbness, difficulty stretching the fingers, swelling, tenderness, discoloration of the skin … people with diabetes should consult a doctor immediately for treatment timely.
The feet should be cared for in a special way: Keep your feet clean and dry. Regularly observe and test the foot to promptly detect the slightest injury (notes bottle, scratches, swelling, pain …). Do not walk barefoot in the house, though. Wear shoes that fit properly and smooth, soft and appropriate. To endocrine specialist or joints when detecting abnormalities.
Above are musculoskeletal complications due to diabetes. For more information be sure to refer to here. Thank you!
Dr. Hong Hanh