Discussion of diabetes management in day to day life

FROZEN SHOULDER

my husabnd, who is diabetic, has been doing physical therapy for the
last two months for a frozen shoulder with very little success, and has
recently been considering surgery — no guarantees as to whether it will
be successful either

anyone have any experience with this surgery?  any advice?  – Thanks!

Comments (9)




9 Responses to “FROZEN SHOULDER”

  1. admin says:

    Subject: FROZEN SHOULDER
    From: Marcia L. Gerwig, mg…@andrew.cmu.edu
    Date: Thu, 23 Feb 1995 10:50:26 -0500
    In article <8jH_v2i00Uh_M2d…@andrew.cmu.edu> Marcia L. Gerwig,

    mg…@andrew.cmu.edu writes:
    >my husabnd, who is diabetic, has been doing physical therapy for the
    >last two months for a frozen shoulder with very little success, and has
    >recently been considering surgery — no guarantees as to whether it will
    >be successful either

    >anyone have any experience with this surgery?  any advice?  – Thanks!

    I have had surgery on both shoulders – the right one 4 years ago, and the
    left just last year.  The right is completely healed, the left is
    progressing slowly.  In addition to frozen shoulder, or adhesive
    encapsulitis (I can’t begin to spell any medical terms correctly) I had
    an impengement syndrome – resulting in tendonitis.  In the impengment
    syndrome, the acromium and the shoulder joint don’t allow enough space
    for one of the tendons to pass through.  The tendon gets inflamed, swells
    and the whole problem is exacerbated.  In my surgery, they removed part
    of the acromium, cleaned up some bone spurs and tried to increase the
    range of motion.  My experience has been that it takes a long time to
    recover from the surgery – on the order of a year to really get full
    range of motion.

    By the way – I also went through a lot of therapy before the surgery –
    also to no avail.  My brother, also a diabetic, had the same problem and
    his went away with therapy – after about a year to a year and a half.

    One last side note.  During one of my bouts the doctor talked me into a
    shot of cortisone, assuring me that it would not effect my diabetes.
    Well my blood sugar went through the roof, and even though most
    orthopedists deny a relationship between the cortisone and high blood
    sugar – be very careful.  If he does resort to cortisone – keep a close
    eye on glucose levels.

    Patrick

  2. admin says:

    >anyone have any experience with this surgery?  any advice?  – Thanks!

    Hi!

    i don’t have the experience but some i know has.  Her shoulder was froze
    for a long time before she went to the dr.  The Dr. asked her to come to
    treatment twice a week.  the first 6 months she felt like it wasn’t working.  
    The Dr. put her on small dose of cortizone.  And she continued to see the
    Dr. twicwe a week.  After 8 months total her shoulder feel much better.  
    She tries to swim once a week plus the treatmnts.  Its not 100% but it took
     may years for her to develope it.  

    Keep in mind if he wants surgery it may take more work than it takes now.
     and as you said no saying if it will help.  

  3. admin says:

    In reply to: Patrick Cheatham <p…@merrimac.aero.org>

    I had shoulder problems also which lasted about 1.5 years.
    This was treated by a chiropractor – until my insurance
    coverage ran out for the year.  At that point, he ‘referred’
    me to specialist in sports medicine.  (I didn’t know that
    being a couch potato is considered a sport!)   He put me
    on a perscription (a muscle relaxant) which did nothing.
    He then recommended a shot of cortisone.  I wasn’t aware
    of the effect on BGs, but I sure am now!  It was one of
    the most difficult times I’ve ever had managing my DM.

    Out of desperation, I went to the library to look up info
    about cortisone.  So I found out by myself what was happening.
    When I mentioned it to the specialist, he shrugged and said
    that "yeah, that can happen".  THANKS!!!

    I found no relief from the cortisone, but avoided the
    recommendation for surgery.  The pain finally went away
    (probably because the chiropractor wasn’t yanking on me
    anymore!).  I now have no pain and full range of motion.

    At no time did either the chiropractor or the specialist
    indicate that the shoulder problem could be related to DM.
    It wasn’t until I got involved with this group that I learned
    more about it.  Even my endo didn’t seem to know about or
    comment on the relationship of shoulder problems and DM.

    Good luck to you.

  4. admin says:

    Several posters within the year described spontaneous remissions
    of this condition.  Perhaps it’s in the FAQ.  I would not go into’
    surgery until I had heard from those folks.  Could one of the
    Wise Persons comment on this?  Might save this person some useless
    agony.  Lydick? Reid? Garcia?  Where are these folks when you need
    them?

  5. admin says:

    In a previous article, p…@merrimac.aero.org (Patrick Cheatham) says:

    >I have had surgery on both shoulders – the right one 4 years ago, and the
    >left just last year.  The right is completely healed, the left is
    >progressing slowly.

    I too have both shoulders frozen…  Gawd, it can be a pain…

    >By the way – I also went through a lot of therapy before the surgery –
    >also to no avail.  My brother, also a diabetic, had the same problem and
    >his went away with therapy – after about a year to a year and a half.

    I went through three months of physio every second day on my right
    shoulder.  The physio-terrorist <s> was suprised that my range of motion
    was backwards to most people with this problem.  While lying on my back,
    my are would go up to lie almost flat on the bed next to my head, but I
    could barely get it to move down towards my hip.

    Anyways….  After the three months of little improvement….

    >One last side note.  During one of my bouts the doctor talked me into a
    >shot of cortisone, assuring me that it would not effect my diabetes.
    >Well my blood sugar went through the roof, and even though most
    >orthopedists deny a relationship between the cortisone and high blood
    >sugar – be very careful.  If he does resort to cortisone – keep a close
    >eye on glucose levels.

    I had a procedure done that was to inject saline solution into the joint
    in an effort to unstick the joint.  The doc added some cortisone to the
    shot.  My right shoulder now has about 80% of motion.  We haven’t tried
    anything on the left one yet.  My blood sugars remained normal before,
    during and after the corisone shot.

    Interesting side note about the shot though…  My should was soooo
    tight… <How tight was it????> that when the doc started injecting the
    saline, and went for another syringe full, everything that was in the
    joint shot right back out the needle and covered him, me, and the nurse…

    It was hilarious…..  Well, I guess you had to be there….


    Mark C. Barron
    ua…@freenet.victoria.bc.ca

  6. admin says:

    In <3j7d0k$…@sun001.spd.dsccc.com> jbuch…@spd.dsccc.com (Jerry Buchheit) writes:

    >Out of desperation, I went to the library to look up info
    >about cortisone.  So I found out by myself what was happening.

    I had (still have) tendonitis/bursitis at times so bad that I can’t lift a
    soda can by covering the top with my palm and lifting up. That cortisone
    shot I had for that was THE most painful experience I’ve ever had. But it
    didn’t affect my bG.

    However, I had successfully used prednisone for some allergy problems in the
    past. 4 years ago I was given a round of that drug and ended up urinating
    all night long! Does that to new (read unknowing) diabetics. The PDR
    revealed the problem there.

    Chuck Cronan from Milwaukee
        ccro…@mixcom.com

  7. admin says:

    re: various proposals for treating frozen shoulder

    I had a frozen shoulder with great pain and immobility for several years
    during which I tried a lot of medical stuff, but it ended with 10 Rolfing
    sessions, and I haven’t had any pain or immobility since. It may not be
    the cure for everyone, but if a good Rolfer is accessible to you, it may
    be worth doing before going into surgery or heavy drugs like cortizone.

  8. admin says:

    On 17/3/95 at 12:46 am, AbbyHeyman wrote:

    A> the cure for everyone, but if a good Rolfer is accessible to you, it may
    A> be worth doing before going into surgery or heavy drugs like cortizone.
    Trouble is I don’t know what it is. As I have had similar problems could you
    explain a bit more?
    Cheers,
    Henry

    - via BulkRate 2.0

  9. admin says:

    Re: questions about what rolfing is, how much it costs, how to find it

    It’s a little hard for me to tell you what Rolfing is, but it feels like
    an extremely deep massage. My experience of it was rather like as massage
    is to muscles, rolfing is to bones. (That’s not really true, but it’s what
    it feels like.) Some people say its very painful, I understand what they
    mean but I found it a rather pleasurable kind of pain, like a message,
    with a certain pleasure in FEELING that the muscles and bones were getting
    straightened out.

    As all parts of the body are related, the traditional (and it seemed to
    me, logical) way to go about it is a series of 10 sessions, although I
    asked my rolfer to emphasize the shoulder that was frozen, he insisted,
    and I think rightly so, that my whole body be dealt with as well.

    As I recall the 10 sessions were $100 each, that was a few years ago, but
    it was NYC and that’s usually more expensive on everything.

    For Rolfers in your part of the country, as well as a much more scientific
    explanation of the procedure, and other information call the Rolf
    Institute, in Boulder CO: 800/ 530-8875. As I understand it, all Rolfers
    are trained there, and while they are a smallish group, I suspect they are
    spread all over the country. A friend of mine was in touch with them at
    one point with the thought of being trained, and while she didn’t do it, I
    remember being very impressed with the quality of their thinking about
    training, requirements, and so on. It felt like a really good
    organization.

    Hope it helps you.

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