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Question:
What percentage of diebetic patients having surgery for frozen shoulder return for more of same?? What is the average time period between these surgeries? I am trying to decide whether to have surgery to correct my frozen shoulder. I am diebetic. I had it on my right shoulder and almost two years later I still have some pain. I now have had it on my left shoulder for over 6 months. It seems like it cycles as well. Is this true?
Thank you for your time,
Question submitted by:
eileen.souza@mindspring.com
| Dr. Hasan |
Dr. Hasan is an orthopaedic surgeon specializing in shoulder, elbow, and general orthopaedic problems. Dr. Hasan has received the M.D. degree and a Ph.D. degree in biomedical engineering, both from Vanderbilt University. He completed residency training at Rush-Presbyterian-St. Luke's Medical Center in Chicago followed by fellowship training at both the University of Washington and the Texas Orthopaedic Hospital in Houston.
Dr. Hasan has published a number of articles in peer-reviewed journals and presented his research efforts at national and international orthopaedic conferences.
Dr. Hasan’s areas of interest include: arthroscopic and open surgery of the shoulder, elbow, and knee as well as joint replacement surgery. He currently practices at Cincinnati Sportsmedicine and Orthopaedic Center.
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Answer:
Recurrence of adhesive capsulitis or frozen shoulder in diabetics occurs more commonly than in other patient groups, but it is difficult to guess the incidence. However, diabetic frozen shoulder tends not to respond to conservative treatment (stretching, activity modification, anti-inflammatories, cortisone injections - this can affect blood sugars too!). Consequently, when the frozen shoulder persists and affects your daily life (activities of daily living, sleep, work, etc.), surgery is often needed. This can now be performed safely arthroscopically in many cases (coupled with a manipulation under anesthesia). No surgeon can guarantee its success, or that it will not occur. In many cases, some residual deficits in motion remain, but usually they are quite mild.
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