Along with high blood pressure, heart disease and neuropathy, people with diabetes are at a
higher risk of bone and joint-related disorders. In many instances, the problems can’t be linked
to a specific cause. The following are some disorders of which diabetics should be aware.

Charcot Joint
Primarily affecting the feet, this occurs when a joint disintegrates due to nerve damage.
Symptoms can include numbness and tingling in joints, along with redness, warmth and
swelling. Joints may also become deformed or unstable. When detected early, progression can
be slowed with orthotics.

DISH
Also known as Forestier disease, it causes hardening of ligaments and tendons anywhere in the
body. Symptoms are pain, stiffness, and decreased range of motion. The disease is treated with
corticosteroid injections and pain relievers.

Dupuytren’s Contracture
It’s a deformity that causes one or more fingers to bend toward the palm of the hand due to
scarring and thickening of connective tissues. Skin in the palm may become thickened and
fingers won’t straighten. Treatment can include steroid injections, minimally invasive needle
therapy or surgery.

Frozen Shoulder
The condition results in pain and limited motion in the shoulder. Treatment includes physical
therapy, home exercise and glucocorticoid injections.

Limited Joint Mobility
It typically affects the small joints of the hands. It causes stiffness, palm skin becomes thickened
and waxy, and joint mobility is eventually limited. It may not be reversable, but physical therapy
and increased glucose control can help.

Osteoarthritis
A degenerative joint disease, it weakens bones and increases the risk of fractures. Joints
become stiff, swollen and painful. Joint movement and flexibility are limited. Pain medication,
physical therapy, massage and acupuncture, even surgery may be prescribed.

Osteoporosis
Bones throughout the body become weak, brittle and break easily. Advanced osteoporosis can
result in stooped or hunched posture and loss of height. It’s treated with a diet rich in calcium
and vitamin D, or supplements if required, along with weight bearing exercise. Medications are
available to reduce bone loss.

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