“The purpose of this paper is two-fold. Chiropractors see patients with both types of DM [Diabetes Mellitus]. It is important for the practicing chiropractic doctor to recognize the effects of DM on the musculoskeletal system so as to make more appropriate clinical decisions regarding therapy in these patients, including understanding contraindications to therapy and referring patients to medical physicians when appropriate. It is also important for the DC [Doctor of Chiropractic] to understand the impact that DM may have on the prognosis for their patients suffering from myriad musculoskeletal conditions associated with this disease.
“In addition, it has been suggested that health care providers offer their patients counseling to promote physical activity, a healthy diet, and smoking cessation as part of the preventive health examination.5 It is also in this light that the musculoskeletal effects of DM are discussed in this manuscript, as most patients visiting chiropractors have musculoskeletal complaints. 6,7 It is hoped that through appropriate counseling regarding a healthy lifestyle, the chiropractor may help to prevent some cases of Type 2 DM and that the incidence of the musculoskeletal effects of DM can be reduced.”
“This manuscript will discuss some of the more common musculoskeletal manifestations of diabetes mellitus. Table 2 lists the more common musculoskeletal effects of DM: muscle cramps, muscle infarction, loss of deep tendon reflexes, peripheral neuropathy, Reflex Sympathetic Dystrophy Syndrome, Stiff Hands Syndrome, neuropathic joints, Carpal Tunnel Syndrome, adhesive capsulitis of the shoulder, tenosynovitis, Diffuse Idiopathic Skeletal Hyperostosis, Dupuytren’s contracture.”
Read the full paper by Lawrence H. Wyatt and Randy J. Ferrance at NCBI: The Musculoskeletal Effects of Diabetes Mellitus