Metabolic disorders have a negative impact on health. Joints with diabetes lose their functionality (fixation), their structure changes. Most people with a similar diagnosis complain that their legs hurt both when walking and at complete rest. In order to respond to emerging changes in a timely manner, it is important for a person to know the symptoms of pathologies.
High sugar levels in the body trigger a process leading to pathological abnormalities, including in the joints. They develop according to the following schemes:
High blood pressure, cholesterol and bad habits accelerate the development of pathological disorders in diabetes.
In a person’s daily life, the joints bear the greatest pressure, and diabetic metabolic disorders negatively affect the structure of the bone and joint organs. Heel pain in diabetes mellitus accompanies ongoing rheumatic changes and is reflected by discomfort in the lower or upper extremities.
During the development of the disease, destruction of the osteoarticular apparatus occurs, which is not associated with an infectious lesion. Most often, the lesion affects the lower part of the leg (foot), the hip joint is less commonly affected. Deviation also develops in the knees. Even with visible changes, a person’s joint rarely hurts. This is a characteristic feature of the disease. Sprains and damage to cartilage tissue are accompanied by severe swelling. Displacement of bones and their deformation is a serious complication that can result in disability.
This complication can be observed in 30% of diabetic patients and is associated with limited hand mobility. The progressive nature of the disease leads to limited motor ability of the hands and fingers. On the back of the palm, the skin becomes dense and thick, yellowish in color. All these long-term changes do not accompany joint pain.
Chronic joint disease is age-related changes not associated with metabolic disorders that occur at 45 years of age and older. Often, having the same conditions for progression (age, excess weight), type 2 diabetes develops in parallel with the destruction of cartilage tissue. At an earlier age, high levels of sugar in the body can accelerate the development of arthrosis. Deformation occurs in such parts of the bone apparatus as:
The doctor recognizes disorders in the osteoarticular system based on an assessment of general clinical signs. An anamnesis is necessarily collected, the patient undergoes an examination, after which a series of examinations is prescribed. To confirm joint disease, X-ray diagnostics are performed. If it is necessary to determine the source of inflammation, ultrasound and MRI examinations are performed.
The earlier the correct diagnosis is made, the greater the chance of stopping the progression of joint damage in diabetes mellitus.
A general technique for treating the joints of the legs, arms, and knees with diabetes has not been developed. A characteristic feature of the treatment of such complications is an individual approach. The doctor, taking into account the special signs of each patient’s disease, along with consultations with an endocrinologist, selects medications, auxiliary treatment methods and prescribes a duration of therapy.
Positive results from drug therapy are achieved with long-term use of medications. The patient must understand that there will be no quick results and take the doctor’s recommendations responsibly. Treatment with medications includes:
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Quite a large number of physiotherapeutic methods are used for therapeutic purposes for diabetes mellitus and its accompanying complications:
A means to reduce pain, improve blood circulation, without harm to the body when treating joints, is massage. The doctor’s influence on the joint tissues using characteristic movements or special equipment gives a positive result. In addition, in parallel, attention should be paid to physical therapy. Specially selected exercises allow you to maintain muscle tone and maintain the mobility of bone joints.
Diabetes and arthritis are not directly related, but quite often they overlap. By…
Diabetes and arthritis are not directly related, but quite often they overlap. According to the latest research data, more than half of people with diabetes (52%) also suffer from arthritis. In addition, a person with high blood sugar may experience certain musculoskeletal changes, which may result in joint pain, nodular thickenings and swelling under the skin, especially in the fingers, toes, and knees.
Type 1 diabetes and rheumatoid arthritis. In people with type 1 diabetes, the immune system actively attacks the pancreas and the synovial fluid of the joints. It has also been noted that in patients with rheumatoid arthritis and diabetes, levels of inflammatory markers (Interleukin 1 and C-reactive protein) are increased. Research shows that there is a genetic link between these diseases. In recent years, scientists have identified the PTPN22 gene, which is equally associated with many autoimmune diseases, including diabetes and rheumatoid arthritis.
Type 2 diabetes and osteoarthritis. For both of these diseases, there are at least two major risk factors: weight and age. And since both diabetes and osteoarthritis have common conditions for existence, quite often they occur together, synchronously. Joint disease is very closely related to a person’s age, because gradually they all wear out. After all, the older a person is, the more he uses his joints and the greater the likelihood of developing osteoarthritis. The risk of developing type 2 diabetes also increases with age, and the majority of people diagnosed with the disease are over 55 years of age. The reason for this is poor physical activity and excess weight gain.
As for obesity, it increases tension in the joints, thereby affecting them. Every extra kilogram puts pressure on the knees and over time, this tension contributes to the rupture of the joint. Fullness also affects many internal organs. Fat tissue produces chemical compounds that can increase insulin resistance, thereby increasing the amount of glucose in the blood. By straining to fight the chemicals and pump blood, the blood vessels and heart become “weary” over time. Of course, two diseases like diabetes and arthritis do not cause each other, but sometimes they accompany each other, and obesity and inactivity contribute to their development.
Many signs of arthritis can be treated with a variety of anti-inflammatory medications and injections, but it is important that all necessary medications are prescribed by a qualified professional.
Prevention of arthritis and improvement of well-being in diabetes mellitus. Physical activity - light running, swimming, walking, cycling, etc. - will help improve the condition of diseases such as arthritis and diabetes. This activity will help normalize sugar levels, and its absence increases the risk of limb amputation and susceptibility to infections. Many people do not pay enough attention to physical education and lead a sedentary lifestyle. But studies by many scientists show that physical activity is very important for such ailments.
When you have joint pain, it is quite difficult to exercise, but to achieve positive results it is necessary to carry out exercises systematically and increase the load gradually. You can, without getting out of bed in the morning, do exercises for your arms, shoulders, palms, etc. The main thing is to set yourself a specific goal - to defeat the disease - and move in the right direction.
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According to numerous data, joint diseases affect the majority of all people living on the planet. With such diseases, movement is difficult. This is caused by the fact that there is less lubrication and the underlying cartilage wears out over time, so the bones no longer slide as they should, but rub against each other. This position causes pain, stiffness, inflammation and many other symptoms.
Due to metabolic disorders in the body, the level of protein in the bones decreases in patients. That is, in other words, calcium is washed out of them. Subsequently, the bones become brittle and very brittle.
Joint damage is also observed in diabetes mellitus. Their structure and normal functioning are completely disrupted.
The joints most often affected are the joints in the legs. The reasons that lead to this condition are damage to various nerve endings in the extremities and impaired vascular patency. They usually manifest themselves as pain in the joints, a burning sensation, tingling sensation and even anemia. A person loses the ability to feel the surrounding temperature with part of his leg. This may include a sharp decrease in sensitivity or its complete absence. This, in turn, prevents the diabetic patient from noticing the injury and infection can penetrate into it. Thus, damage to blood vessels and arteries subsequently leads to impaired blood supply in the legs, and this condition is increased by a fairly high level of cholesterol in the blood, high blood pressure, or smoking.
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For minor problems associated with the treatment of joints, any person will benefit from self-massage and following certain rules. Periodically maintaining the required blood sugar level is an integral part for people with diabetes. Acceptable limits are considered to be up to 10 mmol/l throughout the day, and not just in the morning. This procedure is one of the most important, because without a normal sugar level, treatment of joint damage in diabetes will not be so effective and, accordingly, will not bring the expected results.
To prevent more serious complications, it is necessary to constantly follow basic rules for caring for your legs and feet. It can also be various gymnastics, massage or therapeutic massage. When performing such procedures for only 10 minutes a day, many note that joint pain in patients with diabetes mellitus is significantly reduced and previous sensitivity is restored.
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Like other organs of the human body, joints with diabetes mellitus (DM) are at increased risk of damage. Joint diseases can cause a lot of trouble, because their structure and normal functioning are completely disrupted, they hurt a lot and complicate a full-fledged existence.
A joint is where bones connect. Bones are held in place by ligaments, which connect the bones to each other, and tendons, which attach the bones to the muscles. The bases of the bones are padded with cartilage, which allows them to move without harsh friction. Cartilage damage can be caused by injury or natural causes associated with aging, but diabetes potentially accelerates its destruction.
Insufficient insulin production leads to pathological changes in muscles, bones and joints.
Since diabetes is associated with metabolic disorders, cartilage in diabetics is more susceptible to aging and destruction. Due to impaired blood circulation and narrowing of blood vessels, the nervous system of muscles and ligaments suffers; lack of nutrition negatively affects their main function - to fix and strengthen the joints. In addition, excess glucose accumulates on the surface of the joints, complicating their movement, reducing flexibility, making them stiffer, and also destroys the collagen that makes up the tendons. Excess weight puts additional pressure and aggravates pain in the joints of the legs in diabetes.
Diabetes negatively affects the osteoarticular organs and in approximately 80% of cases leads to early arthrosis or other complications that are accompanied by pain or discomfort in the feet, knees, toes and hands, shoulders, etc. The likelihood of such diseases increases with age. Some joint lesions are not associated with diabetes, but their course will be complicated by diabetes. The joints of the legs in diabetes are the most vulnerable, because they bear the maximum pressure.
Diabetic osteoarthropathy. (neurosteoarthropathy, Charcot's foot) - destruction of osteoarticular organs not associated with infection. This severe complication leads to disability. The disease predominantly affects the feet, less commonly the knees and hip joints. Early recognition of the disease is difficult because the joints do not hurt even with visually noticeable changes. Impaired sensitivity leads to sprained ligaments and destruction of cartilage, which causes severe swelling, as well as dislocation of the bones of the foot and its subsequent deformation.
Joint mobility syndrome is a long-term complication of diabetes mellitus and occurs in almost 30% of diabetics. The disease is characterized by progressive stiffness of the hands and fingers, and the formation of thick, dense, waxy skin on the back of the hand. The gradual limitation of motor abilities manifests itself painlessly.
Arthrosis is not directly related to diabetes, although it is quite common in diabetics. Arthrosis is an age-related deformation of the joints that occurs gradually, which begins to develop in adulthood (45 years and older), but diabetes mellitus creates conditions for its development at an earlier age. Types of arthrosis:
Bursitis develops from a bacterial infection in the cavity of the synovial bursa of the knee or elbow joint. Any movement and pressure causes enormous pain in the affected organ. In most cases, the disease is associated with mechanical trauma or due to constant pressure on the elbow or knee, but diabetes, as in other cases, serves as a catalyst for the development of the disease.
Early diagnosis helps stop the further development of serious joint problems in diabetes.
In some cases, an MRI of the joint will be required to confirm the diagnosis.
Although some conditions cannot be completely cured, there are methods that can help minimize pain and discomfort. Therefore, if your joints hurt, swelling, redness or numbness appear, you should urgently go for an examination to a doctor. To diagnose diseases, an X-ray examination of the knee, foot, shoulder or elbow is prescribed. In some cases, an MRI and biopsy must be done to make a correct diagnosis.
In case of diabetes, diseases of the musculoskeletal system should be treated under the supervision of an endocrinologist, since not only drug therapy is important, but also maintaining glucose, blood pressure and lipid metabolism at the proper level. Correct and constant compensation of diabetes is the key to successful therapy. The duration of treatment is determined by the attending physician, taking into account the intensity of pain, the type of diabetes and its duration.
It is necessary to treat joints together with drugs that improve the rheological properties of blood, for example, angioprotectors (Prodectin), antiplatelet agents (Ticlopidine, Pentoxifylline). Treatment of arthrosis in diabetes includes physical therapy (electrophoresis, massage, pulse therapy, etc.). Diabetic hand syndrome is difficult to treat, but daily hand stretching exercises can help prevent or delay the development of the disease. To relieve pain, painkillers are prescribed, and in the presence of ulcers or inflammatory processes, antibiotics are prescribed. For severe foot deformities, orthopedic shoes are recommended. In extremely severe cases, surgery is resorted to.
Diabetes mellitus (DM) is an endocrine disease. It comes in the first and second types. Often, against this background, a person develops rheumatoid arthritis or develops other diseases affecting the joints.
The reason for this is various factors. Symptomatically, joint diseases are similar, so a complete clinical examination of the patient is necessary to make a diagnosis. This will increase the chance of a complete cure for ailments of the musculoskeletal system.
Diabetes mellitus is characterized by a chronic course, against the background of which secondary severe complications often develop. Diabetes mellitus type I and II negatively affects the functioning of the systems of the whole body, but first of all it affects the nerves and blood vessels. In humans, capillary blood supply decreases, innervation is disrupted, which leads to decreased sensitivity. fabrics. Patients also often complain of joint pain. This happens in several types of diseases.
Multiple or local damage to joints in diabetes is explained by metabolic disorders, peripheral microcirculation, damage to nerve fibers (diabetic neuropathy), and proliferation of connective tissue.
Joint pain is accompanied by limited mobility in the joints. This is observed in diabetic muscle infarction, amyotrophy, osteoarthropathy, periarthritis, and tenosynovitis. Also, the cause of joint problems can be osteoporosis, diffuse primary skeletal hyperostosis.
To prevent complications from the musculoskeletal system and eliminate joint pain in diabetes mellitus, treatment should include diet, daily exercise therapy, physical therapy and timely intake of medications prescribed by a doctor.
Endocrine disease often leads to deterioration in the functioning of the immune system. In diabetes, inflammatory processes in tissues occur more often, and the body's overall resistance to various bacterial, fungal or viral infections decreases. The infection can spread from primary foci by blood or lymph fluid, settling in organs and/or joints.
With rheumatoid arthritis (RA), a person's cartilage tissue, synovial bursa and other joint structures become inflamed, and the range of motion in the joints decreases. Characterized by constant pain in the affected areas, which intensifies with minor physical exertion.
Without timely treatment, this joint disease gradually progresses, leading to irreversible changes in the joints. The joints are deformed, their functional mobility is significantly limited, which is especially noticeable for small joints (joints of the hand, foot).
In rheumatoid arthritis, changes in periarticular tissues are also observed:
The main danger of rheumatoid arthritis is the destruction of tissue in the joint, which significantly limits the ability to work and can lead to disability. To confirm the diagnosis, ultrasound, magnetic resonance imaging, thermography (thermal imaging) are performed, and a biopsy of synovial fluid is performed.
In type 1 diabetes, the pancreas stops producing insulin, so a person needs to regularly take injections of this hormone. It is necessary to constantly monitor blood sugar levels to avoid such a dangerous complication as diabetic coma.
Both rheumatoid arthritis and type 1 diabetes develop in people who have a genetic predisposition to these diseases. A combination of these pathological conditions is often observed.
Insulin-dependent diabetes and rheumatoid arthritis belong to a group of autoimmune diseases in which the immune system does not recognize foreign agents and begins to attack its own cells, including joint structures and the pancreas, causing destructive processes in tissues.
Symptoms of type 1 diabetes:
With diabetes, joints hurt and swell, dry skin on the feet and cracks in the heels appear, itching in the perineum and between the toes, and osteoporosis develops. Often, diabetics attribute attacks of arthralgia and myalgia to fatigue, glycemic disturbances, and a reaction to changing weather.
In type 2 diabetes, the body produces insulin, but in small quantities, and its penetration into cells is difficult.
Type 2 diabetes mellitus can be asymptomatic or with mild symptoms. Signs also include increased thirst and appetite, increased dryness of the skin and mucous membranes, and joint pain. For diabetes, treatment is aimed at correcting blood glucose levels, eliminating inflammation in the synovial membranes and other structures of the joints, and preventing their deformities.
Factors such as heredity, age over 50, excess weight and a sedentary lifestyle contribute to the development of type 2 diabetes and rheumatoid arthritis in one person.
For medical help for joint problems, turn to a rheumatologist, arthrologist, or orthopedist. Periodic consultations with a nutritionist are necessary. The main treating physician is an endocrinologist.
If you have arthritis, you need to adjust your diet. A diabetic is recommended to diet No. 9 according to Pevzner, switching to split 5 meals a day. If a person has been diagnosed with rheumatoid arthritis, then the diet is made up according to treatment table No. 10, adjusted for the phase and stage of the pathology.
For type 1 diabetes mellitus, insulin therapy, a strict diet, and therapeutic exercises are required. The hormone is administered several times a day. The frequency of administration and dose of insulin depends on the level of glucose in the blood, which must be constantly monitored. A person needs to take herbal remedies and medications that reduce the amount of glucose in the blood.
For type 2 diabetes mellitus, insulin injections are not prescribed in all cases, however, a general diet, control of calories, carbohydrates, animal proteins, and fats are required. Prescribed drugs that lower blood sugar levels are taken orally. A diabetic should also regularly check their blood glucose levels.
Treatment of concomitant rheumatoid arthritis is long-term, with individual selection of non-steroidal anti-inflammatory drugs, chondroprotectors, genetically engineered biological drugs, medications for topical use - ointments, gels, rubbing liquids and compresses.
For joint pain, in addition to medications, the following is prescribed:
While therapy lasts, constant medical supervision, systematic testing, and careful adherence to medical recommendations and diet are necessary.
For rheumatoid arthritis, the doctor may also prescribe Methotrexate, which belongs to the genetically engineered biological drugs. This medicine has a number of serious contraindications: liver or kidney failure, immunodeficiency, blood diseases, pregnancy, individual intolerance.
Treating rheumatoid arthritis in diabetes is very difficult, but necessary due to the high likelihood of serious complications. Experts give a good prognosis for therapy if the disease is detected in the early stages. Diabetics need not only to follow medical recommendations for the treatment of diabetes, but also to do gymnastics and self-massage daily to protect their joints from deformation and pain.
Diabetes mellitus is a disease that does not spare any internal organs. Its presence in humans leads to the fact that due to high sugar, blood vessels suffer, which is why damage to other organs develops, without exception. It is not uncommon for diabetes to cause joint pain. This condition provokes many problems in patients, since due to the disruption of their normal structure and performance, the quality of life of people is significantly reduced.
According to WHO, every year 2 million people die from diabetes and its complications around the world. In the absence of qualified support for the body, diabetes leads to various kinds of complications, gradually destroying the human body.
The most common complications are: diabetic gangrene, nephropathy, retinopathy, trophic ulcers, hypoglycemia, ketoacidosis. Diabetes can also lead to the development of cancer. In almost all cases, a diabetic either dies fighting a painful disease or becomes a real disabled person.
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Currently, the Federal program “Healthy Nation” is underway, within the framework of which this drug is given to every resident of the Russian Federation and the CIS for FREE . For detailed information, see the official website of the Ministry of Health.
Doctors call a joint the area or place where two or more bones are movably connected. This complex is held in place by ligaments, which attach to the bones, and tendons, which serve as attachments for the muscles. At the base of bones there is cartilage, which contributes to the smooth movement of joints, preventing friction and deformation of hard structures.
Cartilage can be damaged for various reasons, for example, traumatic, or begin its destruction due to aging. A disease such as diabetes leads to an acceleration of these processes due to the fact that the pathology significantly disrupts the normal metabolism of all internal organs.
The deterioration of blood flow is due to the narrowing of blood vessels and disruption of their innervation. This leads to insufficient nutrition of the nerve fibers, which subsequently causes a disruption in the supply of essential substances to muscles, bones and cartilage. One of the main functions of the joints suffers - fixing muscles and bones in a certain position.
Another factor is the accumulation of excess sugar on the articular surfaces. Flexibility decreases, normal movement is impaired or hampered, and the formation of collagen, which forms tendons, is disrupted. Excess body weight is also considered an important factor, which negatively affects all bone joints of the legs, especially diabetics are familiar with pain in the knee and ankle joints. In some cases, there may be pain in the upper extremities, but this is less common.
Patients with diabetes are much more likely than healthy individuals to suffer from joint pathologies. About 80% of patients report pain symptoms at an early age. Diseases such as arthrosis and arthritis begin their development from the onset of chronic hyperglycemia.
Unpleasant sensations in the fingers and toes, feet, knees, and hip joints with diabetes can be considered normal. The older the patient, the more diabetic experience he has, the higher the likelihood of developing such problems. According to statistics, the joints of the legs are affected more often than others. This is due to the increased load on them.
Diabetes is a complex disease that causes a malfunction of the body's immune system. The consequence of the processes can be the rejection of one’s own tissues by the immune system, which leads to the emergence of new diseases - fibromyalgia, allergies, arthritis.
Many patients diagnosed with diabetes complain of joint pain. This is due to the fact that they have rheumatoid arthritis.
In the early stages, patients often attribute the symptoms of arthritis to fatigue and overload, without seeking help from a doctor. The disease progresses, manifests itself more, developing a symptomatic picture:
Diabetes mellitus weakens the immune system, so you should pay close attention to your health status. The primary signs of arthritis cannot be ignored or attributed to fatigue; it is better to get checked by a specialist.
The doctor studies the general picture of the disease and prescribes a number of tests and examinations. An x-ray of the joint makes it possible to see signs of the disease. Depending on the stage of arthrosis, the image shows the changes occurring in the joints.
To identify the source of inflammation in the joint tissues, the doctor prescribes an ultrasound and thermographic examination to the patient. The patient must take a blood test, urine test, and undergo a general examination.
Patients with stage 1 diabetes face health complications; the immune system rejects the pancreas and affects the synovial fluid found in the joints.
If we examine the tests of a patient with diabetes or arthritis, we can conclude that in both cases the inflammatory markers are increased several times.
Scientists have discovered a gene that contributes to the development of autoimmune diseases. Doctors say that first-degree diabetes combined with arthritis has a genetic predisposition.
Diabetes mellitus of the second stage appears synchronously with arthritis, treatment is more difficult. There are factors that can aggravate the course of the disease:
Diabetes does not cause arthritis; the deterioration of certain body functions contributes to the development of joint disease.
There is no universal method of treating arthritis for diabetics; the doctor will select medications, taking into account the individual characteristics of the patient.
After confirming the diagnosis, the specialist prescribes drug treatment consisting of:
To obtain results, the drugs should be taken in long courses, it is important to see a doctor, and regularly undergo laboratory tests.
Rheumatoid arthritis can be cured in the early stages; you should see a doctor and follow the recommendations. It is important that the patient understands that regular use of medications is a guarantee of recovery; the first results do not appear soon.
Rheumatoid arthritis in diabetes is difficult to treat; not all drugs are suitable for such patients. Medicine offers new methods that can make treatment more effective.
Magnetic therapy is used to treat arthritis. The essence of the treatment is that diseased joints are heated at a depth of up to 12 cm. Regular procedures normalize blood circulation, restoring joint tissue.
Thanks to low-frequency fields, inflammation decreases, pain disappears, and overall health improves. The magnetic treatment method is used by elderly people; despite their weakened bodies, they undergo the procedures without complications.
The course of therapy lasts a month; if necessary, the doctor will prescribe additional procedures. Improvement in the condition of the joint can be felt after a course of procedures. Treatment is not cheap, it is better to decide whether to start treatment or not.
Magnetic therapy for people with diabetes is used in the first two stages of arthritis in the absence of inflammatory processes and the periarticular tissues are not too deformed. There are contraindications:
An effective way to treat arthritis in diabetes is laser procedures. Laser exposure occurs in the following ways:
Laser procedures should be carried out in a course of up to 20 procedures every other day. The procedures are intended for patients with mild rheumatoid arthritis. If the disease is severe, laser therapy should be abandoned; it will not bring the desired result. Before starting treatment for arthritis, people with diabetes should undergo a detailed examination using additional methods.
Massage for arthritis is a way to reduce pain and restore proper blood circulation without risking harm to the body. The specialist performs manipulations with the patient’s soft, articular tissues using certain movements. The massage therapist can use special devices that make the procedure more effective. Massage has contraindications:
To cure arthritis, it is worth approaching the problem comprehensively and paying attention to therapeutic exercises. Minor physical activity in the form of therapeutic exercises can be used by people who have had heart attacks, strokes, or have diabetes.
Regular gymnastics will help maintain muscle tone and joint mobility. Proper physical activity is a way to prevent complications of arthritis.