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Suggest Treatment For Stiff Shoulders In A Type 2 Diabetic
Question: Iam diabetic Type 2 using humanmixtard 40 38units in the morning and30 units in the night. Iam using OLMIZEST-AM for controlling B.P..another tablets are GLIMI save M2 Forte,DAZTOR10,RemylinD, Azotor ASP 75. Iam aged63.Since 8 months Iam sufferring from FRozen shoulder in Right arm.Iam over weight i,e92 kgs.Sufferring from knee joint pains and nervious weakness.I request to suggest treatment for my health problems especially for FROZEN SHOULDER from which Iam suffering very much.
Thanking you
Your,s faithfully
xxxxxxx
Thanking you
Your,s faithfully
xxxxxxx
Brief Answer:
Analgesics and steroids are the main stay of treatment for frozen shoulder
Detailed Answer:
Hello, Sir.
I can understand your concern.
Frozen shoulder is very common in diabetics.
The treatment of frozen shoulder is initially treated with a combination of oral corticosteroids and analgesics.
Analgesics are the first choice drugs-I recommend oral tablets of Voveron 100 mg for 2weeks.If pain does not subside with this, then oral steroids are indicated.
Even though steroids are contraindicated in diabetics, a judicious use of steroids over 3 week taper can be indicated.
The protocol is as follows
Corticosteroid Dosing in Patients With frozen shoulder
Week Number Medication Dose
1 (Days 1-7) Prednisone 40 mg/d
2 (Days 8-14) Prednisone 30 mg/d
3 (Days 15-18) Prednisone 20 mg/d
4 (Days 19-21) Prednisone 10 mg/d
5 (Days 22+) Discontinue
In case if you do not respond to above measures, then a surgical procedure with a prior MRI scan is mandatory.
Please check with your physician if he shares my view and if can prescribe these medications to you. With above measures the knee joint pains can also be controlled.
Pertaining to nervous weakness, I recommend short course of oral tablets of Vitamin B12 for 3 months. They are available as Matilda ER. They are very important for diabetic people.
Post your further queries if any.
Thank you.
Analgesics and steroids are the main stay of treatment for frozen shoulder
Detailed Answer:
Hello, Sir.
I can understand your concern.
Frozen shoulder is very common in diabetics.
The treatment of frozen shoulder is initially treated with a combination of oral corticosteroids and analgesics.
Analgesics are the first choice drugs-I recommend oral tablets of Voveron 100 mg for 2weeks.If pain does not subside with this, then oral steroids are indicated.
Even though steroids are contraindicated in diabetics, a judicious use of steroids over 3 week taper can be indicated.
The protocol is as follows
Corticosteroid Dosing in Patients With frozen shoulder
Week Number Medication Dose
1 (Days 1-7) Prednisone 40 mg/d
2 (Days 8-14) Prednisone 30 mg/d
3 (Days 15-18) Prednisone 20 mg/d
4 (Days 19-21) Prednisone 10 mg/d
5 (Days 22+) Discontinue
In case if you do not respond to above measures, then a surgical procedure with a prior MRI scan is mandatory.
Please check with your physician if he shares my view and if can prescribe these medications to you. With above measures the knee joint pains can also be controlled.
Pertaining to nervous weakness, I recommend short course of oral tablets of Vitamin B12 for 3 months. They are available as Matilda ER. They are very important for diabetic people.
Post your further queries if any.
Thank you.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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