The Diabetic Shoulder

Frozen Shoulder Syndrome The Back into Shape Clinic

What do we know about Frozen Shoulder Syndrome?

With so much talk of the debilitating side effects of Diabetes, I want to delve into frozen shoulders and how they are ten times more common in the diabetic community. Frozen Shoulder Syndrome or Adhesive Capsulitis affects between two and five percent of the population, mainly between the ages of 40 and 70. It is more common amongst women than men and tends to affect the non-dominant arm. Ten to twelve percent of people can get it on the other arm, as well.

This is an extremely debilitating condition that lasts an average of 30 months without treatment. The first ten months are characterized by searing pain, severe night pain and vastly reduced range of shoulder motion.

Frozen Shoulder Back into Shape Cllinic

What is the connection between Frozen Shoulder Syndrome and Diabetes?

Frozen Shoulder is ten times more common in the diabetic community and there are several reason for this:

  1. The use of insulin produces a byproduct called ‘sorbitol’, like the sweeter you can buy for coffee. This stiffens the tissues; creating an effect in the collagen cells a bit like when you add egg whites to make a meringue. This makes an inflamed shoulder stiffer quicker, which may lead more quickly to a frozen shoulder.

  2. The other aspect is that the bicep’s tendon (long head) has many tiny nerves plexus’ bundled around it and these are exquisitely sensitive to changes in blood sugar levels. Even with someone who controls their sugar well these small nerve fibers often die-off and thus contributing to a lack of sensation and control within the shoulder.

There are a couple of more disturbing aspects of the diabetes story. To begin with health insurance companies in the US are claiming that Frozen Shoulder is a complication of diabetes rather than a co-morbid condition and therefore won’t cover it. Additionally, the use of steroid injections (commonly used to treat the pain of Frozen Shoulder) can have a significantly negative impact on blood sugar levels and control for up to several days. Facial flushing and even extra hair-growth are also complications of steroid injection use. This is really upsetting some people’s diabetic maintenance. Another important point is the chronic loss of sleep in the early phase. It is well-known that a lack of sleep raises blood sugars and insulin resistance.

There’s good news and there’s a proven treatment

Frozen Shoulder Back into Shape Clinic treatment

There is good news! In 1997, I developed the first non-invasive, non-surgical treatment for Frozen Shoulder syndrome and have been promoting this treatment around the world ever since. My technique has been named NAT – The Niel-Asher Technique. With well over 40,000 practitioners worldwide using my technique I couldn’t be more pleased. NAT is safe, natural and uniquely effective.

NAT can be used to treat a range of shoulder problems but because of the unique challenges of the diabetic shoulder this treatment is a great option for diabetics. NAT has been validated in a controlled clinical trial at Addenbrookes hospital at Cambridge University, where it proved significantly superior to physical therapy and placebo for improving range of motion, reducing pain and improving strength and power.

It’s important to know that Frozen Shoulder syndrome no longer needs to control your life and undermine the quality of your life. Contact me today to discuss your Frozen Shoulder symptoms and discuss treatment options. You deserve to feel better today!


Simeon Asher, CEO Back into Shape Clinic

Simeon Asher is the former chairman of the Israeli Register of Osteopaths. With over 25 years of experience, internationally celebrated practitioner, teacher and author of 12 books, including the No. 1 Best Seller on Amazon, The Concise Book of Trigger Points, Simeon was voted as one London's top 10 osteopaths in a poll by the London Evening Standard. Simeon opened the Back into Shape Clinic in 2007 in the heart of Ra’anana, Israel to provide a wide range of Osteopathy, Physiotherapy Acupuncture, Massage and IDD therapies. The clinic and its group of specialists believe that ‘the body understands what to do and it is their mission to help guide it’.

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