Can Diabetes Cause Neck and Shoulder Pain in Seniors? - Family Medicine

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I would like to ask questions regarding diabetes?


Hello Doctor: I would like to ask if diabetes can cause shoulder and neck pain? My father is in his 80s, and during winter he doesn't feel cold, often wearing shorts and short-sleeved shirts, and sometimes he even feels hot.
Could this be related to diabetes as well?

sai, 30~39 year old female. Ask Date: 2016/01/18

Dr. Chen Pengsheng reply Family Medicine


Hello: This issue should not be related to diabetes.
If the father has other physical problems, please consult the physician at the regular diabetes clinic.
Thank you.

Reply Date: 2016/01/18

More Info


Yes, diabetes can indeed contribute to neck and shoulder pain in seniors, and there are several mechanisms through which this can occur. Diabetes is known to cause a variety of complications that can affect the musculoskeletal system, leading to discomfort and pain in various areas of the body, including the neck and shoulders.

One of the primary ways diabetes can lead to pain is through diabetic neuropathy. This condition occurs when high blood sugar levels damage the nerves, leading to symptoms such as pain, tingling, or numbness. While diabetic neuropathy often affects the feet and hands, it can also impact other areas, including the neck and shoulders. Seniors with diabetes may experience referred pain or discomfort in these regions due to nerve damage.

Additionally, diabetes can lead to conditions such as frozen shoulder (adhesive capsulitis), which is characterized by stiffness and pain in the shoulder joint. This condition is more common in individuals with diabetes and can significantly limit mobility and cause discomfort in the neck and shoulder area. The inflammation associated with frozen shoulder can also lead to referred pain in the neck.

Moreover, diabetes can contribute to poor circulation, which may exacerbate pain and discomfort in the neck and shoulders. Reduced blood flow can lead to muscle stiffness and tension, causing pain in these areas. Seniors with diabetes may also be more prone to developing musculoskeletal disorders due to the overall effects of the disease on their body.

Regarding your father's experience of not feeling cold and sometimes feeling hot, this could be related to diabetes as well. Diabetes can affect the autonomic nervous system, which regulates bodily functions such as temperature control. This dysfunction can lead to abnormal temperature sensations, causing individuals to feel warmer or cooler than they actually are. Additionally, peripheral neuropathy can alter the way sensations are perceived, leading to a lack of awareness of temperature changes.

It is essential for seniors with diabetes to manage their blood sugar levels effectively, as uncontrolled diabetes can lead to further complications, including increased pain and discomfort. Regular check-ups with healthcare providers are crucial to monitor diabetes and address any emerging symptoms promptly.

In conclusion, diabetes can indeed cause neck and shoulder pain in seniors through various mechanisms, including nerve damage, musculoskeletal disorders, and poor circulation. If your father is experiencing persistent pain, it is advisable to consult with a healthcare professional who can evaluate his condition and recommend appropriate treatment options. This may include physical therapy, pain management strategies, and adjustments to his diabetes management plan to improve his overall quality of life.

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