Musculoskeletal Manifestations Of Diabetes Mellites-A One Year Cross Sectional Study

Abstract

Purpose: Diabetes is one of the most common non communicable diseases globally. The complications of diabetes mellitus are numerous and include involvement of the musculoskeletal system. The incidence of diabetes mellitus and the life expectancy of the diabetic patient have both increased in view of wide variety of treatment options, resulting in increased prevalence and clinical importance of musculoskeletal disorders in diabetic subjects. This study represents the common musculoskeletal disorder among the diabetic patients. Objectives: To study musculoskeletal manifestations of diabetes mellitus and to study correlation of severity with duration of diabetes mellitus Methodology: A cross sectional study was conducted in patients presenting to Department of Internal medicine at KLES Dr Prabhakar Kore Hospital & MRC, Belgaum fulfilling inclusion criteria. All the patients with type 2 diabetes with duration of 5 year underwent a complete rheumatic examination to assess the musculo skeletal disorders. X ray of involved joint was taken if clinical signs and symptoms are present. Descriptive statistics was used for data analysis. Results: The study results show that more than half of the participants 69% were male and 31% were female. The study also reveals that (n=100) 96% diabetic patient were suffering from musculoskeletal pain and 4% diabetic patient were free from musculoskeletal pain. . Our study showed prevelance of Charcots joint (35%), followed by Dupuytren contracture(33%), Frozen shoulder and Limited Joint Mobility Syndrome (21%), Trigger Finger(17%), Carpel Tunnel Syndrome (11%) and Diffuse Idiopathic Skeletal Hyperosteosis (DISH) in 8%.