Sözen Tümay, Başaran Nursel Çalık, Tınazlı Mehtap, Özışık Lale
Private Ankara Endomer Endocrinology Center, Ankara, Turkey.
Department of Internal Medicine, Hacettepe University School of Medicine, Ankara, Turkey.
Eur J Rheumatol. 2018 Dec;5(4):258-265. doi: 10.5152/eurjrheum.2018.18044. Epub 2018 Oct 31.
Diabetic patients may suffer from a wide range of musculoskeletal disorders that can cause pain and some dysfunctions in the patient and affect the treatment negatively or reduce the quality of life by causing problems in the implementation of exercise programs, which are very important in the treatment of patients with Diabetes Mellitus. Although most of these problems are also seen in non-diabetics, they are more frequently observed but are not specific to diabetics. Their physiopathology is not fully understood; there is some evidence suggesting that macro- and microvascular complications of diabetes are responsible. A diagnosis of musculoskeletal dysfunctions in diabetic patients is made by clinical findings, and there is currently no specific treatment. If the treatment of problems requires corticosteroid use, diabetes can be hard to manage. In this review, we summarized the general features, diagnosis, and treatment modalities of frequent and important musculoskeletal disorders in diabetic patients.
糖尿病患者可能患有多种肌肉骨骼疾病，这些疾病会给患者带来疼痛和一些功能障碍，对治疗产生负面影响，或者通过在实施运动计划时引发问题来降低生活质量，而运动计划在糖尿病患者的治疗中非常重要。尽管这些问题在非糖尿病患者中也较为常见，但在糖尿病患者中更频繁地被观察到，不过并非糖尿病患者所特有。其生理病理学尚未完全明确；有一些证据表明糖尿病的大血管和微血管并发症与此有关。糖尿病患者肌肉骨骼功能障碍的诊断基于临床症状，目前尚无特效治疗方法。如果治疗这些问题需要使用皮质类固醇，糖尿病可能会难以控制。在本综述中，我们总结了糖尿病患者常见且重要的肌肉骨骼疾病的一般特征、诊断方法和治疗方式。
