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J Can Chiropr Assoc. 2006 Mar;50(1):43-50.

The musculoskeletal effects of diabetes mellitus.

The Journal of the Canadian Chiropractic Association

Lawrence H Wyatt, Randy J Ferrance

Affiliations

  1. Division of Clinical Sciences, Texas Chiropractic College, Pasadena, Texas 77505, USA. [email protected]

PMID: 17549168 PMCID: PMC1839979

Abstract

Diabetes mellitus (DM) is a multi-system disease characterized by persistent hyperglycemia that has both acute and chronic biochemical and anatomical sequelae, with Type-2 DM representing the most common form of the disease. Neuromusculoskeletal sequelae of DM are common and the practicing chiropractor should be alert to these conditions, as some are manageable in a chiropractic office, while others are life and/or limb threatening. This paper reviews the effects of DM on the musculoskeletal system so as assist the chiropractor in making appropriate clinical decisions regarding therapy, understanding contraindications to therapy, referring patients to medical physicians when appropriate and understanding the impact that DM may have on the prognosis for their patients suffering from the myriad musculoskeletal conditions associated with this disease.

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