Rehabilitation of Tendon Problems in Patients with Diabetes Mellitus

Jonathan Rees, Jamie E Gaida, Karin Grävare Silbernagel, Johannes Zwerver, Joseph S Anthony, Alex Scott

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Exercise is crucial in the management of diabetes mellitus and its associated complications. However, individuals with diabetes have a heightened risk of musculoskeletal problems, including tendon pathologies. Diabetes has a significant impact on the function of tendons due to the accumulation of advanced glycation end-products in the load-bearing collagen. In addition, tendon vascularity and healing may be reduced due to diabetes-induced changes in the peripheral vascular system, and impaired synthesis of collagen and glycosaminoglycan. The current chapter presents an evidence-based discussion of considerations for the rehabilitation of tendon problems in people with diabetes. The following conditions are discussed in detail - calcific tendinopathy, tenosynovitis, tendon rupture, and non-calcifying tendinopathy. Common diabetes-related findings are presented, along with their potential impact on tendinopathy management and suggested modifications to standard tendinopathy treatment protocols. A holistic approach should be used to optimize musculotendinous function, including a comprehensive exercise prescription addressing strength, flexibility, and aerobic fitness.

Original languageEnglish
Pages (from-to)199-208
Number of pages10
JournalAdvances in Experimental Medicine and Biology
Volume920
DOIs
Publication statusPublished - 19 Aug 2016

Fingerprint

Tendons
Medical problems
Tendinopathy
Patient rehabilitation
Diabetes Mellitus
Rehabilitation
Collagen
Exercise
Tenosynovitis
Bearings (structural)
Advanced Glycosylation End Products
Weight-Bearing
Clinical Protocols
Glycosaminoglycans
Prescriptions
Pathology
Blood Vessels
Rupture

Cite this

Rees, Jonathan ; Gaida, Jamie E ; Silbernagel, Karin Grävare ; Zwerver, Johannes ; Anthony, Joseph S ; Scott, Alex. / Rehabilitation of Tendon Problems in Patients with Diabetes Mellitus. In: Advances in Experimental Medicine and Biology. 2016 ; Vol. 920. pp. 199-208.
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Rehabilitation of Tendon Problems in Patients with Diabetes Mellitus. / Rees, Jonathan; Gaida, Jamie E; Silbernagel, Karin Grävare; Zwerver, Johannes; Anthony, Joseph S; Scott, Alex.

In: Advances in Experimental Medicine and Biology, Vol. 920, 19.08.2016, p. 199-208.

Research output: Contribution to journalArticle

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