Question

My mother is 56 years old. She has been suffering with knee joints pain from last 9 years. Doctor says for knee replacement. But she is diabetic but don't know which type of diabetes to her, because after taking medicine sugar level becomes normal. Is there any possibility of knee replacement with blood sugar? She is also suffering from shoulders pain, arms and legs pain. She feels always numbness in her feet and do not feel anything like walking, injury etc. Is it a part of diabetes or not. Which type of check up or test should be done to know about all problems. Please answer my question.

Dr.Sirish Physiotherapist · Accepted Answer

Diabetes and knee replacement: diabetes can increase the risk of complications during surgery, including knee replacement surgery. However, many people with well-controlled diabetes can undergo knee replacement surgery safely. It's essential for your mother to discuss her diabetes management with her healthcare provider and the orthopedic surgeon who will perform the knee replacement. They will assess her overall health and determine if she is a suitable candidate for surgery. Close monitoring of blood sugar levels before and after surgery will be important to minimize the risk of complications.
Numbness in feet: numbness and tingling in the feet can be symptoms of diabetic neuropathy, a common complication of diabetes that affects the nerves. It's important for your mother to have a thorough evaluation by a healthcare provider to assess her symptoms and determine the underlying cause. Additional tests, such as nerve conduction studies or electromyography (emg), may be recommended to evaluate nerve function.
Shoulder, arms, and legs pain: pain in the shoulders, arms, and legs can have various causes, including arthritis, nerve compression, muscle strain, or other musculoskeletal conditions. Your mother may benefit from a comprehensive evaluation by a healthcare provider, possibly including imaging studies such as x-rays or mri, to determine the cause of her pain and develop an appropriate treatment plan.
Comprehensive check-up: to address your mother's multiple symptoms and concerns, it's important for her to undergo a comprehensive medical evaluation. This may include:
blood tests: to assess blood sugar levels, kidney function, lipid levels, and other metabolic parameters.
Nerve function tests: to evaluate for diabetic neuropathy or other nerve-related issues.
Imaging studies: such as x-rays, mri, or ultrasound to assess the condition of the knee joints, shoulders, and other affected areas.
Consultations with specialists: such as an orthopedic surgeon, endocrinologist (for diabetes management), or neurologist (for nerve-related issues).
Holistic approach: given your mother's multiple symptoms and medical conditions, a holistic approach to her care may be beneficial. This could include optimizing diabetes management, incorporating physical therapy or exercise programs to improve mobility and strength, and exploring options for pain management and symptom relief.

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