Diabetes mellitus is well known for vascular, renal, ophthalmic, and neuropathic complications. Musculoskeletal health refers to the performance of locomotor system, involving muscles, bones, joints and adjacent connective tissues. Musculoskeletal impairments consist of more than 150 different diseases or conditions that affect the system. Such impairments are categorized by the impairments of bones, muscles, joints, ligaments, nerves, disc, tendons and adjacent connective tissues that lead to temporary or lifelong disorders. Musculoskeletal disorders are characterized by pain and limitations in mobility and dexterity, and reducing the individual’s ability to work, lower levels of well being and reduced ability to participate in society. Many of these musculoskeletal complications are underdiagnosed, under‐managed, yet contribute substantially to disability, impair physical activity, and thereby form a vicious cycle. The risk of musculoskeletal disorders (MSDs) can be reduced by incorporating few changes in daily routine like stretching, posture adjusting, and using ergonomic tools. This work systematically examines: (1) the epidemiology and types of musculoskeletal disorders seen in diabetes; (2) the pathophysiological mechanisms linking hyperglycemia and other metabolic derangements to musculoskeletal pathology; (3) impact on mobility, function, and quality of life; (4) current and emerging solutions like therapeutic, rehabilitative, technological to prevent or mitigate MSDs; and (5) gaps in research, recommendations for integrating musculoskeletal care into diabetic management: healing beyond blood sugar.