Calcific tendonitis occurs when calcium deposits form in the tendons in the shoulder.
Tendons of the Shoulder
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Calcific tendonitis may be caused by: Overuse, repetitive motionsInjury
Your risk of calcific tendonitis of the shoulder may be increased if you: Participate in sports that require repetitive arm use such as baseball, swimming, javelin throwing, and volleyballHave a job that requires repetitive arm use such as painting, carpentry, and welding
Symptoms may include: Sudden onset of painIntense pain with shoulder movementStiffness of shoulderLoss of shoulder range of motionPain that disrupts sleepTenderness over rotator cuffLoss of muscle mass
You will be asked about your symptoms and medical history. A physical exam will be done. It will assess your range of motion and stability.
Images may be taken of your shoulder. This can be done with an x-ray.
You may be referred to a specialist. For example, an orthopedic surgeon specializes in bones.
Most cases of calcific tendonitis resolve over time. Talk with your doctor about the best plan for you. Options include the following:
Your medical treatment plan will likely include: Nonsteroidal antiinflammatory drugs (NSAIDs)RestHeat and/or icePhysical therapy to strengthen musclesA steroid shot directly into your shoulder to decrease inflammation and pain
You may be referred to a therapist for treatment. A therapist will use different treatments to decrease the pain and inflammation. Possible treatments include: Ultrasound—a device that uses high energy sound waves to decrease pain in soft tissueTranscutaneous electrical nerve stimulation (TENS)—used to decrease muscle stiffness or spasms
When the symptoms have started to decrease, you will work with the therapist to strengthen your muscles and increase your range of motion.
Lavage may help flush out the calcium deposits. A needle is placed directly into the shoulder. Normal saline is injected through the needles. The deposits are then broken up for removal.
This therapy breaks up deposits by sending sound waves to the shoulder. The body can then reabsorb the smaller pieces. This should decrease symptoms.
In some cases, surgery may be done to remove deposits. The procedure is called
. It uses small incisions and instruments to view the joint and remove the deposits.
To prevent this condition, avoid or limit repetitive movements of the upper arm.
Calcific tendonitis. Internet Society of Orthopaedic Surgery & Trauma website. Available at:
http://www.orthogate.org/patient-education/shoulder/calcific-tendonitis-of-the-shoulder.html. Updated July 27, 2006. Accessed February 17, 2014.
Calcific tendonitis. Orthopaedic & Sports Medicine Physicians website. Available at:
http://www.orthosports.com.au/content_common/pg-calcific-tendonitis.seo. Accessed February 17, 2014.
Impingement of the shoulder. American Academy of Orthopaedic Surgeons website. Available at:
http://orthoinfo.aaos.org/topic.cfm?topic=a00032. Updated February 2011. Accessed February 17, 2014.
Impingement syndrome of rotator cuff. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated December 13, 2013. Accessed February 17, 2014.
Last reviewed February 2014 by John C. Keel, MD; Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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