Calcific Tendonitis: Symptoms, Causes, Treatment

What are the symptoms of calcific tendonitis?

Calcific tendonitis is a condition characterized by the formation of calcium deposits within a tendon, most commonly in the rotator cuff tendons of the shoulder. The symptoms of calcific tendonitis can vary but may include:

1. Pain: Pain is a common symptom and is typically felt in the affected shoulder. The pain may range from mild to severe and may worsen with certain movements or activities.
2. Stiffness: Stiffness in the shoulder joint, especially in the morning or after periods of inactivity, is another common symptom.
3. Limited range of motion: The calcium deposits and associated inflammation can limit the shoulder’s range of motion, making it difficult to move the arm in certain directions.
4. Weakness: Some individuals may experience weakness in the shoulder, especially when lifting or using the arm.
5. Painful shoulder movements: Certain movements of the shoulder, such as reaching overhead or behind the back, may be particularly painful.
6. Swelling: In some cases, there may be swelling or tenderness in the shoulder area.
7. Pain at rest: In more severe cases, pain may be present even at rest, especially at night.

It’s important to consult with a healthcare provider for an accurate diagnosis and appropriate treatment if you experience symptoms of calcific tendonitis.

What are the causes of calcific tendonitis?

The exact cause of calcific tendonitis is not well understood, but it is believed to be related to a combination of factors, including:

1. Degenerative changes: Over time, tendons can undergo degenerative changes, making them more prone to injury and calcium deposition.
2. Repetitive stress or overuse: Activities that involve repetitive overhead arm movements or heavy lifting can increase the risk of developing calcific tendonitis, especially in the shoulder.
3. Age: Calcific tendonitis is more common in individuals over the age of 40, possibly due to age-related changes in the tendons.
4. Gender: Women are more likely than men to develop calcific tendonitis.
5. Genetics: There may be a genetic component to calcific tendonitis, as it tends to run in families.
6. Metabolic factors: Certain metabolic conditions, such as diabetes or thyroid disorders, may increase the risk of developing calcific tendonitis.
7. Other factors: Other factors, such as poor posture, improper lifting techniques, and shoulder injuries, may also contribute to the development of calcific tendonitis.

It’s important to note that while these factors may increase the risk of developing calcific tendonitis, not everyone with these risk factors will develop the condition.

What is the treatment for calcific tendonitis?

The treatment for calcific tendonitis typically involves a combination of conservative and invasive methods. The goal of treatment is to relieve pain, improve mobility, and reduce the risk of chronicity. Here are some common treatments for calcific tendonitis:

Conservative Treatments:

1. Physical Therapy: Exercises to improve shoulder mobility, strength, and flexibility, as well as manual therapy techniques to reduce inflammation and promote healing.
2. Heat or Cold Therapy: Applying heat or cold packs to the affected area to reduce pain and inflammation.
3. Rest: Avoiding activities that aggravate the condition and allowing the affected area to rest.
4. Pain Management: Using medications such as acetaminophen, ibuprofen, or corticosteroids to manage pain and inflammation.
5. Modalities: Using modalities such as ultrasound, electrical stimulation, or shockwave therapy to reduce inflammation and promote healing.

Invasive Treatments:

1. Corticosteroid Injections: Injecting corticosteroids into the affected area to reduce inflammation and relieve pain.
2. Platelet-rich Plasma (PRP) Therapy: Injecting platelet-rich plasma (PRP) into the affected area to stimulate healing and reduce inflammation.
3. Lavage Procedure: A minimally invasive procedure in which the doctor removes the calcified deposits from the tendon.
4. Surgery: In some cases, surgery may be necessary to remove the calcified deposits and repair any damaged tissue.

Alternative Therapies:

1. Acupuncture: Using acupuncture needles to stimulate healing and reduce pain.
2. Massage Therapy: Using massage techniques to reduce inflammation and promote healing.
3. Chiropractic Care: Using chiropractic techniques to realign the spine and reduce pressure on the affected area.

Lifestyle Changes:

1. Proper Posture: Maintaining good posture to reduce strain on the affected area.
2. Strengthening Exercises: Engaging in exercises that strengthen the shoulder muscles to reduce the risk of re-injury.
3. Weight Management: Maintaining a healthy weight to reduce stress on the joints.

It’s essential to work with a healthcare provider or physical therapist to develop a personalized treatment plan that addresses the specific needs and severity of your calcific tendonitis.