Calcific Tendonitis of the Shoulder, Causes, Symptoms & Treatments

Calcific tendonitis of the shoulder, also known as calcifying tendonitis, is a condition characterised by the formation of calcium deposits within a tendon, most commonly in the rotator cuff tendons of the shoulder. These calcium deposits can cause inflammation, pain, and decreased range of motion in the affected joint.

The exact cause of calcific tendonitis is not fully understood, but it is believed to involve a combination of factors, including:

Calcific Tendonitis Causes, Symptoms & Treatments

1. Degenerative Changes: Changes in the tendon structure and composition over time may contribute to the formation of calcium deposits.
2. Repetitive Stress: Activities that involve repetitive overhead arm movements or stress on the shoulder joint, such as lifting weights or playing certain sports, may increase the risk of developing calcific tendonitis.
3. Poor Blood Supply: Reduced blood flow to the tendon may impair the body’s ability to repair and maintain the tendon, leading to the accumulation of calcium deposits.
4. Metabolic Factors: Certain metabolic conditions, such as diabetes or thyroid disorders, may predispose individuals to developing calcific tendonitis.

Symptoms of calcific tendonitis may vary depending on the severity of the condition but often include:

1. Shoulder Pain: Pain in the shoulder that may range from mild to severe and worsen with certain movements, such as reaching overhead or lifting objects.
2. Stiffness: Stiffness or limited range of motion in the shoulder joint, especially in the morning or after periods of inactivity.
3. Swelling: Swelling or tenderness in the front or side of the shoulder, particularly over the affected tendon.
4. Weakness: Weakness in the shoulder muscles, especially when lifting or rotating the arm.

Treatment for calcific tendonitis aims to alleviate pain, reduce inflammation, and improve shoulder function. Options may include:

1. Conservative Treatments: Rest, ice therapy, physical therapy, and nonsteroidal anti-inflammatory drugs (NSAIDs) may help reduce pain and inflammation.
2. Corticosteroid Injections: Corticosteroid injections may be used to provide temporary pain relief and reduce inflammation in the affected tendon.
3. Extracorporeal Shock Wave Therapy (ESWT): ESWT involves delivering shock waves to the affected area, which may help break up the calcium deposits and promote healing.
4. Ultrasound-Guided Needle Aspiration: In some cases, a needle aspiration procedure may be performed to remove the calcium deposits from the tendon.
5. Surgery: In severe cases that do not respond to conservative treatments, surgical removal of the calcium deposits or repair of the tendon may be necessary.

Overall, the treatment approach for calcific tendonitis depends on the individual’s symptoms, the size and location of the calcium deposits, and their response to conservative measures. It’s essential to consult with a healthcare professional for an accurate diagnosis and personalised treatment plan tailored to your specific needs.