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Calcific Tendonitis of the Shoulder

Pronounced: Cal-sa-fic Ten-don-it is of the Shoulder

Definition

Calcific tendonitis occurs when calcium deposits form in the tendons in the shoulder.

Tendons of the Shoulder

Rotator cuff labeled

Copyright © Nucleus Medical Media, Inc.

Causes

Calcific tendonitis may be caused by:

  • Overuse, repetitive motions
  • Injury
Risk Factors

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 volleyball
  • Have a job that requires repetitive arm use such as painting, carpentry, and welding
Symptoms

Symptoms may include:

  • Sudden onset of pain
  • Intense pain with shoulder movement
  • Stiffness of shoulder
  • Loss of shoulder range of motion
  • Pain that disrupts sleep
  • Tenderness over rotator cuff
  • Loss of muscle mass
Diagnosis

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.

Treatment

Most cases of calcific tendonitis resolve over time. Talk with your doctor about the best plan for you. Options include the following:

Medical Treatment

Your medical treatment plan will likely include:

  • Nonsteroidal antiinflammatory drugs (NSAIDs)
  • Rest
  • Heat and/or ice
  • Physical therapy to strengthen muscles
  • A steroid shot directly into your shoulder to decrease inflammation and pain
Physical Therapy

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 tissue
  • Transcutaneous 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 Treatment

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.

Shock Wave Therapy

This therapy breaks up deposits by sending sound waves to the shoulder. The body can then reabsorb the smaller pieces. This should decrease symptoms.

Surgery

In some cases, surgery may be done to remove deposits. The procedure is called arthroscopy . It uses small incisions and instruments to view the joint and remove the deposits.

Prevention

To prevent this condition, avoid or limit repetitive movements of the upper arm.

RESOURCES:

American Academy of Orthopaedic Surgeons
http://orthoinfo.aaos.org

Arthroscopy Association of North America
http://www.aana.org

CANADIAN RESOURCES:

Canadian Orthopaedic Association
http://www.coa-aco.org

Canadian Orthopaedic Foundation
http://www.canorth.org

References:

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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