Table of Contents
- Understanding Calcific Tendonitis
- Risk Factors and Causes of Calcific Tendonitis
- Symptoms and Shoulder Pain in Calcific Tendonitis
- Diagnosis of Calcific Tendonitis
- Treatment Options for Calcific Tendonitis
- Long-Term Effects of Calcific Tendonitis
- Case Study: Successful Recovery
- Factors Influencing Long-Term Outcomes
- The Importance of Early Intervention
- Preventing Further Complications
- Managing Chronic Pain with Calcific Tendonitis
- When to Seek Medical Help
- Frequently Asked Questions
Understanding Calcific Tendonitis
Calcific tendonitis is a condition characterized by the accumulation of calcium deposits in the tendons, most commonly affecting the shoulder. Calcific tendonitis is caused by the deposition of calcium phosphate crystals within the shoulder tendons, with the supraspinatus tendon being the most commonly affected. This buildup can lead to inflammation, pain, and restricted movement. The exact cause of calcific tendonitis is not fully understood, but it is believed to be related to degeneration of the tendon tissue, often exacerbated by repetitive overhead activities or trauma. Symptoms typically include severe shoulder pain, especially during movement, and may also involve swelling and tenderness in the affected area [[1]](LINK 1).
Risk Factors and Causes of Calcific Tendonitis
Calcific tendonitis is a painful condition that often targets the shoulder joint, leading to severe pain and reduced mobility. While the precise cause remains unclear, several risk factors have been identified that increase the likelihood of developing this condition. Age is a significant factor, with most cases occurring in individuals between 40 and 60 years old. Women are slightly more prone to calcific tendonitis than men. Repetitive strain on the shoulder, especially from overhead activities or certain occupations, can also contribute to the development of calcium deposits in the rotator cuff tendons. Additionally, underlying medical conditions such as thyroid disorders and diabetes are associated with an increased risk. These calcium deposits can trigger inflammation and pain in the rotator cuff, making everyday movements difficult and uncomfortable. By understanding these risk factors, individuals can take proactive steps to protect their shoulder health and seek early intervention if symptoms of this painful condition arise.
Symptoms and Shoulder Pain in Calcific Tendonitis
Patients with calcific tendonitis may experience a variety of symptoms, including:
- Severe Shoulder Pain: Acute pain with sudden onset is common, especially during acute calcific tendinitis. This can cause severe or significant discomfort, often worsening with movement or at night.
- Limited Range of Motion: Difficulty lifting the arm or performing overhead activities.
- Swelling and Tenderness: Noticeable swelling around the shoulder joint.
- Muscle Weakness: Weakness in the shoulder and arm due to pain and inflammation.
Diagnosis of Calcific Tendonitis
Diagnosing calcific tendonitis typically begins with a clinical diagnosis based on symptoms and physical examination, but imaging studies are required for confirmation. Healthcare providers may use X-rays to identify calcific deposits in the tendons, including both large and small calcific deposits. Magnetic resonance imaging is particularly useful for evaluating calcific deposits and associated tendon pathology, while ultrasound is effective for detecting small calcific deposits. Imaging can also reveal the resting phase of the disease, where calcific deposits appear homogeneously dense and chalk-like on radiographs. A detailed medical history and symptom review are essential for accurate diagnosis and treatment planning.
Treatment Options for Calcific Tendonitis
Conservative Treatments
- Rest and Activity Modification: Avoiding activities that exacerbate symptoms.
- Physical Therapy: Exercises to improve flexibility and strengthen shoulder muscles.
- Pain Management: NSAIDs or corticosteroid injections to reduce inflammation and pain.
- Heat/Ice Therapy: Applying heat or ice to alleviate pain and swelling.
- Ultrasound-Guided Needle Lavage: This procedure typically uses normal saline mixed with a local anaesthetic to wash out calcific deposits, providing pain relief and facilitating the resorption of calcium.
Prolotherapy
In recent years, Prolotherapy has built its reputation within the medical community for its clinically proven ability to treat calcific tendonitis.
Published research has proven its pain-relieving, anti-inflammatory, and regenerative benefits.
Prolotherapy involves injecting a natural regenerative solution with tiny needles. This has been shown to stimulate the production of collagen cells, the small cells needed to help with calcific tendonitis.
As prolotherapy is helping to treat the root cause of calcific tendonitis, it is deemed to be a permanent fix, preventing the symptoms from returning [4].
Other Interventions
- Extracorporeal Shock Wave Therapy: Also known as shockwave treatment, this non-invasive therapy uses sound waves to break down calcium deposits and stimulate tendon healing.
- Surgery: In severe cases, surgical intervention may be necessary to remove calcium deposits and repair damaged tendons.
Long-Term Effects of Calcific Tendonitis
While many individuals experience relief from symptoms with appropriate treatment, some may face long-term effects from calcific tendonitis. Chronic pain, reduced mobility, and ongoing discomfort can significantly impact daily activities and quality of life. If left untreated, calcific tendonitis can lead to permanent damage to the shoulder joint and surrounding tissues. Chronic calcific tendonitis may also result in complications such as subacromial impingement, where calcium deposits reduce the space in the subacromial area causing further pain, and frozen shoulder, a condition characterized by pain and limited movement.
Case Study: Successful Recovery
A 50-year-old patient with calcific tendonitis underwent a combination of physical therapy and prolotherapy. After three months of treatment, the patient reported a significant reduction in pain and improved shoulder function, allowing a return to normal activities. This case highlights the effectiveness of a comprehensive treatment approach.
Factors Influencing Long-Term Outcomes
Several factors can influence the long-term effects of calcific tendonitis:
- Severity of the Condition: More severe cases may lead to greater long-term complications.
- Age: Older individuals may experience slower recovery and more significant long-term effects.
- Adherence to Treatment: Following prescribed treatment plans can improve outcomes.
- Lifestyle Choices: Maintaining a healthy weight and engaging in regular exercise can support recovery and reduce long-term effects.
The Importance of Early Intervention
Taking action early when dealing with calcific tendonitis can make a significant difference in your recovery and long-term outcomes. Early intervention with conservative treatment options—such as physical therapy, pain medication, and steroid injections—can help relieve pain, reduce inflammation, and restore function before more serious complications develop. In cases where conservative measures are not enough, surgical treatment options like arthroscopic surgery may be considered to remove stubborn calcium deposits and repair any tendon damage. By working closely with your healthcare provider and considering your medical history and lifestyle, you can develop a treatment plan that effectively reduces pain and restores shoulder function.
Preventing Further Complications
Preventing additional problems from calcific tendonitis requires a proactive and comprehensive approach. Maintaining a healthy weight reduces stress on the shoulder joint, while avoiding improper lifting techniques can help prevent further injury. Incorporating regular exercise, especially strengthening exercises and stretching, supports shoulder health and helps reduce the risk of future injuries. By working with your healthcare team and making positive lifestyle changes, you can help relieve pain, support your shoulder health, and minimize the risk of long-term issues associated with calcific tendonitis.
When to Seek Medical Help
Seek immediate medical attention if you experience:
- Severe shoulder pain that does not improve with rest
- Loss of function in the shoulder or arm
- Signs of infection, such as fever or swelling
These may indicate a more serious condition requiring prompt medical intervention.
Frequently Asked Questions
What is calcific tendonitis?
Calcific tendonitis is a condition characterized by the accumulation of calcium deposits in the tendons, leading to pain and inflammation, particularly in the shoulder.
Can calcific tendonitis heal on its own?
Yes, many cases of calcific tendonitis improve with conservative treatments, but some may require more advanced interventions if symptoms persist.
Is surgery necessary for calcific tendonitis?
Surgery is typically reserved for severe cases that do not respond to conservative treatments. Most patients find relief through non-surgical methods.
How effective is prolotherapy for calcific tendonitis?
Prolotherapy has shown promising results in reducing pain and promoting healing in patients with calcific tendonitis, especially when combined with other conservative treatments.
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Author Bio
Having performed over 10,000 procedures, Mr Eaton is one of the UK’s leading practitioners in the field of treating calcific tendonitis, with patients travelling to see him from across the UK, Europe, and the Middle East.
With over 12 years of clinical experience, Oliver is dedicated to helping patients understand their symptoms associated with calcific tendonitis and providing effective treatment options to alleviate them.
He qualified in Prolozone Therapy and Prolotherapy in America with the American Academy of Ozonotherapy. He continued on to complete further qualifications at the Royal Society of Medicine, Charing Cross Hospital in London, Keele University’s Anatomy & Surgical Training Centre, and the medical department of Heidelberg University in Germany.
Over the years he has had the privilege of treating many elite-level athletes, including both Olympic and Commonwealth medallists.
References
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- National Institute of Neurological Disorders and Stroke. (2023). Herniated Disc. https://www.ninds.nih.gov/health-information/disorders/herniated-disc
- Harvard Health Publishing. (2022). Herniated disk: What you need to know. https://www.health.harvard.edu/pain/herniated-disk-what-you-need-to-know
- Chou, R., et al. (2018). Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline. Annals of Internal Medicine, 168(7), 514-530.
- Rabago, D., et al. (2016). Prolotherapy in Primary Care Practice. Primary Care: Clinics in Office Practice, 43(2), 329-338. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4913113/
