Calcific Tendonitis

Calcific tendonitis of the shoulder, also known as calcific tendinitis or calcific deposits, is a condition characterized by the accumulation of calcium deposits within the tendons of the rotator cuff muscles in the shoulder. It primarily affects individuals between the ages of 30 and 60.

The exact cause of calcific tendonitis is not fully understood. It is believed to involve a combination of factors, including changes in the tendon structure, calcium metabolism, and inflammation. Repetitive microtrauma, poor blood supply, and certain genetic factors may also contribute to the development of calcium deposits.

The symptoms of calcific tendonitis can vary, but they often include:

1. Shoulder pain: Typically, individuals experience pain in the affected shoulder, which can be mild to severe. The pain may be worse with certain movements or activities, particularly those involving overhead arm motions.
2. Limited range of motion: Stiffness and restricted movement in the shoulder joint may be present, making it challenging to perform certain actions, such as reaching overhead or behind the back.

Treatment options for calcific tendonitis depend on the severity of symptoms and their impact on daily activities. Initial management often involves conservative measures, including:

1. Rest and activity modification: Limiting or avoiding activities that aggravate the symptoms can help reduce pain and prevent further irritation of the affected tendons.
2. Pain management: Nonsteroidal anti-inflammatory drugs (NSAIDs) or other pain medications may be prescribed to alleviate pain and reduce inflammation.
3. Physical therapy: Specific exercises and stretching techniques can help improve shoulder strength, flexibility, and range of motion. Physical therapy can also assist in the resorption of the calcium deposits over time.
4. Corticosteroid injection: Injecting corticosteroids into the shoulder joint can help reduce pain and inflammation associated with calcific tendonitis.

In cases where conservative treatments fail to provide relief, more invasive interventions may be considered:

1. Ultrasound-guided needle aspiration (barbotage): This procedure involves inserting a needle into the shoulder joint under ultrasound guidance to aspirate or remove the calcium deposits.
2. Surgical intervention: If symptoms persist or are severe, surgical removal of the calcium deposits (arthroscopic debridement) may be recommended. This procedure involves using small incisions and a camera (arthroscope) to visualize and remove the deposits, as well as to address any associated tendon damage.

At Total Orthopedics and Sports Medicine we are able to provide a comprehensive evaluation and develop a personalized treatment plan for patients with calcific tendonitis. Our award-winning Long Island orthopedic doctors and sports medicine specialists are available for appointments in any of our convenient Nassau County and Suffolk County locations.