Calcific Tendinitis

Calcific tendinitis is a condition where calcium deposits build up in the tendons of the body, leading to pain and inflammation. It most commonly affects the tendons in the shoulder, particularly the rotator cuff tendons, but can also occur in other areas like the hip, wrist, or elbow.

Symptoms

Pain

The most common symptom is intense pain in the affected area, often described as a deep ache or sharp pain.

Limited Range of Motion

Due to pain, there may be a reduction in the range of motion, especially in the shoulder.

Tenderness and Swelling

The area may be tender to touch and swollen.

Causes and Risk Factors

– Calcium Deposits: The exact cause of calcium deposits in tendons is not fully understood. However, it may be related to aging, tendon degeneration, or poor blood flow to the tendons.
– Age: Calcific tendinitis is more common in adults between the ages of 30 and 60.

– Gender: Women are more likely to develop this condition than men.
– Underlying Conditions:It may be associated with conditions like diabetes or thyroid disorders.

Diagnosis

– Physical Examination: A doctor will check for tenderness, pain, and limited range of motion.

– Imaging Tests: X-rays can reveal calcium deposits in the tendons. Ultrasound or MRI might also be used to assess the extent of the condition.

Treatment

Non-Surgical Treatments:
– Rest: Limiting movement of the affected area can help reduce pain.
– Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation.

– Physical Therapy: Exercises to improve strength and flexibility can be beneficial.
– Corticosteroid Injections: These may be used to reduce inflammation and pain.
– Extracorporeal Shock Wave Therapy (ESWT): This non-invasive treatment uses shock waves to break up calcium deposits.

Surgical Treatments

– Needling (Barbotage): A needle is used to break up the calcium deposits, which are then removed.

– Arthroscopic Surgery: If non-surgical treatments are ineffective, surgery may be necessary to remove the calcium deposits.

Prognosis

The prognosis for calcific tendinitis is generally good, especially with appropriate treatment. The condition can often resolve on its own over time,

though this process can take months or even years. However, some people may experience recurrent symptoms or require surgical intervention for relief.

Prevention

– Regular Exercise: Strengthening and stretching exercises, particularly for the shoulders, can help prevent tendon issues.
– Proper Ergonomics: Ensuring proper posture and body mechanics during daily activities and exercise can reduce strain on tendons.

If you suspect you have calcific tendinitis or are experiencing symptoms, it’s important to consult a healthcare provider for a proper diagnosis and treatment plan.

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