Calcific Tendonitis: Causes, Symptoms, and Prevention Tips - Orthopedics

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Calcific tendinitis


Calcific tendinitis is a condition characterized by the accumulation of calcium deposits in the tendons, most commonly affecting the rotator cuff tendons in the shoulder.
This condition can lead to inflammation, pain, and restricted movement in the affected area.

To prevent calcific tendinitis, consider the following strategies:
1.
Maintain Good Posture: Proper posture can help reduce strain on the shoulder tendons.
2.
Regular Exercise: Engage in regular shoulder-strengthening and flexibility exercises to keep the muscles and tendons healthy.
3.
Avoid Repetitive Overhead Activities: Limit activities that require repetitive overhead motions, which can stress the shoulder tendons.
4.
Warm-Up Before Activities: Always warm up before engaging in physical activities to prepare the muscles and tendons.
5.
Manage Underlying Conditions: Control any underlying health issues, such as diabetes or thyroid disorders, which may contribute to tendon problems.
If symptoms persist or worsen, it is important to consult a healthcare professional for further evaluation and treatment options.

Lao Fu, 50~59 year old female. Ask Date: 2006/10/09

Dr. Chen Weiming reply Orthopedics


Hello! Calcific tendinitis occurs when the tendons or ligaments in the body are damaged, prompting the body to repair itself.
However, the repair process involves calcification.
Therefore, the area you previously injured may have been repaired by your body, resulting in this condition.
To prevent it, you should try to avoid re-injuring the tendons and ligaments.
Additionally, please consider visiting an orthopedic or rehabilitation specialist for treatment to prevent further deterioration of joint function.

Reply Date: 2006/10/09

More Info


Calcific tendonitis is a condition characterized by the accumulation of calcium deposits in the tendons, most commonly affecting the shoulder. This condition can lead to significant pain and restricted movement, as the calcium deposits can irritate the surrounding tissues and cause inflammation. Understanding the causes, symptoms, and prevention strategies for calcific tendonitis can help manage and potentially avoid this painful condition.


Causes of Calcific Tendonitis
The exact cause of calcific tendonitis is not fully understood, but several factors may contribute to its development:
1. Age: It is more common in individuals aged 30 to 60, as the tendons naturally undergo degenerative changes with age.

2. Overuse: Repetitive overhead activities, such as those performed in certain sports (like swimming or tennis) or occupations (like painting or construction), can lead to microtrauma in the shoulder tendons, increasing the risk of calcium deposits.

3. Genetics: A family history of tendon problems may increase susceptibility to calcific tendonitis.

4. Metabolic Disorders: Conditions such as diabetes or thyroid disorders can affect calcium metabolism and increase the likelihood of calcification in tendons.


Symptoms of Calcific Tendonitis
The symptoms of calcific tendonitis can vary in intensity and may include:
- Shoulder Pain: This is often the most prominent symptom, which can be sharp, aching, or throbbing. The pain may worsen with movement or at night.

- Limited Range of Motion: Individuals may find it difficult to lift their arm or perform overhead activities due to pain and stiffness.

- Swelling and Tenderness: The affected area may be swollen and tender to the touch.

- Muscle Weakness: Over time, the pain and inflammation can lead to weakness in the shoulder muscles.


Diagnosis
Diagnosis typically involves a physical examination and imaging studies, such as X-rays or ultrasound, to visualize the calcium deposits in the tendon. In some cases, MRI may be used to assess the extent of the condition and rule out other issues.


Treatment Options
Treatment for calcific tendonitis often begins conservatively and may include:
- Rest: Avoiding activities that exacerbate the pain is crucial.

- Physical Therapy: A structured rehabilitation program can help improve range of motion and strengthen the shoulder muscles.

- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.

- Corticosteroid Injections: In some cases, injections may be used to alleviate severe inflammation.

- Extracorporeal Shock Wave Therapy: This non-invasive treatment can help break down calcium deposits and promote healing.

If conservative treatments fail, surgical options may be considered to remove the calcium deposits and repair any damaged tendons.


Prevention Tips
Preventing calcific tendonitis involves several strategies:
1. Strengthening Exercises: Engaging in shoulder-strengthening exercises can help support the joint and reduce the risk of injury.

2. Proper Technique: Whether in sports or work, using proper techniques can minimize strain on the shoulder tendons.

3. Regular Stretching: Incorporating stretching into your routine can improve flexibility and reduce the risk of tendon injuries.

4. Gradual Increase in Activity: When starting new activities or increasing intensity, do so gradually to allow your body to adapt.

5. Ergonomic Adjustments: Making ergonomic changes in your workspace can help reduce strain on your shoulders.

In conclusion, calcific tendonitis is a painful condition that can significantly impact daily activities. Understanding its causes, recognizing the symptoms, and implementing preventive measures can help manage and reduce the risk of developing this condition. If you experience persistent shoulder pain, it is essential to consult a healthcare professional for a proper diagnosis and treatment plan.

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