Treatment of calcific tendinitis

Calcific tendinitis is a condition in which calcium deposits form within the tendons of the shoulder. It is commonly associated with shoulder pain, reduced range of motion, discomfort, and muscle weakness. Symptoms may worsen over time but can be effectively managed with appropriate treatment.

Mashtaler Ortho&Trauma Clinic offers both conservative and surgical treatment options for calcific tendinitis. Modern techniques are used to safely and effectively remove calcium deposits.

What is calcific shoulder tendinitis?

Calcific tendinitis is characterized by the deposition of calcium hydroxyapatite crystals within the tendons of the rotator cuff. The supraspinatus tendon is most commonly affected. Inflammation and mechanical irritation lead to pain and impaired shoulder function.

The condition typically progresses through several stages:

1. Pre-calcific phase: structural changes occur in the tendon without significant symptoms;
2. Calcific phase: calcium deposits form and symptoms develop;
   
   • Formative phase: active deposition of calcium;
   • Resting phase: deposits become stable;
3. Post-calcific phase: tissue remodeling and gradual restoration of function.
   
   • The resorptive phase. It is characterized by gradual resorption of deposits and increased pain.
   • Resorptive phase: breakdown of deposits, often accompanied by increased pain;

Symptoms of calcific tendinitis

‍
1. shoulder pain that worsens with movement, especially when lifting the arm;
2. reduced range of motion;
3. night pain that may interfere with sleep;
4. weakness in the affected arm;
5. occasional swelling or redness (rare).

Diagnosis of calcific tendinitis

 Diagnosis begins with consultation with an orthopedic specialist. Clinical examination is followed by imaging:

• X-ray — to detect calcium deposits;
• Ultrasound — to assess tendon structure;
• MRI — to identify associated conditions such as tendon tears.

Treatments for calcifying tendinitis available in our clinic

In modern orthopedics and traumatology, preference is given to conservative treatment - safe and sparing. The correct selection of drugs and physiotherapy techniques allows you to get relief in a short time. Of course, there are always exceptions — and therefore we are ready for surgical treatment of tendinitis.

Conservative treatment

1. nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain and inflammation;
2. physiotherapy, including shock wave therapy or Super Inductive System (SIS) therapy;
3. ultrasound-guided needling and lavage (barbotage) to remove calcium deposits;
4. corticosteroid injections for inflammation control.

Surgical treatment

 Surgery is considered when:

• symptoms persist for more than 3–6 months;
• large calcium deposits do not resolve;
• there is significant functional limitation;
• tendon rupture is suspected.

Arthroscopic removal of calcium deposits is performed using minimally invasive techniques. Small instruments are inserted through tiny incisions, allowing precise removal with minimal soft tissue damage. If necessary, tendon repair is performed.

Effectiveness of treatment

 Appropriate treatment is effective in the majority of cases. A combination of medication, physiotherapy, and barbotage often provides rapid symptom relief.

If conservative therapy is unsuccessful, arthroscopic treatment offers reliable results. Proper rehabilitation reduces the risk of recurrence and restores shoulder function.

Why choose Mashtaler Ortho&Trauma Clinic

1. Specialization in the treatment of joint diseases. Our doctors are constantly studying new techniques and learning innovative techniques of therapy, surgery and rehabilitation.
2. Full support. We provide comprehensive support at all stages — from consultation and diagnosis to rehabilitation.
3. Comfortable hospital. In the postoperative period, patients remain in the clinic under the supervision of medical specialists - this significantly reduces the likelihood of complications.
4. Individual approach. We select effective methods of treatment for each patient, taking into account his age, type of activity and activity level.

‍

Price for calcific tendinitis treatment in Lviv

 The cost depends on the severity of the condition, extent of tendon involvement, and treatment method. A detailed estimate is provided after consultation.

‍

‍