Calcific Tendinitis

Overview

Calcific Tendinitis is a painful condition caused by the build-up of calcium deposits in the tendons, most commonly in the shoulder (rotator cuff tendons). These deposits lead to inflammation, stiffness, and difficulty in movement. While the exact cause is not fully understood, it is thought to be linked to wear and tear, aging, or repetitive strain. In India, where physical labour and desk jobs are prevalent, shoulder-related conditions like calcific tendinitis are increasingly being reported.

Introduction

The tendons are strong connective tissues that attach muscles to bones, enabling movement and stability. Calcific Tendinitis occurs when calcium deposits form in these tendons, leading to irritation and inflammation. It is most common in individuals aged 30–60 and affects women slightly more often than men. Though not life-threatening, the condition can significantly impact daily activities, especially in professions requiring repetitive arm movements.

Symptoms

Common symptoms of Calcific Tendinitis include:
– Sudden or gradual onset of severe shoulder pain, often radiating down the arm.
– Stiffness and reduced range of motion in the affected shoulder.
– Pain that worsens at night or with overhead activities.
– Swelling and tenderness around the shoulder joint.
– Difficulty performing tasks like lifting, reaching, or dressing.

Causes

The exact cause of calcific tendinitis is unclear, but contributing factors include:
– Wear and tear: Degeneration of tendons due to overuse or aging.
– Poor blood supply: Reduced circulation in tendons can lead to calcium buildup.
– Repetitive strain: Frequent overhead activities, common in certain professions or sports, increase risk.
– Metabolic disorders: Conditions like diabetes or thyroid imbalances may predispose individuals to calcification.
– Genetic predisposition: A family history of similar conditions.

Treatment

Treatment for calcific tendinitis focuses on pain relief, improving mobility, and preventing further complications. Options include:
– Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.
– Physiotherapy: Exercises to improve flexibility and strength, often combined with modalities like ultrasound therapy or shockwave therapy.
– Injections: Corticosteroid injections for immediate pain relief or ultrasound-guided needling to break up calcium deposits.
– Minimally invasive procedures: Arthroscopic removal of calcium deposits may be recommended in severe cases.
– Home remedies: Ice packs and rest to alleviate acute pain.

Prevention and Risk Factors

Prevention Tips:

– Maintain joint health: Regular exercise and stretching to keep tendons flexible.
– Avoid overuse: Alternate repetitive tasks with rest to reduce strain.
– Healthy lifestyle: Managing weight and maintaining good posture reduces pressure on tendons.
– Treat underlying conditions: Effective management of diabetes, thyroid issues, or other metabolic disorders.

Risk Factors:

– Age and gender: Middle-aged individuals, especially women, are more prone.
– Occupation: Jobs requiring repetitive arm or shoulder movements, such as factory work or manual labor.
– Sports: Activities like swimming, tennis, or cricket that involve repetitive shoulder use.
– Sedentary lifestyle: Lack of activity weakens muscles and tendons, increasing vulnerability.

Insights from Sancheti Hospital

At Sancheti Hospital, we offer a holistic approach to managing Calcific Tendinitis. Our expert orthopaedic team specializes in advanced diagnostic techniques, including X-rays and ultrasound, to accurately identify calcium deposits. Tailored treatment plans, ranging from conservative physiotherapy to minimally invasive procedures, are designed to address the root cause and provide lasting relief. Our physiotherapy department ensures effective rehabilitation, enabling patients to return to their daily routines pain-free.

For personalized care and advanced treatment options, visit Sancheti Hospital’s Orthopaedic Department today. Our dedicated specialists are here to help you move better and live pain-free.