Calcific Tendonitis
Calcific tendonitis is a painful condition that develops when calcium deposits build up in the tendons of the body. It most often affects the shoulder, particularly the rotator cuff tendons, which are responsible for lifting and rotating the arm. But this condition can also affect the tendons in the elbow.
These calcium deposits cause tendon degeneration and significant pain and stiffness, sometimes making it difficult to move the shoulder normally. While the exact reason these deposits form is not fully understood, calcific tendonitis is a fairly common condition, especially among female adults between the ages of 30 and 60.
The pain from calcific tendonitis can range from mild discomfort to severe, sharp pain that interferes with sleep and daily activities. Some people experience sudden flare-ups of intense pain, while others notice a gradual increase in soreness and stiffness over time.
The process often happens in stages. At first, the calcium deposits form within the tendon without many symptoms. Later, the body may try to reabsorb the deposits, which can trigger inflammation and severe pain. This “resorptive phase” is often when people seek medical attention.
The most common symptom of calcific tendonitis is shoulder pain. This pain can come on suddenly or worsen gradually and may be severe enough to limit normal activities. Common signs and symptoms include:
- Sudden, intense pain in the shoulder, especially with certain movements
- Aching or throbbing pain that may worsen at night, making it difficult to sleep on the affected side
- Stiffness in the shoulder, leading to reduced range of motion
- Weakness when trying to lift or rotate the arm
- Tenderness around the shoulder joint
In some cases, the pain may come and go, but flare-ups can be very disabling. Because these symptoms overlap with other shoulder conditions such as rotator cuff tears or arthritis, it is important to seek medical evaluation.
The exact cause of calcific tendonitis is still not known. However, doctors and researchers believe several factors may contribute:
- Age between 30 and 60
- Female gender, as women are more commonly affected
- Trauma such as a previous shoulder injury that damages the tendons and predisposes them to calcification
- Repetitive shoulder use from work or sports
- Metabolic conditions such as diabetes or thyroid disorders have been linked to higher rates of calcium deposits
- A history of shoulder injuries that may have weakened the tendon over time
- Genetic predisposition
- Wear and tear of tendons over time, as the tendons of the rotator cuff undergo changes that make them more likely to develop calcium deposits.
Recognizing these risk factors can help individuals be more aware of symptoms and seek care earlier.
Because shoulder pain can result from many different conditions, an accurate diagnosis is important. At Ortho Illinois, our orthopedic specialists begin with a detailed medical history and physical examination. This helps identify the nature of the pain, when it occurs, and how it affects daily activities.
Imaging tests are often used to confirm the diagnosis:
- X-rays: X-rays are the gold standard diagnostic tool. Calcium deposits are usually visible on X-rays and can help confirm calcific tendonitis.
- Ultrasound: This test can show both the deposits and how the tendon is moving. It may also help guide certain treatments.
- MRI scans: While not always necessary, an MRI can provide detailed images of the shoulder and help rule out other conditions such as rotator cuff tears.
Through these methods, our experts can determine the presence, size, and location of calcium deposits and tailor treatment recommendations to each patient.
Treatment for calcific tendonitis depends on the severity of the pain and how much the condition limits daily life. In many cases, symptoms improve with nonsurgical treatments. Options may include rest, anti-inflammatory medications, physical therapy to restore movement and strength, and special injections to reduce inflammation. In some cases, procedures that break up or remove the calcium deposits may be recommended. Surgery is typically reserved for patients who do not improve with conservative measures.
The good news is that most people find relief with appropriate treatment and are able to return to their regular activities without long-term problems.
At Ortho Illinois, we understand how disruptive shoulder pain can be to your work, family life, and daily routines. Our team of orthopedic specialists offers exceptional care and expertise, using the latest diagnostic tools and treatment options to help patients recover from calcific tendonitis and other shoulder conditions. With five convenient clinic locations—two in Rockford and additional offices in Algonquin, Elgin, and McHenry, Illinois—we make it easy to access the care you need close to home.
If you are struggling with shoulder pain that may be caused by calcific tendonitis, don’t wait to get help. Early evaluation and treatment can prevent worsening symptoms and get you back to the activities you enjoy. Contact Ortho Illinois today to schedule an appointment at one of our convenient clinic locations in Rockford, Algonquin, Elgin, or McHenry. Our expert team is here to provide the personalized care you deserve.
