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Calcific tendinitis is a condition characterized by the accumulation of calcium deposits in the tendons of the shoulder, most commonly the rotator cuff tendons. This can lead to pain, inflammation, and limited mobility in the shoulder. In this guide, we will discuss the symptoms, diagnosis, and treatment options for calcific tendinitis, with a focus on how physical therapy can help you manage your symptoms and improve your shoulder function.

Understanding Calcific Tendinitis

The exact cause of calcific tendinitis is not well understood, but it is believed to be related to:

  • Age-related degeneration of the tendons
  • Reduced blood supply to the tendons
  • Previous injuries or overuse of the shoulder

Calcific tendinitis can occur in stages, from the formation of calcium deposits to their eventual resorption by the body.

Symptoms to Watch Out For

  • Sudden onset of severe pain in the shoulder, often described as sharp or throbbing
  • Pain that worsens with movement or at night
  • Limited range of motion in the shoulder
  • Swelling and tenderness in the affected area

How is Calcific Tendinitis Diagnosed?

  • Perform a physical examination to assess the shoulder's range of motion, strength, and tenderness
  • Order imaging tests such as X-rays or ultrasound to visualize the calcium deposits in the tendons

The Benefits of Physical Therapy for Calcific Tendinitis

Physical therapy can be an effective treatment for managing the symptoms of calcific tendinitis. A physical therapist can help you:

  • Reduce pain and inflammation through modalities such as ice, heat, ultrasound, or electrical stimulation
  • Improve shoulder mobility and flexibility with gentle range-of-motion exercises and stretching
  • Strengthen the muscles around the shoulder joint to provide better support and stability
  • Develop a personalized exercise program tailored to your specific needs and goals
  • Provide guidance on activity modification and ergonomic advice to prevent further irritation of the affected tendon

What to Expect in a Physical Therapy Session

  • A comprehensive assessment of your shoulder function, range of motion, and strength
  • Hands-on techniques to mobilize your shoulder joint and soft tissues, to improve mobility and reduce pain
  • Tailored exercises to improve your shoulder strength, stability, and flexibility, including rotator cuff strengthening exercises and scapular stabilization exercises
  • Education on proper posture and shoulder mechanics to protect your shoulder and prevent future episodes of calcific tendinitis

Conclusion

Calcific tendinitis can be a painful and limiting condition, but with the right treatment, including physical therapy, you can manage your symptoms and improve your shoulder function. By working closely with a physical therapist and following a personalized rehabilitation plan, you can reduce pain, increase mobility, and return to your daily activities and sports with confidence.

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