Calcific Tendonitis: Symptoms, Causes, Treatment & Exercises

Key Takeaways

• Calcific tendonitis is caused by calcium deposits in the tendons, often leading to pain and stiffness.

• Common symptoms include sudden shoulder pain and limited range of motion.

• Treatment options range from medication and physical therapy to surgery in severe cases.

• Exercises and stretches can help alleviate symptoms and improve mobility.

• MSK Doctors offers direct access to specialists without waiting for GP referrals, advanced diagnostic imaging, and innovative treatments for calcific tendonitis.

What You Need to Know About Calcific Tendonitis

Calcific tendonitis occurs when calcium deposits form in the tendons, causing irritation and inflammation. While it can affect any tendon, the shoulder is the most frequently impacted area. 

The condition often develops in stages, beginning with cellular changes in the tendon and progressing to the painful accumulation of calcium (image courtesy of Complete Physio).

The exact cause of calcific tendonitis remains unclear, but it is thought to be related to aging, wear and tear, and possibly genetic factors. The condition is more common in individuals aged 40 to 60 and tends to affect women more than men.

Symptoms of Calcific Tendonitis

The most prevalent symptom is sudden shoulder pain, which can range from mild discomfort to severe, debilitating pain. This pain may be accompanied by stiffness and a limited range of motion, making it difficult to perform everyday tasks.

Recognising Pain Patterns

Calcific tendonitis often presents with a distinct pattern of pain that can help differentiate it from other shoulder conditions. The pain typically begins suddenly and may intensify with movement or at night, disrupting sleep. 

Sometimes, the pain may radiate down the arm, mimicking other shoulder issues such as rotator cuff tears or bursitis. Consult a healthcare professional for an accurate diagnosis and appropriate treatment plan when you experience the following:

• Sudden onset of shoulder pain

• Intensified pain with movement or at night

• Radiating pain down the arm

• Constant pain over time

Additional Symptoms

While pain and limited movement are the most common symptoms of calcific tendonitis, other signs may also be present. Swelling and tenderness around the affected area can occur, making it sensitive to touch. Some individuals may experience a snapping or clicking sensation when moving the shoulder.

In rare cases, the calcium deposits may become visible as small, hard lumps under the skin (image courtesy of Cleveland Clinic) .

Causes of Calcific Tendonitis

While the exact cause is unknown, several factors may contribute to its onset. 

• Age is a significant risk factor, as calcific tendonitis most commonly occurs in individuals between 40 and 60 years old. 

• Additionally, women are slightly more prone to developing the condition than men.

• Medical conditions such as diabetes and thyroid disorders may also increase your risk. These conditions can affect the metabolism of calcium and other minerals, potentially leading to the formation of deposits in the tendons. 

• Genetic predisposition may also play a role, as some individuals may be more susceptible to developing calcific tendonitis due to inherited factors.

• Repetitive stress on the shoulder, such as from certain sports or occupations, can increase the risk of tendon injury and calcium deposit formation. 

Activities that involve frequent overhead movements, such as painting or carpentry, may be particularly problematic.

Treatment Options

Lifestyle Changes

Maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help reduce the risk of calcific tendonitis. Adequate intake of calcium and vitamin D is essential for bone and tendon health. 

Always practice good posture and ergonomics in daily activities to help minimise stress on the shoulder joint.

Medication and Pain Relief

Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen are often the first line of treatment for calcific tendonitis and can help reduce pain and inflammation.

In some cases, corticosteroid injections may be administered to provide more immediate relief from severe pain.

Aside from medication, applying ice to the affected area can help reduce swelling and alleviate pain. Ice therapy is most effective when used for short periods, such as 15-20 minutes, several times a day.

Physical Therapy Benefits

A physical therapist can design a personalised exercise program to help improve range of motion, strengthen shoulder muscles, and reduce pain. Stretching and strengthening exercises like external rotations with resistance bands are key components of physical therapy for calcific tendonitis.

Physical therapy can also include modalities such as ultrasound or electrical stimulation to promote healing and reduce inflammation. These treatments can be particularly beneficial during the early stages of recovery when pain and stiffness are most pronounced.

Surgical Interventions

Surgery aims to remove the calcium deposits and repair any damage to the tendon. Arthroscopic surgery is a minimally invasive option that allows for the removal of deposits through small incisions.

Recovery from surgery typically involves a period of rest followed by physical therapy to restore strength and mobility. 

Alternative Methods

For those seeking alternative approaches to managing calcific tendonitis, several options may be considered. Acupuncture, for example, has been used to relieve pain and improve function in some individuals. Additionally, some people find relief through chiropractic care or massage therapy.

Combining alternative methods with traditional treatments may provide a more comprehensive approach to managing calcific tendonitis.

Exercises for Relief

Range of Motion Exercises

Range of motion exercises are designed to improve flexibility and prevent stiffness in the shoulder joint. These exercises should be performed gently and gradually increased in intensity as your shoulder becomes more flexible.

One effective range of motion exercise is the pendulum swing. To perform this exercise:

1. Stand with your feet shoulder-width apart and bend at the waist, allowing your affected arm to hang freely. 

2. Gently swing your arm in small circles, gradually increasing the size of the circles as your shoulder loosens.

Strengthening Techniques

Strengthening exercises help support the shoulder joint and prevent future injuries. These exercises focus on the rotator cuff muscles, which play a vital role in shoulder stability and function.

One example of a strengthening exercise is the external rotation with resistance band. To perform this exercise: 

1. Secure a resistance band to a stable object at waist height. 

2. Hold the band with your affected arm and keep your elbow close to your body. Rotate your arm outward, 

3. Keep your elbow bent at 90 degrees, then slowly return to the starting position.

At-Home Stretch Routine

One beneficial stretch is the cross-body shoulder stretch. To perform this stretch:

1. Hold your affected arm across your chest with your opposite hand. 

2. Gently pull your arm closer to your body, feeling a stretch in the shoulder.

3. Hold the stretch for 15-30 seconds, then release.

Living Well with Calcific Tendonitis

Living well with calcific tendonitis means finding a balance between activity and rest. Listen to your body and avoid pushing through pain, as this can lead to further injury. Instead, focus on low-impact activities like walking and yoga that keep you active without straining your shoulder.

Get Advanced Shoulder Solutions at MSK Doctors

Calcific tendonitis can transform simple everyday movements into painful challenges that impact your quality of life. This condition, characterised by calcium deposits forming within the shoulder tendons, often requires a multifaceted treatment approach for effective resolution. 

At MSK Doctors, we understand the frustrating nature of shoulder pain and offer a comprehensive pathway to recovery that addresses both your immediate symptoms and long-term shoulder health.

Our approach differs from traditional care models through immediate specialist access, so that you get prompt intervention when you first experience symptoms. Our orthopaedic consultants specialise in shoulder conditions and use advanced diagnostic imaging to precisely locate and evaluate calcium deposits. 

This accuracy enables us to develop targeted treatment plans that may include ultrasound-guided needling, shockwave therapy, or minimally invasive arthroscopic techniques when appropriate.

Combined with our specialised exercise programmes and hands-on therapy, we provide a complete solution for calcific tendonitis that aims not just to relieve your current symptoms but to optimise shoulder function for lasting relief and prevention of recurrence.

Ready to take control of your calcific tendonitis? Book your consultation with MSKDoctors today for personalised care and expert guidance on managing your condition.

Frequently Asked Questions (FAQ)

What are common early signs of calcific tendonitis?

Early signs of calcific tendonitis include sudden shoulder pain, stiffness, and a limited range of motion. The pain may worsen with movement or at night, making it difficult to perform daily activities.

Can lifestyle changes prevent calcific tendonitis?

While lifestyle changes cannot guarantee prevention, they can significantly reduce the risk of developing calcific tendonitis. Maintaining a healthy weight, engaging in regular exercise, and practicing good posture are good first steps.

What should I avoid if I have calcific tendonitis?

If you have calcific tendonitis, avoid activities that exacerbate pain or strain the shoulder. This includes heavy lifting, repetitive overhead movements, and high-impact sports. Listen to your body and rest when needed.

Is professional treatment necessary?

Professional treatment is often necessary to effectively manage calcific tendonitis, especially if symptoms persist or worsen.

How can MSK Doctors help with calcific tendonitis?

At MSKDoctors, we specialise in the diagnosis and treatment of musculoskeletal conditions like calcific tendonitis. Our team of experts provides personalised care and support to help you manage your symptoms and improve your shoulder function.