Sunday, November 29, 2009

Calcific Tendinitis: What Is It and How Is It Best Treated?

By Tom Nicholson

Calcific tendinitis is a condition that causes sharp pain a joint, when calcium deposits form around the tendons and then break free, triggering inflammation. It usually hits the rotator cuff and can affect either or both shoulders.

No one really knows what causes calcific tendinitis, but there are some pretty clear indicators as to what does NOT cause it. Having too much calcium in the diet does not cause it, because those who are diagnosed with calcific tendinitis usually have normal calcium levels in their blood. Therefore, it is NOT advised that you limit calcium in your diet if you are diagnosed with this condition, because you could put yourself at risk for osteoporosis; if you get too little calcium in your diet, your body will simply take it from your bones.

In a few cases, metabolic conditions have been fingered as the triggering cause for calcific Tendinitis. Sometimes kidney problems have also been indicated (or calcific Tendinitis has been seen as a symptom of kidney conditions, as the kidney is one of the major filters for calcium in the blood stream. Overuse of the shoulder doesn't trigger calcific tendon either; it can cause rotator cuff wear and tear, but that's not the same condition and calcium deposits are not present.

May be related to age

Some speculate that age, and the gradual ramping down of human growth hormone in the late 20s are one trigger for calcific Tendinitis, as it doesn't happen to people under the age of 30, there may be Tendinitis from overuse injuries, but they usually don't have calcium deposits.

Symptoms

The usual set of symptoms for calcific Tendinitis is a sharp, burning pain when a stiff shoulder is moved; it's often described as feeling like gravel is under the shoulder blade, usually when you raise your arm of the shoulder. Sometimes it's a little subtler than that if the calcium crystallization happens deeper in the tissue, where it can't be felt through the skin.

In addition, calcium crystals may shed off of the deposits and cause the tendons to become acutely inflamed. Oftentimes, people aren't even aware they have calcific tendinitis until they experience this kind of attack. Surprisingly, though, this is also when the calcium deposits can be reabsorbed by the body.

Sudden onset

Usually, those who experience calcific tendinitis have pain symptoms that happen suddenly, not over a long period of time. Usually, the pain symptoms themselves resolved within a week or two without incident.

If you visit your doctor during a bout of acute calcific Tendinitis, it can be seen on an X-ray. Most treatments are taking over the counter inflammation relievers and icing the shoulder or joint. Performing range of motion exercises to keep the shoulder limber is also recommended; it prevents the 'locked shoulder' syndrome, and helps you avoid losing muscle mass.

If pain is particularly severe, your doctor can give you a steroid or cortisone injection into your shoulder to relieve inflammation. In some cases, the deposits can be broken apart with a hyper during meal and sucked out with a syringe. In very, very rare cases, surgery may need to be performed to remove the deposits, especially if the deposits interfere with shoulder movement. Usually, arthroscopic surgery can take care of this with minimal invasiveness.

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