{"id":2600,"date":"2025-02-13T15:43:21","date_gmt":"2025-02-13T13:43:21","guid":{"rendered":"https:\/\/orthopedikos-papagiannopoulos.gr\/?p=2600"},"modified":"2025-02-14T09:42:00","modified_gmt":"2025-02-14T07:42:00","slug":"asvestopoios-tenonditi","status":"publish","type":"post","link":"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/2025\/02\/13\/asvestopoios-tenonditi\/","title":{"rendered":"Calcific tendinitis of the shoulder - causes and treatment"},"content":{"rendered":"<p>Calcific tendinitis of the shoulder occurs when calcium deposits build up in the shoulder tendons,\ncausing pain, inflammation and limiting mobility. The condition can be particularly difficult for people\nwho rely on shoulder movement for daily tasks or sports activities. Although it usually resolves on its\nown, intervention may be needed if symptoms are severe or persistent.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What is calcific tendinitis of the shoulder?<\/strong><\/h2>\n\n\n\n<p>Calcific tendinitis of the shoulder is a condition in which calcium deposits form in the tendons of the\nrotator cuff muscles, most commonly the supraspinatus tendon. The rotator cuff is a group of four\nmuscles and their tendons that surround the shoulder joint, providing stability and allowing a wide\nrange of movements. Calcification within the tendons occurs when calcium phosphate crystals\naccumulate, causing the affected tendon to become stiff and painful.<\/p>\n\n\n\n<p>Calcium accumulation can disrupt the normal function of the tendon, causing irritation and\ninflammation of the surrounding tissue, resulting in significant discomfort. Although calcific tendinitis\ncan occur in any tendon, the shoulder is one of the most common sites of this condition due to the\npressure and repetitive movements that this joint undergoes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What causes calcific tendinitis of the shoulder<\/strong><\/h2>\n\n\n\n<p>The exact cause of calcific tendinitis of the shoulder remains somewhat unclear, but several factors may\ncontribute to the development of calcium deposits in the tendons. These causes can be grouped into\nbiological, mechanical and degenerative factors.<\/p>\n\n\n\n<p><em>Biological factors<\/em><\/p>\n\n\n\n<p>Various metabolic factors or imbalances in the body&#039;s calcium regulation system may play a role in the\ndevelopment of calcific tendinitis. In particular, conditions that affect calcium metabolism, such as\nhyperthyroidism (overactive thyroid gland) or kidney disease, may increase the likelihood of calcium\ndeposits forming in the tendons. <a href=\"https:\/\/www.hcs.gr\/hellenicjcardiol\/arthro-anaskopisis-28\/yperthyreoeidismos-kai-kardia\/\" target=\"_blank\" rel=\"noopener\">\u03c5\u03c0\u03b5\u03c1\u03c0\u03b1\u03c1\u03b1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc\u03c2<\/a> (\u03c5\u03c0\u03b5\u03c1\u03b4\u03c1\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf\u03c2 \u03c0\u03b1\u03c1\u03b1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2 \u03b1\u03b4\u03ad\u03bd\u03b1\u03c2) \u03ae \u03b7 \u03bd\u03b5\u03c6\u03c1\u03bf\u03c0\u03ac\u03b8\u03b5\u03b9\u03b1, \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03c5\u03be\u03ae\u03c3\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c3\u03c7\u03b7\u03bc\u03b1\u03c4\u03b9\u03c3\u03bc\u03bf\u03cd \u03b5\u03bd\u03b1\u03c0\u03bf\u03b8\u03ad\u03c3\u03b5\u03c9\u03bd \u03b1\u03c3\u03b2\u03b5\u03c3\u03c4\u03af\u03bf\u03c5 \u03c3\u03c4\u03bf\u03c5\u03c2 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b5\u03c2.<\/p>\n\n\n\n<p><em>Mechanical factors<\/em><\/p>\n\n\n\n<p>Repetitive shoulder movements, particularly overhead activities such as lifting, throwing or swimming,\ncan put excessive strain on the rotator cuff tendons. Over time, this repetitive strain can contribute to\nthe formation of microcracks in the tendon, leading to a build-up of calcium as part of the body&#039;s\nattempt to repair the damage. People involved in high-intensity physical activities or sports are at a\nhigher risk of developing calcific tendinitis of the shoulder.<\/p>\n\n\n\n<p><em>Degenerative changes<\/em><\/p>\n\n\n\n<p>As people get older, the tendons in the shoulder can become more prone to wear and tear. In this\ncontext, the body&#039;s ability to repair tendons and control calcium deposits decreases, making older\npeople more vulnerable.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" loading=\"lazy\" width=\"819\" height=\"1024\" src=\"https:\/\/orthopedikos-papagiannopoulos.gr\/wp-content\/uploads\/2025\/02\/P.-Papagiannopoulos-posts-1080-x-1350-px-2-819x1024.png\" alt=\"\u03b1\u03c3\u03b2\u03b5\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03cc\u03c2 \u03c4\u03b5\u03bd\u03bf\u03bd\u03c4\u03af\u03c4\u03b9\u03b4\u03b1 \u03c4\u03bf\u03c5 \u03ce\u03bc\u03bf\u03c5 woman in shoulder pain\" class=\"wp-image-2601\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Symptoms of calcific tendinitis of the shoulder<\/strong><\/h2>\n\n\n\n<p>The symptoms of calcific tendinitis of the shoulder can vary from patient to patient depending on the\nextent of calcium buildup and the degree of inflammation present in the shoulder joint. The most\ncommon symptoms include:<\/p>\n\n\n\n<ul>\n<li>Pain, which usually worsens with activity or when the shoulder is moved in certain ways. The pain is\noften felt in the front or side of the shoulder and may radiate down the arm.<\/li>\n\n\n\n<li>Limited range of motion due to stiffness caused by calcium deposits that make it difficult to raise the\narm above the head or perform simple tasks.<\/li>\n\n\n\n<li>Swelling and inflammation around the shoulder joint, which may be accompanied by a burning\nsensation and redness.<\/li>\n\n\n\n<li>Pain at night, especially when patients lie on the affected shoulder, due to pressure on the tendons.<\/li>\n\n\n\n<li>A sensation of grinding when moving the arm, particularly when moving over the head.<\/li>\n<\/ul>\n\n\n\n<p>To diagnose calcific tendinitis of the shoulder a physical examination is necessary to evaluate the\nsymptoms and based on the findings, a doctor will recommend imaging tests to confirm the diagnosis\nand determine the most appropriate treatment approach. Imaging tests to diagnose the condition\nusually include X-rays (to visualize calcium deposits and rule out other possible causes of shoulder pain),\nultrasound (to visualise the location and size of calcium deposits within the tendons) or MRI (which\nprovides a more detailed picture of the soft tissue structures of the shoulder and helps to assess the\nextent of damage and inflammation and to rule out other possible causes of shoulder pain).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>How calcific tendinitis of the shoulder is treated<\/strong><\/h2>\n\n\n\n<p>Treatment for calcific tendinitis of the shoulder aims to reduce pain, inflammation and dissolve calcium\ndeposits. Each patient&#039;s treatment plan depends on the severity of the condition, their overall health\nand the extent of the tendon damage.<\/p>\n\n\n\n<p><em>Conservative treatment<\/em><\/p>\n\n\n\n<p>Most cases of calcific tendinitis can be treated conservatively with:<\/p>\n\n\n\n<ul>\n<li>Rest and limiting activities that aggravate shoulder pain to give the tendon time to heal.<\/li>\n\n\n\n<li>Medication to reduce inflammation and relieve pain.<\/li>\n\n\n\n<li>A targeted program of physiotherapy to improve shoulder mobility, strengthen the muscles around the\nshoulder joint and reduce pain.<\/li>\n\n\n\n<li>Seldom corticosteroid injections, for cases of severe pain and to reduce inflammation.<\/li>\n\n\n\n<li>Shockwave therapy<\/li>\n\n\n\n<li>Ultrasound-guided Barbotage (or needle lavage) as a minimal invasive technique<\/li>\n<\/ul>\n\n\n\n<p><em>Surgical treatment<\/em><\/p>\n\n\n\n<p>In cases where conservative treatments fail to provide relief or if the calcium deposits are large or deep\nin the tendon, surgery may be needed, either <a href=\"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/2025\/01\/21\/arthroskopiki-statheropoiisi-tou-wmou\/\">arthroscopically<\/a> or by open surgery if the calcium deposits\nare difficult to reach arthroscopically.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Can calcific tendinitis of the shoulder be prevented?<\/strong><\/h2>\n\n\n\n<p>Prevention of calcific tendinitis mainly involves addressing the risk factors for tendon injury.<\/p>\n\n\n\n<ul>\n<li>Strengthening the shoulder muscles<\/li>\n\n\n\n<li>Proper technique and ergonomics, for athletes or people who perform repetitive overhead\nmovements.<\/li>\n\n\n\n<li>Rest, breaks and avoiding excessive repetitions can help prevent tendon damage.<\/li>\n\n\n\n<li>A balanced diet, with calcium and vitamin D for bone health.<\/li>\n<\/ul>\n\n\n\n<p>Calcific tendinitis of the shoulder can significantly affect a person&#039;s quality of life. Regardless of the\ncause, the buildup of calcium deposits in the shoulder tendons can cause painful symptoms. Early\ndiagnosis and conservative treatment are usually sufficient to manage symptoms; however, in more\nsevere cases, surgery may be required to remove calcium deposits and restore normal function.<\/p>\n\n\n\n<p>To find out more about calcific tendinitis of the shoulder, contact us at 6943903343 (secretary) or\n6949196061 (doctor) and <a href=\"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/\">at orthopedikos-papagiannopoulos.gr<\/a> and make an appointment.<\/p>","protected":false},"excerpt":{"rendered":"<p>\u0397 \u03b1\u03c3\u03b2\u03b5\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03cc\u03c2 \u03c4\u03b5\u03bd\u03bf\u03bd\u03c4\u03af\u03c4\u03b9\u03b4\u03b1 \u03c4\u03bf\u03c5 \u03ce\u03bc\u03bf\u03c5 \u03b5\u03bc\u03c6\u03b1\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b1\u03bd \u03c3\u03c5\u03c3\u03c3\u03c9\u03c1\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03bd\u03b1\u03c0\u03bf\u03b8\u03ad\u03c3\u03b5\u03b9\u03c2 \u03b1\u03c3\u03b2\u03b5\u03c3\u03c4\u03af\u03bf\u03c5 \u03c3\u03c4\u03bf\u03c5\u03c2 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b5\u03c2 \u03c4\u03bf\u03c5 \u03ce\u03bc\u03bf\u03c5, \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03ce\u03bd\u03c4\u03b1\u03c2 \u03c0\u03cc\u03bd\u03bf, \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ae \u03ba\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b7\u03bd \u03ba\u03b9\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1. \u0397 \u03c0\u03ac\u03b8\u03b7\u03c3\u03b7 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03c5\u03c3\u03ba\u03bf\u03bb\u03ad\u03c8\u03b5\u03b9 \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03c4\u03b1 \u03ac\u03c4\u03bf\u03bc\u03b1 \u03c0\u03bf\u03c5 \u03b2\u03b1\u03c3\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03ba\u03af\u03bd\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03ce\u03bc\u03bf\u03c5 \u03b3\u03b9\u03b1 \u03ba\u03b1\u03b8\u03b7\u03bc\u03b5\u03c1\u03b9\u03bd\u03ad\u03c2 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\u03b1\u03c3\u03b2\u03b5\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03cc\u03c2 \u03c4\u03b5\u03bd\u03bf\u03bd\u03c4\u03af\u03c4\u03b9\u03b4\u03b1 \u03c4\u03bf\u03c5 \u03ce\u03bc\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03c3\u03c7\u03b7\u03bc\u03b1\u03c4\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03bd\u03b1\u03c0\u03bf\u03b8\u03ad\u03c3\u03b5\u03b9\u03c2 \u03b1\u03c3\u03b2\u03b5\u03c3\u03c4\u03af\u03bf\u03c5 \u03c3\u03c4\u03bf\u03c5\u03c2 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b5\u03c2 \u03c4\u03c9\u03bd \u03bc\u03c5\u03ce\u03bd \u03c4\u03bf\u03c5 \u03c3\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03bf\u03cd \u03c0\u03b5\u03c4\u03ac\u03bb\u03bf\u03c5, \u03c3\u03c5\u03bd\u03b7\u03b8\u03ad\u03c3\u03c4\u03b5\u03c1\u03b1 \u03c3\u03c4\u03bf\u03bd \u03c5\u03c0\u03b5\u03c1\u03b1\u03ba\u03ac\u03bd\u03b8\u03b9\u03bf \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1. \u03a4\u03bf \u03c3\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03cc \u03c0\u03ad\u03c4\u03b1\u03bb\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03bf\u03bc\u03ac\u03b4\u03b1 \u03c4\u03b5\u03c3\u03c3\u03ac\u03c1\u03c9\u03bd \u03bc\u03c5\u03ce\u03bd 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