Treatment of Calcific Shoulder Tendonitis in Düsseldorf: Causes, Symptoms, and Therapy Options

Calcific shoulder, also known as calcific tendinitis, is a painful condition caused by calcium deposits in the tendon insertions of the rotator cuff. The rotator cuff is a group of four muscles and tendons in the shoulder area responsible for stabilizing and mobilizing the shoulder joint. Calcific shoulder can lead to restricted mobility and severe pain during certain arm movements.

Causes of calcific shoulder tendinitis

The exact causes of the development of a calcific shoulder are not yet fully understood. However, it is suspected that circulatory disorders and inflammations in the tendon attachments of the rotator cuff lead to increased calcium deposits. Certain risk factors such as obesity, diabetes, thyroid diseases, and genetic predispositions may also play a role.

Symptoms of calcific shoulder tendinitis

The symptoms of calcific shoulder can vary from patient to patient. However, typical signs include:

  • Pain with certain arm movements, especially when lifting the arm
  • Limited mobility of the arm and shoulder
  • Pain at rest, especially at night

In some cases, a calcific shoulder can also be asymptomatic, meaning without noticeable pain or movement restrictions.

Therapy options for calcific shoulder in our orthopedic practices in Düsseldorf

Therapy options for calcific shoulder in our orthopedic practices in Düsseldorf

As a rule, a calcific shoulder can be treated without surgical intervention. The following therapy options may be considered:

  • Physical therapy: Targeted exercises can improve the mobility and strength of the shoulder and arm muscles.
  • Focused shockwave therapy: In this procedure, high-energy sound waves are directed at the calcium deposits to dissolve them and promote their removal by the body.
  • Anti-inflammatory medications: These can relieve pain and reduce inflammation in the tendon attachments.
  • Cortisone injections: A local injection of cortisone can also reduce inflammation and relieve pain.
  • Arthroscopic treatment: If the calcium deposits are too large or other therapy options are not effective, an arthroscopy can be performed to remove the calcium deposits.

As an experienced orthopedist, we recommend early diagnosis and treatment of calcific shoulder to avoid long-term damage. If you have any questions about the therapy or would like to schedule an appointment, we are happy to assist you.

Efficient and modern treatment methods for calcific shoulder tendinitis

Efficient and modern treatment methods for calcific shoulder tendinitis

Pronounced calcium deposits can lead to severe movement restrictions and pain. Gentle treatments such as physical therapy and ointments are no longer sufficient to restore full mobility. With focused shockwave therapy, the calcium deposits can be specifically dissolved, allowing the body to reabsorb and transport the deposited calcium.

As a rule, five short treatment sessions of shock wave therapy in Düsseldorf are sufficient to remove the calcifications from the tendon attachments of the rotator cuff. In some cases, anti-inflammatory medications should also be taken. If the calcifications are already too extensive, only an arthroscopic joint examination can help. This surgical procedure can be performed on an outpatient basis and involves only minimal strain for the patient.

Efficient and modern treatment methods for calcific shoulder tendinitis play

Efficient and modern treatment methods for calcific shoulder tendinitis

Efficient and modern treatment methods for calcific shoulder tendinitis play

Efficient and modern treatment methods for calcific shoulder tendinitis

Frequently Asked Questions (FAQ)


Yes, with calcific shoulder tendinitis, movement is generally recommended. Targeted exercises can improve blood circulation in the affected area, which can help dissolve the calcium deposits. Additionally, movement can help maintain or restore shoulder mobility. However, the movement should be adjusted and performed without pain to avoid further irritation. It can be helpful to consult a doctor or physical therapist to learn appropriate exercises and movement routines.
In the case of calcific shoulder tendinitis, it is important to avoid certain activities and movements to prevent worsening the symptoms. This includes avoiding overhead movements where the arms are raised above shoulder height. Such movements can lead to pain and irritation. Additionally, heavy lifting and weightlifting should be avoided as they put extra strain on the shoulder. Repetitive movements, such as repeatedly throwing a ball or swinging a tennis racket, should be reduced as they can exacerbate the pain. Abrupt, jerky movements should also be avoided to prevent sudden pain and injury. It is advisable to seek medical advice and possibly learn physiotherapeutic exercises to move and rehabilitate the shoulder gently.
The duration of healing for calcific shoulder tendinitis can vary from person to person and depends on various factors. Generally, healing can take several months to a year or longer. It is important to note that calcific shoulder tendinitis is a slow healing process and requires patience. The dissolution of the calcium deposit in the shoulder tissue can occur gradually, and symptoms may improve over time. Healing can be supported by appropriate treatment measures such as physiotherapeutic exercises, anti-inflammatory medications, injections, or in some cases, surgical removal of the calcium deposit. It is important to regularly monitor progress with a doctor or physiotherapist and follow their instructions to promote the healing process.
A physical therapist plays an important role in the treatment of calcific shoulder tendinitis. They conduct a comprehensive assessment of the shoulder and develop an individualized treatment plan. This may include techniques such as mobilization, stretching, strengthening exercises, and shoulder movement exercises. They can also assist with posture training and ergonomic adjustments. The physical therapist supports the healing process, alleviates pain, and improves shoulder mobility. Regular visits and performing the recommended exercises are important for optimal results.
A calcific shoulder can sometimes heal on its own, but this is not always the case. The healing process of a calcific shoulder can be lengthy, taking months to a year or longer. In some individuals, the calcium deposit in the shoulder tissue may gradually dissolve, and symptoms may improve over time. However, it is important to note that not all calcific shoulders heal completely without treatment. Targeted treatment, conducted by a doctor or physical therapist, can support the healing process, alleviate pain, and improve shoulder mobility. It is advisable to seek medical advice for persistent symptoms to determine the best course of action for the individual situation.
The exact cause for the development of calcific shoulder tendinitis is not yet fully understood. It is believed that various factors can contribute to its onset. A common theory is that micro-injuries or inflammations in the area of the shoulder tendons occur, triggering a response from the body. As a result, calcium deposits can form in the affected tendons. It is suspected that a combination of genetic predisposition, age-related changes, repeated overuse of the shoulder, or trauma may play a role. Metabolic disorders or circulation problems can also be factors. It is important to note that not everyone with these risk factors will necessarily develop calcific shoulder tendinitis. The exact mechanisms and triggers are complex and require further research.
The decision to operate on a calcific shoulder depends on various factors. In most cases, conservative treatment is initially recommended to alleviate pain and improve shoulder mobility. However, in cases of persistent severe pain or complications such as tendon ruptures, surgery may be considered. The decision to undergo surgery should be made individually in consultation with a doctor, after careful consideration of the symptoms, the severity of the condition, and the patient's overall health status.
Swimming can be a good form of exercise for a calcific shoulder because it is a low-impact activity. The buoyancy in the water reduces the load on the shoulder and allows for gentle movement without strong jolts or pressure. This can improve shoulder mobility and promote blood circulation, which may help dissolve the calcium deposits. However, it is important to listen to your body and adjust the intensity and type of swimming movements to avoid pain. It may be advisable to consult a doctor or physical therapist before starting swimming exercises to consider individual recommendations and possible limitations.
The duration for shoulder inflammation to subside can depend on various factors, including the cause of the inflammation, the severity of the inflammation, and individual patient factors. In some cases, a mild inflammation can subside within a few days or weeks with rest, anti-inflammatory medications, and physiotherapy measures. However, for chronic or more severe inflammations, the healing process can take significantly longer, sometimes several weeks or months. It is important to consistently follow the recommended treatment measures and regularly monitor progress with a doctor or specialist. Each case is individual, so it is important to be patient and adequately support the healing process.
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