Calcific tendinitis of the shoulder

Overview

Calcific tendinitis involves calcium deposits forming within a rotator cuff tendon. It can cause sudden, severe shoulder pain during the resorptive phase. Most cases resolve over time, with several options to manage pain and speed recovery.

Symptoms

• Sudden, often severe shoulder pain
• Pain limiting movement, especially overhead
• Night pain
• Symptoms that can come in episodes

Causes

• Calcium deposition in a cuff tendon
• Altered tendon metabolism
• Often no single clear trigger

Treatment

• Pain management during acute flares
• Graded movement and strengthening
• Barbotage (needle aspiration) for stubborn deposits
• Injection or specialist input as needed