Doctor insights on:
Alternative Treatments For Calcific Tendonitis
Calcific tendonitis measuring 4x1 mm involving the olecranon insertional fibers of tricep tendons. Will this heal? Risks? Advice? Treatment? Thanks
Varies: When a tendon has chronic or multiple of episodes of inflammation and/or injury, calcifications can develop. At 4x1 mm they are extremely small. They don't really heal. One way to look it is they are really just a symptom of of chronically irritated tendon. Treatment involves addressing the cause of the tendinitis.
I have calcification tendonitis and a partial rotator cuff tear in my left shoulder. I have done 6 weeks of physical therapy but it is still giving me?
Still have options: Every case is unique, but more time, keeping up with a religious icing program +/- an anti-inflammatory in addition to the exercises may still improve things. An injection and/or a needling procedure to break up the calcium deposits may be an option. If those fail and your symptoms are still significant in 6-12 wks you my be a candidate for arthroscopic surgery, although many pts can avoid the or.See 1 more doctor answer
No: You can cause further injury to before a full healing process.See 1 more doctor answer
ESWT: In our office we have used eswt-extracorporeal shockwave therapy for 12 years on the plantar fascia and achilles tendon with excellent results. For these areas the shock or "pressure" waves break up the chronic inflammatory scar tissue on a microscopic level and jump start the healing process.
Orthopedic Surgeons: Frozen shoulders or calcific tendinitis can be treated conservatively by orthopedic surgeons in most cases.
I have 7 x 4 x 3mm tear in the subscapularis & mild calcific tendonitis of the tendon--will this need surgery?
Tender: It feels tender. You cannot generally feel the deposit.
Chronic both shoulders pain from gym injury (very heavy military press & external cable). X-ray shows mild tendonitis. Doesn't explain spasms tingling in upper back. Torn rc? Calcific tend? Decent rom
See orthopedist: Apparrently u sustained a signifigant injury to both shoulders in the wt. Room. Have you already had an mri? (x-rays show bony anatomy primarily). You need a good examination by an experienced ors who sees plenty of shoulder injuries/ pain. The differential dx. In your case is :ac jt injury, rc tendinitis/ sm tear, labral injury, slap tears, instability, referred pain, etc. Etc. Exam/mri=dx. Gl!See 1 more doctor answer
Yes: This is very possible. If you are having pain that is effecting your sleeping or activities of daily living, see an orthopedist for evaluation.See 1 more doctor answer
Would a painful, 3-mo case of calcific shoulder tendonitis in a 75 yr old male be expected to eventually resolve naturally, or would needling or arthroscopy likely be needed to break/flush it out?
Try injection: Try a steroid injection into the sub-acromial space 1st. You also could try pt with ultrasound before doing more invasive treatments.See 1 more doctor answer
I have calcific tendinitis. I've done pt and 3 cortisone shots. Still in pain. Dr said its to small to find and I will have to live with it. Help me?
Not true.: If you truly have calcific tendinitis the area can be successfully injected under ultrasound guidance. Find an orthopedist or rheumatologist who uses ultrasound.
Inflamed and calcifi: Retropharyngeal calcific tendinitis is, or acute calcific prevertebral tendonitis a rare disease. The disease is a result of calcium hydroxyapatite deposition in the longus colli muscle and associated inflammation. Classically, the calcification affects the superior oblique portion of the longus colli muscle at the c1-c2 level. Treated with non-steroidal anti-inflammatory drugs (nsaids).
NSAIDs and rest: Nonsteroidal anti-inflammatories such as Ibuprofen and rest. Once you return to activity, gentle stretching exercises are important. Steroid injections are a bad idea as they can weaken the tendon, possibly leading to more serious problems, such as tendon rupture.See 1 more doctor answer
Several: Physical therapy modalities are used in the treatment. After the tendon feels better proper conditioning would include appropriate stretching and muscle strengthening with proper balance.
Multiple treatments: Studies have shown that short term (the first 6 months) cortisone injections are the most effective treatment for pain. However, symptoms often come back if not treated with exercise prescription. Long-term studies (1 year out) show physical therapy to have the best outcomes. Off-loader bracing also has been shown to help. Treatment such as prp or surgery are only indicated if these don't work.
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