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Doctor insights on: Rotator Cuff Calcific Tendonitis Treatment

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Dr. Thomas Fiala
5 doctors shared insights

Rotator Cuff (Definition)

The rotator cuff is a group of four muscles that wrap around the ball of the ball and socket joint f the shoulder. The cuff muscles initiate the movements of internal and external rotation as well as lifting your arm ...Read more


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Lateral epicondylitis, tendinopathy with multiple tendon ruptures along extensor tendon. Treatment options?

Lateral epicondylitis, tendinopathy with multiple tendon ruptures along extensor tendon. Treatment options?

That is a very com--: Plex problem that you have. Is it in the same arm or elbow area? Is this from an injury? Without being seen ; examined/investigated, its difficult to address all your issues in a meaningful way. You need to see an orthopod or a elbow/shoulder surgeon to get the best advice, as otherwise you'll get a pot pouri of suggestions, which may or may not help. Good luck. ...Read more

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Rotator cuff tendonitis, how is this diagnosed?

Rotator cuff tendonitis, how is this diagnosed?

History and physical: Typically a clinician can make this diagnosis with a history and good physical exam. Imaging may add to the diagnosis but often is not required for the initial diagnosis of rotator cuff tendinitis ...Read more

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Could rotator cuff sprain be permanent?

Could rotator cuff sprain be permanent?

? Sprain: If you have injured your rotator cuff over time or w/ one episode of trauma you may have 'strained' or irritated the rot cuff.These generally will get better w/time. If, however, you tore or partially tore the rot. Cuff this may not improve completely and may require surgery. A good exam and quality MRI scan can differentiate between the two. See an ors w/ specialty training in shoulder surg. Gl! ...Read more

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Does a partial rotator cuff tear require right shoulder arthroscopy?

Does a partial rotator cuff tear require right shoulder arthroscopy?

Sometimes: Partial thickness rtc tears are generally managed with physical therapy. Shoulder arthroscopy is indicated for partial thickness tears that fail to improve with non-operative treatment. ...Read more

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Revision rotator cuff surgery failed w/complete full-thickness infra tear w/1.5cm retraction.All 3 other tendon intact. Can get cuff tear arthropathy?

Frozen Shoulder: You are at high risk of developing a frozen shoulder if the revision of a full thickness tear of the conjoint tendon of the rotator cuff failed. I hope you are in physical therapy and have a set of low cost safe resistance bands at home to reduce impingement. By the way, the three main muscles of the rotator cuff are supraspinatus, infraspinatus and Teres minor. They insert via a common tendo ...Read more

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How to differentiate between supraspinatus impingement and rotators cuff tendonitis ?

How to differentiate between supraspinatus impingement and rotators cuff tendonitis ?

Same: For an orthopedic surgeon they r the same. Only thing that would make a ... Of a difference if the rotator cuff is torn( supraspinatus .... Or commonly missed subscapularis)... Which would mean if i failed a non- operative tx program your arthroscopy would include an arcr as well as decompression , if needed. ...Read more

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Can a shoulder strain aggravate calcific tendonitis?

Can a shoulder strain aggravate calcific tendonitis?

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. ...Read more

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What is a torn rotator cuff tendon like?

What is a torn rotator cuff tendon like?

Painful and weak: A torn rotator cuff tendon is usually quite painful, especially at night or during forceful shoulder motion. The rotator cuff starts out as 4 individual muscle attached to the shoulder blade. As they approach there insertion onto the tuberosities of the humerus, they come together to make a tendonus cuff. When this cuff of tissue is torn, active shoulder motion becomes difficult. Needs surgery. ...Read more

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Can rotator cuff tear cause carpel tunnel?

Can rotator cuff tear cause carpel tunnel?

No: However one can have both problems at the same time. Carpal tunnal can on occasionj cause shoulder pain, carpal tunnel may alter mechanics in the way the hand and arm are used and a rotator cuff tear that is present becomes more symptomatic. A rotator cuff tear may also give pain down the arm and a unstable shoulder may give tingling in the hand the seems like carpal tunnel. These are not causes! ...Read more

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My wrist has torn tendons, torn ligaments, subluxing ECU tendon w tear & ganglion cyst. As well as tenosynovitis + tendinosis . What can be done ?

My wrist has torn tendons, torn ligaments, subluxing ECU tendon w tear & ganglion cyst.   As well as tenosynovitis + tendinosis .  What can be done
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All can be treated: All your conditions can be treated by an orthopedic doctor.So I suggest you make an apt with an orthopedic doctor if not already done ...Read more

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Management of infraspinatus tendinitis?

Management of infraspinatus tendinitis?

Tendonitis shoulder: Restrict motions or positions which produce discomfort. Make consistent use of an NSAID for 2 weeks, work with a physiotherapist to isometric ally tone the muscles around the shoulder. If not improving ask for an eval wth a shoulder specialist. ...Read more

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Glenohumeral joint debridement,microfracture,anterior labrum repair,subacromial bursectomy decompression.5mos physio Why ROM restricted above shoulder?

Glenohumeral joint debridement,microfracture,anterior labrum repair,subacromial bursectomy decompression.5mos physio Why ROM restricted above shoulder?

Very common in your-: -age group. it takes a lot of therapy above and beyond your formal sessions to gain the notion. daily passive 2-3 times a day which requires a partner. you do what the PT protocol says to do but much more intense at home. in the long run most everyone looses ,motion after surgery. the first 2-3 months are the most important ...Read more

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Any jumper's knee (patellar tendinitis) treatmenet?

Any jumper's knee (patellar tendinitis) treatmenet?

Inflammed tendon: Chronic inflammation of the patella tendon, commonly known as "jumper's knee"/ typical treatment options consist of rice, antiinflammatories, physical therapy, counterbrace supports, massage, injections... For more info http://drmarkgalland.Com/platelet-rich-plasma-may-have-edge-in-jumpers-knee/ rarely requires surgery. ...Read more

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Shoulderpain ~2 yrs. Mri-mild tendinosis of supraspinatus tendon, 2 mm interstital tear, mild subacr-subdelt bursitis, trace glenohumoral joint effusion?

Shoulderpain ~2 yrs. Mri-mild tendinosis of supraspinatus tendon, 2 mm interstital tear, mild subacr-subdelt bursitis, trace glenohumoral joint effusion?

See details: The MRI of the shoulder is not particularly impressive. As various therapies have not worked, consider seeing an orthopedist who specializes in shoulder issues. There is no way to be more specific with you without having the opportunity to examine the shoulder first hand. ...Read more

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How is subacromial subdeltoid bursitis treated?

How is subacromial subdeltoid bursitis treated?

Medication injection: Protection, rest, ice, compression, elevation, and medications such as Aspirin or Ibuprofen (advil) can be helpful to reduce inflammation and pain fro bursitis. If your bursitis is not infectious, the doctor may inject the bursa with a corticosteroid to reduce inflammation. Rarely will require surgery to remove it. Check with your doctor if you could use those medications. ...Read more

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Is rotator cuff syndrome curable?

Absolutely: Is all about the getting proper history, examining, treating, reexamining. Treatment could includes oral medications, injections. Evaluation include history, exam, xray, mri, referral to physical therapy, ortho, pain management. Be aware rotator cuff is a general term (we have many terms depending on findings). Remember it could take 6 months to fully recover (many time it takes less). ...Read more

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Is pain medication prescribed for rotator cuff tendonitis?

Is pain medication prescribed for rotator cuff tendonitis?

Yes: Medications to treat the inflammation associated with pain such as anti-inflammatory medicines know as nsaids are used. Narcotics are not typically prescribed for tendinopathies. ...Read more

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Exercise for rotator cuff pain?

Exercise for rotator cuff pain?

Strengthening.: Internal and external rotator strengthening, as well as overall shoulder strengthening, should help. ...Read more

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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?

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. ...Read more

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Which type of physical therapy do they do for rotator cuff tendonitis?

Which type of physical therapy do they do for rotator cuff tendonitis?

Multifaceted: Physical therapy for rotator cuff tendonitis or impingement syndrome is multifaceted and includes: postural training, imporvement in upper back strength, improvement in core strength, strengtheing the rotator cuff first in internal and external rotation and then eventually with forward elevation. Obtaining full painless full range of motion is important in early physical therapy treatment. ...Read more

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Will predizone help tendonitis? Will physical therapy help a rotator cuff tear?

Will predizone help tendonitis?  Will physical therapy help a rotator cuff tear?

Sometimes: Prednisone is a powerful anti-inflammatory medication. It can reduce pain and inflammation for tendonitis but it should be used sparingly for this purpose due to side effects. PT can help some patients with rotator cuff tears, but not all. Conservative treatment for rotator cuff tears is often the preferable initial treatment for most patients. You should be evaluated by an orthopaedic doctor. ...Read more

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I was in MVA. MRI shows Rotator cuff tear, labra tear and tendinitis on shoulder. EMG shows pinched nerve. Will Physical Therapy help and how long?

I was in MVA. MRI shows Rotator cuff tear, labra tear and tendinitis on shoulder. EMG shows pinched nerve. Will Physical Therapy help and how long?

Can't answer w/o inf: The space here is limited to provide a good answer to your question. You should speak to an Orthopedic Surgeon or sports medicine doctor (rehab?) to answer this question. Generally, rest, ice, & compression is used to help support healing. Anti-inflammatories like Tylenol (acetaminophen) could be used also. Later on, rehab is used when healing has started but timing is up to the surgeon. ...Read more

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What are some treatment options for calcific tendonitis of the shoulder?

Calcific tendonitis: Conservatively: rest, nsaids, injection, pt, modalities. Operatively, scope debridement of the tendon with removal of calcific deposits. ...Read more

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Calcific tendonitis measuring 4x1 mm involving the olecranon insertional fibers of tricep tendons. Will this heal? Risks? Advice? Treatment? Thanks

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. ...Read more

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Long history with tendonitis. Wrists, elbows, shoulders, hip, and ankles affected. Calcified in both rotator cuffs. Can there be a global cause?

Tendinitis: Tendinitis and bursitis are conditions known as soft tissue rheumatic syndrome. Conditions, related to tendinitis or bursitis could be: overuse or injury of the joints, rheumatoid arthritis,thyroid disease, gout, kidney diseases. Sometimes, statins and fluoroquinolone antibiotics can cause tendinitis or tendon rupture. ...Read more

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Is pain medication prescribed for rotator cuff tendonitis?

Yes: Medications to treat the inflammation associated with pain such as anti-inflammatory medicines know as nsaids are used. Narcotics are not typically prescribed for tendinopathies. ...Read more

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I have rotator cuff tendonitis what weightlifting exercises can I do?

I have rotator cuff tendonitis what weightlifting exercises can I do?

Codman's: Best advice for a sore shoulder as it resolves and as return to working out is working on scapular strengthening and codman type cuff exercises (may google it). Keep your hands in your field of view when working out as if can't see them its not healthy for your shoulder in general. Watch the lateral raises as force at shoulder is 4x the weight w/ arm lifted to side. Indyshoulder.Com. ...Read more

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Rotator cuff tendonitis, how is this diagnosed?

History and physical: Typically a clinician can make this diagnosis with a history and good physical exam. Imaging may add to the diagnosis but often is not required for the initial diagnosis of rotator cuff tendinitis ...Read more

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Rotator cuff tendonitis diagnosis, what can I expect going forward?

Rotator cuff tendonitis diagnosis, what can I expect going forward?

Depends: Depends which component of the rotator cuff affected. If limited, specific therapy for that tendon may help. Physical therapy important in management, as well as avoidance of causative activities. Sometimes needs surgery. ...Read more

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Extreme pain at rotator cuff, can't lift all the way up, sharp pain, hard to lift things, decreased ROM, how to tell tendonitis vs torn rotator cuff?

Extreme pain at rotator cuff, can't lift all the way up, sharp pain, hard to lift things, decreased ROM, how to tell tendonitis vs torn rotator cuff?

Examination: Question as to how to differentiate rotator cuff tear from tendinitis. Rotator cuff injury is a diagnosis made by MRI. Tendinitis Is suggested by point palpation arousing tenderness; associated with arousal of pain by applying passive resistance to vector of function of the tendon. ...Read more

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How do I manage during recovery from rotator cuff tendonitis?

Patience: Icing and rest with appropriate physical therapy may just be fine without having to take medications. It is important to do rotator cuff exercises and range of motion exercises to strengthen the rotator cuff at the appropriate time. ...Read more

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Is it possible that eventually, shoulder tendonitis can cause a tear in the rotator cuff, if it gets too bad?

Is it possible that eventually, shoulder tendonitis can cause a tear in the rotator cuff, if it gets too bad?

Tendinosis: Tendinosis (rather than tendinitis) is inflammation combined with some degree of degeneration/deterioration. A rotator cuff with tendinosis can and often does progress to some degree of tearing. This will usually start as partial tearing and can progress to complete full thickness tearing. ...Read more

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Any important things i should do with rotator cuff tendonitis other than ice and rest? its my 2nd week and its much better.

Prevention: Think about what caused the problem in the first place and try to avoid or alter the activity that led to the problem. Rotator cuff strengthening and scapular stablizer exercises can be helpful. Rotator cuff issues in your age are often due to overaggressive weight-lifting or excessive overhead activity. If I can help, then join my care team & virtual practice at www.healthtap.com/dr-clarkeholmes ...Read more

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Can u tell me whether or not rotator cuff pain runs down your arm and into your fingers or is that tendonitis?

Can u tell me whether or not rotator cuff pain runs down your arm and into your fingers or is that tendonitis?

Possible neither: The pain you describe would be unusual for either condition. It is more likely a result of nerve compression, often originating in the neck. ...Read more

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Dr. Jimmy Bowen
835 doctors shared insights

Tendinitis (Definition)

The inflammation of a tendon, ...Read more