M75.32

Clinical Causes: Degeneration of shoulder tendons over time Repetitive overhead activities or shoulder stress Injury or trauma to the shoulder Age-related changes in the shoulder tendons Metabolic conditions such as diabetes or thyroid disorders Genetic predispositions or family history

Key Symptoms: Sudden or gradual onset of shoulder pain Pain exacerbated by shoulder movement or lifting objects Stiffness and decreased range of motion Tenderness when pressing on the shoulder Swelling or warmth in the shoulder area Possible radiating pain down the arm

Diagnosis Path: To diagnose calcific tendinitis, healthcare providers typically perform a physical examination to assess shoulder movement and identify tenderness. Imaging tests are essential for confirming the presence of calcium deposits and evaluating their size and location. Common diagnostic tools include: - X-ray imaging: Visualizes calcium deposits in the tendons. - Ultrasound: Detects calcium build-up and helps assess the tendon's condition. - MRI scans: Occasionally used to examine the soft tissue structures and detect associated inflammation. The combination of clinical symptoms and imaging results facilitates an accurate diagnosis.

Treatment Protocols: Management aims to alleviate symptoms and reduce calcium deposits. Treatment options include: - Rest and activity modification to prevent aggravation. - Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation. - Physical therapy to improve shoulder mobility and strengthen surrounding muscles. - Extracorporeal shock wave therapy (ESWT): Uses sound waves to break down calcium deposits. - Ultrasound-guided needle aspiration or lavage: To remove calcium deposits. - Corticosteroid injections: To reduce inflammation in severe cases. - Surgical intervention: Arthroscopic removal of calcium deposits if other treatments fail. Early intervention can often help in managing symptoms effectively and restoring shoulder function.