M65.22

Clinical Causes: Repetitive overhead activities or shoulder movements that strain the tendons Degeneration or aging of the tendons leading to calcium deposits Trauma or injury to the shoulder area Poor blood supply to the tendons, resulting in improper healing Genetic predisposition to calcium buildup Chronic shoulder conditions such as bursitis or rotator cuff tendinitis

Key Symptoms: Sudden or gradual onset of shoulder pain, often worsening at night Tenderness and swelling around the shoulder joint Limited range of motion, especially when raising the arm A dull ache that may intensify during activity Crepitus or a cracking sensation during shoulder movement Weakness in the affected arm

Diagnosis Path: Diagnosis of calcific tendinitis typically involves a comprehensive physical examination and imaging tests. The healthcare provider may check for tenderness, swelling, and range of motion limitations. Imaging studies such as X-rays are essential for visualizing calcium deposits within the tendons. In some cases, ultrasound or MRI scans are used to assess the extent of inflammation and the precise location of calcium build-up. These tools help differentiate calcific tendinitis from other shoulder conditions and guide treatment planning.

Treatment Protocols: Managing calcific tendinitis of the upper arm involves various approaches aimed at reducing pain and restoring shoulder function. Common treatments include: - Rest and activity modification to minimize strain - Nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate inflammation and pain - Physical therapy for shoulder strengthening and flexibility - Corticosteroid injections to reduce inflammation in severe cases - Extracorporeal shock wave therapy (ESWT) to help break down calcium deposits - Ultrasound-guided needle removal of calcium deposits - Surgical intervention, such as arthroscopic removal, when conservative measures fail Most cases resolve over time with appropriate management, and symptoms improve as calcium deposits diminish and tendons heal. However, ongoing physical therapy may be necessary to regain full shoulder mobility and strength.