Best Practice Case Studies-Calcific Tendonitis

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Calcific tendonitis, also known as calcific tendinopathy, is an uncommon condition primarily affecting Caucasian women aged 30-50, individuals with diabetes, or those with thyroid disease. It most frequently occurs in the rotator cuff, patellar, and Achilles tendons. The exact cause is unknown, but it involves an interruption of the tendon repair process, resulting in crystal formation that impairs tendon function and causes pain.<br /><br />Typical symptoms include activity-related pain, reduced range of motion, and tenderness over the affected tendon. Specifically, it hinders actions like lifting the arm above shoulder height or engaging in high-impact activities.<br /><br />Diagnosing calcific tendonitis often involves an assessment of pain, motion range, and strength, sometimes supplemented by x-rays, ultrasounds, or MRIs to visualize the calcifications. Treatment primarily aims to alleviate pain and restore function. Management usually begins with oral anti-inflammatory medications followed by physical therapy, particularly eccentric strengthening to support tendon healing. If these measures fail, interventions like steroid injections, ultrasound-guided procedures, or extracorporeal shock wave therapy are considered to break down the calcifications. In severe cases, surgical removal may be required.<br /><br />Prevention suggests avoiding repetitive painful actions or playing through pain. Managing underlying conditions like diabetes or thyroid disease is crucial in minimizing the risk.<br /><br />When the condition is properly managed, athletes generally return to play within six to eight weeks following medical treatment and physical therapy. More invasive treatments, such as needle procedures, may necessitate an 8-12 week recovery period before resuming sports.<br /><br />AMSSM, a professional organization focusing on sports medicine, provides resources and services to help athletes and actively promotes the latest research and techniques for managing conditions like calcific tendonitis.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 51

Topic Shoulder

Keywords

3rd Edition, CASE 51

3rd Edition

Shoulder

calcific tendonitis

rotator cuff

tendon repair

pain management

physical therapy

diabetes

thyroid disease

sports medicine

extracorporeal shock wave therapy

AMSSM