Calcification of Shoulder Fibers – Calcific Tendinitis

A condition called calcification in the shoulder fibers is the accumulation of calcium in an area of ​​several centimeters within the muscle or tendon fibers. Its medical term is calcific tendinitis. It most commonly occurs in the “rotator cuff” muscles surrounding the shoulder joint.

The rotator cuff is the four muscles that connect the arm bone to the scapula. If calcium accumulates in these muscles, there will be pain, soreness and limitation in shoulder movements. However, sometimes calcification is seen in the X-ray film, but it may not cause a complaint in the person. In another, this can cause severe shoulder pain that does not even allow to sleep. Since calcium accumulation occurs in three phases, the complaints can be so different.

First Stage – Pre-Calcification Period

Usually there are no complaints. There are changes in the tendon fibers that pave the way for calcium deposition at the cellular level. The cause of tendon calcification is not a completely understood phenomenon. Tendon fibers are normally subject to movement-related wear. If the tendon cannot adequately repair itself after wear and tear, it is thought that connective tissue cells are replaced by bone-forming cells and these cells cause calcium deposition.

Second Stage – Calcification Stage

During this phase, calcium is released from the cells and accumulates. The calcium deposited is like chalk, not as hard as bone. When the calcification settles, the pain usually decreases. This period is also called the resting phase. Then comes the most painful resorption phase. The consistency of calcification is similar to toothpaste.

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Post-Calcification Period

Calcium deposition disappears and the appearance of tendon fibers improves. No pain. Patients usually consult a doctor during the painful resorption phase. However, in patients with shoulder pain due to another cause, shoulder fiber calcification in the painless period can be seen on X-ray films.

Who Gets Calcification in Shoulder Fibers?

Calcification of shoulder fibers – calcific tendonitis is one of the most common causes of shoulder pain. Calcific tendinitis may occur in basketball and tennis athletes, who perform tasks where the arm is constantly raised and lowered from the head level. It is more common in 30-40 years old and diabetic patients.

Which Department Should I Go to for Shoulder Fiber Calcification?

You can be examined by a physical therapy and rehabilitation specialist in shoulder joint and tendon calcifications.

Calcific Tendinitis Treatment

Calcific tendinitis does not always cause complaints. Even when it is very painful, it usually clears up on its own within one to four weeks. Pain relievers can be used for a short time. Physical therapy provides benefits in several ways. The aim of physical therapy can be summarized as relieving pain, restoring the normal range of motion of the joint, toning the scapula muscles, strengthening the shoulder muscles and returning to work or sports life. Injections containing corticosteroids (cortisone) into the shoulder can also be preferred in the treatment of calcific tendinitis.

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