This is one of the main reason behind the shoulder aches. There is a gap between arm bone and shoulder bone’s protruding side ( acromion ) in the shoulder joint. (Subacromial space )  Here is a rotator cuff enabling the shoulder to move and sacculations ( bursal tissue ). Owing to any sort of reason, there occurs an oedema in the shoulders and sacculations. The oedema thickens  or the space gets smaller depending on calcification of the bony tissue. Muscles enabling the shoulder to move can not show their movement cpability and impegement starts while the shoulder is moving. So this movement causes an ache.

Symptoms 

Pain in overhead movements of the arm

Aches at nights

Aches spreading over the arms

Diagnosis

Detailed physical inspection

Rontgen for evaluating the bony structures.

MRI fot the evaluation of the muscular tissue and sacculations.

Calcific Tendinitis

Calcific tendinit is a disease caused by a calcium accumulation in rotator cuff in the shoulder. This is spreading muscle group between the rotator cuff shoulder bone ( scapula ) and arm bone ( humerus ). The rotator cuff comes together with the other ligaments and makes the arm bone’s head fixed in a powl named glenoid. By this process, the rotator cuff enables the shoulder to move. The aches in the pain generally dependent on muscle tortion  or inflamation. This aches mainly is a result of calcium accumulation. Then the rotator cuff’s tendon is bruised  and inflamed.

The calcium accumulation gets more effective as the time goes by.  At the beginning, there happens a strain and an inflamation follows the strain. Human body responds to this inflamatory tissue by accumulating calcium.  Generally, most of the patients have a story telling an older shoulder pain. Excessively strained shoulder causes an ache and the patients start tos tay away from doing shoulder movements.

The diagnosis is usually made in line with  the story of the patient and detailed physical inspection. Rontgen of the patient and the rotator cuff reveals the calcium accumulation.  MRI might be needed for a detailed analyse of the rotator cuff.

Calcific Tenditis Treatment

At the beginning of the treatment, drugs are used to relieve the pain and reduce the oedema. If the pain can nat be taken under control then cortisone injection to the shoulder and physical inspections are realized.  Despite all of these treatments, if the pain continious then the operation is made.

Calcific Tendinitis Surgery

Anesthesia option for the surgical process, local or general anesthesia is made upon the decision of the patient and doctor. The surgical operation is made with arthoscopic technic in a closed ambiance. A camera at the length of a pen is used to get in the shoulder and inner side of the shoulder joint is screened to catch the accumulated calcium. The second hole is on the shoulder joint to deplete the accumulated calcium in the muscle and tendon tissue. The calcium accumulation leaves it’s place as a space. Thus, it may necessitate to mend the muscle and tendon tissues. In such cases,  special sewing materials are utilized to stitch the wound.

After the Clcific Tenditis Surgery

After the surgery, the patient is given a shoulder strap and can get back to their office jobs. It may take around 2 months to get back to the physical jobs. Physical therapy facilitates the recovering period.  Restarting to do daily activities completely varies on the physical therapy process.