How Calcific Tendonitis Develops
The exact cause is still unclear. Possible contributing factors include:
However, no single theory explains all cases.
How Calcific Tendonitis Develops
The condition usually follows a predictable pattern and often resolves without surgery.
1. Pre-Calcification Stage
No symptoms are present. Changes happen at the cellular level that make the tendon more likely to develop calcium deposits.
2. Calcific Stage
Calcium begins to form within the tendon. It looks chalky rather than like solid bone. This stage has three phases:
Resting phase – Calcium is present, but usually without pain. This can last for weeks or months.
Resorptive phase – This is the most painful stage. The body increases blood supply to the area, and the calcium softens to a toothpaste-like texture. Pain often spikes during daily activities or after overuse.
3. Post-Calcific Stage
Pain usually fades as the calcium disappears and normal tendon tissue replaces it.
When People Seek Help
Most patients see a chiropractor during the painful resorptive phase. Others find out they have calcium deposits during an evaluation for unrelated shoulder pain.
Chiropractic Treatment
Chiropractic care can help:
Reduce pain and inflammation
Restore normal shoulder movement
Improve posture and shoulder mechanics to prevent recurrence
Treatment may include gentle joint mobilization, soft tissue therapy, posture correction, and exercises to strengthen the rotator cuff and supporting muscles.