Calcific Tendinitis and Chiropractic Treatment
Chiropractic Treatment For Calcific Tendinitis
What is calcific tendinitis?
Calcific tendinitis is a condition that causes the formation of a
small calcium deposit within the tendons of the rotator cuff. These
deposits are usually found in patients at least 30-40 years of age, and
have a higher incidence in diabetics.
The most commonly involved muscles are the
supraspinatus and infraspinatus, which are part of the rotator cuff musculature.
The calcium deposits are not always painful, and even when painful they
will often spontaneously resolve after a period of 1-4 weeks, but not
always. Sometimes calcific tendinitis is an incidental finding when the
chiropractor takes an x-ray as part of the examination.
What are the causes of calcific tendinitis?
The cause of calcium deposits within the rotator cuff tendon is not
entirely understood. Different ideas have been suggested, including
trauma, poor blood supply, or even autoimmune
and ageing of the tendon, but the evidence to
support these conclusions is not clear.
How does calcific tendinitis progress?
Calcific tendinitis usually progresses predictably, and almost always
resolves eventually without surgery. The typical stages and progression
- Pre-calcification Stage: Patients usually do not have any symptoms in this stage. At
this point in time the site where the calcifications tend to develop
undergo cellular changes that predispose the tissues to developing
- Calcific Stage:
During this stage, the calcium is excreted from cells and then
merge into calcium deposits. When seen, the calcium looks chalky and is
not a solid piece of bone. Once the calcification has formed, a
so-called resting phase begins. This is not a painful period and may
last a varied length of time. After the resting phase, a resorptive
phase begins - this is the most painful phase of calcific tendinitis. This may be brought about by trauma or overuse that result in an
increase in blood supply to the area which changes the dry state calcium
deposit to a more fluid state. This is why during the resorptive phase, the
calcium deposit looks something like toothpaste.
- Post-calcific Stage:
This is usually a painless stage as the calcium deposit
disappears and is replaced by more normal appearing rotator cuff tendon.
Patients usually seek treatment during the painful resorptive
phase of the calcific stage, but quite often patients have the deposits
found incidentally as part of their chiropractic evaluation of shoulder
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