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What You Might Notice

Calcium deposits in the shoulder are not always painful. In some cases, they resolve on their own within 1–4 weeks. Other times, they may be discovered by chance during an X-ray for shoulder pain.

When symptoms do occur, they often include:

  • Shoulder pain (especially when lifting the arm)

  • Stiffness or limited movement

  • Sudden increase in pain during certain phases of the condition

What causes it?

The exact cause is still unclear. Possible contributing factors include:

  • Minor shoulder trauma

  • Poor blood supply to the tendon

  • Age-related changes in tendon tissue

  • Autoimmune conditions

However, no single theory explains all cases.

How Calcific Tendonitis Develops

The exact cause is still unclear. Possible contributing factors include:

  • Minor shoulder trauma

  • Poor blood supply to the tendon

  • Age-related changes in tendon tissue

  • Autoimmune conditions

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.

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