The treatment of calcific tendinitis is usually non-operative. Typically a conservative treatment approach including anti-inflammatory medications, and rest alone is sufficient, with symptoms improving within 2-3 weeks. Physical therapy, and a steroid injection into the calcific deposit and overlying inflamed bursa can sometimes be helpful. The steroid injection can be performed with ultrasound guidance, and the needle used to break up some of the calcium deposits.
If the conservative approach fails, surgery may be considered. During surgery, the calcified deposit and inflamed bursa are carefully excised. If the void left in the rotator cuff tendon by removing the calcified deposit is large, a rotator cuff repair may also be required at the time of surgery.
At Oceana Sports Medicine and Orthopaedic Center, Dr Aboka performs minimally invasive, all-arthroscopic treatment for calcific tendinitis through keyhole incisions. This cutting-edge technique allows for thorough inspection of the shoulder joint, and facilitates identification and treatment of other painful conditions that may be present, ensuring return to good shoulder function. This procedure is outpatient/same-day surgery, and leads to less pain and scarring and quicker recovery.