Frequently, they do not cause problems, but if they increase in size or become inflamed, then very severe pain may result. This collection of questions and answers is intended to explain this common shoulder problem and describe the methods we recommend for treatment in different situations. What is the cause of calcium deposits around the shoulder? In most situtations, there is no known cause for calcium deposits. Many people ask if their diet should be changed to reduce calcium intake.
This should never be used as a form of treatment, since a normal balanced diet with a calcium supplement up to mg a day is healthy in a normal patient, particularly senior citizens and post-menopausal females. Who most commonly gets calcium deposits? Calcium deposits occur most frequently in females between 35 and 65 years of age, but they may occur in males as well. Do all calcium deposits cause problems?
Many calcium deposits are present for years without causing any symptoms. Only when the deposit becomes large enough to pinch between the bones when the shoulder is elevated does it cause pain. Sometimes smaller deposits cause pain if they become acutely inflamed, especially when the calcium salts leak from the lesion into the sensitive bursal tissues.
How is it treated? If your doctor suggests removing the calcium deposit, you have a few options: A specialist can numb the area and use ultrasound imaging to guide needles to the deposit. The deposit is loosened, and most of it is sucked out with the needle. Your body may absorb some of the rest of the calcium. Shock wave therapy can be done. The doctor uses a device to focus sound waves on the calcium deposit. No anesthesia or incisions are needed. The sound waves travel through your skin to the calcium deposit and break it up.
Your body may then absorb some of the calcium. The calcium deposits can be removed with an arthroscopic surgery called debridement say "dih-BREED-munt". High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: A systematic review. Annals of Internal Medicine, 8 : — DOI: Accessed September 3, Credits Current as of: November 16, Top of the page Next Section: Related Information.
Previous Section: References Top of the page. These shocks can break up the deposits. The treatment usually takes place once a week for 3 weeks. The higher the frequency of these shocks, the more effective they are.
The shocks can be painful, and a doctor can adjust the level to ensure that a person can tolerate them. This procedure is very similar to ESWT and involves a handheld device that will deliver low- to medium-energy shocks to the shoulder where the calcium has built up. During a therapeutic ultrasound, a doctor will use a handheld device that directs a high-frequency sound wave where the deposit has built up to break it down.
This procedure is usually painless. During this procedure, a doctor will first give a local anesthetic to the affected area before using a needle to make holes in the skin.
The doctor will then remove the calcium deposits through these holes, usually by using an ultrasound to guide them to the correct places. Most people can expect their calcific tendonitis to be successfully treated without the need for surgery.
However, around 10 percent of people do need it. There are two types of surgery for removing calcium deposits. Open surgery involves a doctor making an incision in the skin with a scalpel. They can then manually remove the deposit through the incision. Arthroscopic surgery involves a doctor making an incision where they will insert a tiny camera. The camera helps to guide the doctor to where the deposits have built up so that they can remove them more accurately.
Physical therapy is recommended for people with moderate or more severe forms of the condition. The focus will be on doing gentle exercises to relieve any discomfort and help to recover a full range of motion. Some people find they have completely recovered within a week.
Others may continue to experience some pain and discomfort that limits their movements and activities. If surgery is necessary, the recovery time will depend on the number, location, and size of the calcium deposits, and the type of surgery. Open surgery has a longer recovery time than arthroscopic surgery.
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