Calcareous tendinitis of the shoulder


Lime in the tendons causes pain in tendinitis calcarea.

At a Calcareous tendinitis of the shoulder it is about the Storage of lime into one or more tendons in this region. These deposits are typically found at the transition from the tendon to the bone. Characteristic complaints of a Tendinitis calcarea are mainly increasing pains, which are especially common in one Raise the arm occur. The treatment of tendinitis calcarea of ​​the shoulder can be carried out conservatively by taking certain medications as well as with the help of physiotherapeutic treatment, as well as surgery.


Getting worse and worse Pain when moving the arm are in the foreground of the symptoms of calcar tendinitis. The pain that occurs as part of the disease is typical for the clinical picture and therefore also play an important role in the diagnosis of the disease. This is particularly painful for those affected Lie on the sick shoulder. So it happens that those affected can only sleep on one side. Furthermore, pain that is particularly severe when the arm is raised is typical. Complications that can occur in the context of tendinitis calcarea can also lead to a Mobility disorder and a loss of strength come in the affected arm.

It is important to note that the disease is initially relatively symptom-free. Symptoms usually only appear once the tendonitis has progressed to a certain degree.

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My name is Carmen Heinz. I am a specialist in orthopedics and trauma surgery in the specialist team of .

The shoulder joint is one of the most complicated joints in the human body.

The treatment of the shoulder (rotator cuff, impingement syndrome, calcified shoulder (tendinosis calcarea, biceps tendon, etc.) therefore requires a lot of experience.
I treat a wide variety of shoulder diseases in a conservative way.
The aim of any therapy is treatment with full recovery without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

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Tendinitis calcarea is a degenerative disease in which calcium is deposited within the tendons.

The reason for the development of the clinical picture can, however, be very different. Overuse of the affected structures of the shoulder over a long period of time, accidents involving the shoulder, poor blood flow to the structures of the shoulder and wear and tear due to aging processes can be responsible for the development of the clinical picture.

Each cause ultimately leads to a reduced blood flow in the affected region, which leads to a tissue change in the tendon. Calcium deposits are provoked by the tissue transformation. Other structures are affected by the calcium and inflammation follows, which is responsible for the typical symptoms of tendinitis calcarea.

Therapy / physiotherapy

The therapy of tendinitis calcarea can be done in different ways. A fundamental distinction must be made between conservative and surgical treatment methods. After the diagnosis has been made, conservative therapies are used to try to relieve the symptoms acutely and permanently. This is done on the one hand by taking pain relievers and anti-inflammatory drugs (NSAIDs) as well as by performing physiotherapy and physiotherapy exercises.

Read more on this topic: Which exercises help with a calcified shoulder?

Certain sports, if done correctly, can help alleviate the symptoms. Swimming, in particular, can help reduce the pain that is typically associated with the disease. In addition to massages and exercises, the physiotherapeutic treatment also includes the option of shock wave therapy.

If conservative therapeutic approaches have not been able to produce the desired result, surgical removal of the calcareous foci can help to alleviate the symptoms that occur in the context of tendinitis. The removal can be done either by means of an arthroscopy or by means of a special syringe. Which option is possible in the individual case should be discussed with the treating doctor. You can find more information on this in our article OP of a calcareous shoulder.

Read more on the topic: X-ray stimulation

Shock wave therapy

In addition to other therapies, so-called shock wave therapy can also help relieve ailments Tendinitis calcarea to alleviate. Shock wave therapy is offered by some physiotherapists as well as by certain orthopedists.

During therapy, certain waves are generated which are similar to sound waves. The energy of these waves can be used for this To shatter calcium deposits in the tendons and crushing them into pieces so small that the body can break them down.

The frequency and strength of the shock waves can be manually adjusted by the therapist to the individual calcium finding. The shock wave therapy will without anesthesia but can be a bit painful, especially at the beginning of therapy. One treatment only takes a few minutes, usually requiring several sessions.

It should be noted that shock wave therapy is usually not covered by health insurance companies. A session can cost between € 50 and € 350.


Diagnosing a Tendinitis calcarea is provided by a treating doctor. Specialists in this field are specialists in orthopedics. The first indication of the cause of the complaints is the patient's detailed medical history. The precise analysis of the pain is particularly important for the diagnosis. The time of occurrence as well as the pain can lead to the suspected diagnosis of a Tendinitis calcarea to lead. Movement tests are also indicative, as they can limit the movement restriction and the exact localization of the complaints.

To a Tendinitis calcarea Diagnostic imaging equipment can be used to distinguish it from other shoulder diseases that are also noticeable with similar symptoms.
The production of X-raysrepresenting the shoulder in two planes. The calcareous foci are classically easy to distinguish in the X-ray image, which makes the diagnosis of a Tendinitis calcarea can be asked.
An X-ray is superior to an MRI of the shoulder in diagnosing it because it MRI of the shoulder can show soft tissue processes better than calcifications.


The prognosis of tendinitis calcarea is usually to be assessed as favorable. Most of those affected can be helped well with conservative treatment. The implementation of shock wave therapy should also be discussed with the attending physician, as this can relieve many people of the symptoms. It is typical of the disease, however, that a once diagnosed calcar tendinitis can relapse with renewed pain symptoms even after initially effective treatment.


A general prophylaxis that can prevent the development of the disease, does not exist. A Overloadas it occurs, for example, in the context of overhead activities, should be prevented as far as possible. To prevent an unfavorable course of the disease should consulted a doctor at the beginning of the complaint and therapy can be started.