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Calcific Tendonitis of the Shoulder Discharge Instructions


About this topic


The shoulder joint is made up of three bones. A group of tendons connect the muscles to the bones. Tendons are strong bands of tissue. The tendons of the shoulder can become swollen and painful. This is known as tendonitis. Sometimes, calcium salts can form in these tendons. Then, this is called calcific tendonitis. The exact cause of this type of tendonitis is not known. ‚  
If the pain and swelling are not controlled or if arm motion is limited, the calcium may be removed. ‚  


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What care is needed at home?


  • Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
  • If your doctor tells you to use heat, put a heating pad on the painful part for no more than 20 minutes at a time. Never go to sleep with a heating pad on as this can cause burns.
  • Use a sling or splint to rest your shoulder if ordered by your doctor.
  • Exercise your arm and shoulder as directed by your doctor or therapist. Avoid raising your hand above shoulder height to reduce pain.

What follow-up care is needed?


  • Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits.
  • Your doctor may set up a visit for another shock wave therapy session if you have had shock wave therapy.
  • Your doctor may suggest physical therapy to help you get back muscle strength and motion.

What drugs may be needed?


The doctor may order drugs to: ‚  
  • Help with pain and swelling

The doctor may give you a shot of an anti-inflammatory drug called a corticosteroid. This will help with swelling. Talk with your doctor about the risks of this shot. ‚  

Will physical activity be limited?


You may need to rest your shoulder for a while. You should not do physical activity that makes your health problem worse. If you work out or play sports, you may not be able to do those things until your shoulder gets better. ‚  

What problems could happen?


  • Frozen shoulder ¢ ˆ ’ long-term pain and stiffness of the shoulder
  • Tendon rupture
  • Signs of tendonitis come back

What can be done to prevent this health problem?


  • Warm up slowly and stretch your muscles before you work out. Use good ways to train, such as slowly adding to how far you run. Do not work out if you are overly tired. Take extra care if working out in cold weather.
  • Avoid overusing your arm in an overhead position.
  • Do not ignore or try to work through shoulder pain.

When do I need to call the doctor?


  • Pain or swelling gets worse or is not controlled by drugs
  • Health problem is not better or you are feeling worse

Teach Back: Helping You Understand


The Teach Back Method helps you understand the information we are giving you. The idea is simple. After talking with the staff, tell them in your own words what you were just told. This helps to make sure the staff has covered each thing clearly. It also helps to explain things that may have been a bit confusing. Before going home, make sure you are able to do these: ‚  
  • I can tell you about my condition.
  • I can tell you what may help ease my pain.
  • I can tell you what I will do if I have more pain or swelling.

Where can I learn more?


NHS Choices ‚  
http://www.nhs.uk/Conditions/Tendonitis/Pages/Symptoms.aspx ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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