Calcified tendon of the shoulder joint is a relatively common disease manifestation, which often occurs in middle-aged and young people. Its incidence rate is relatively high, especially in diabetic patients, who often suffer from this condition. This is a self-limiting disease manifestation. Generally, after the pain, it can be well relieved in about one to four weeks. Pay attention to good conditioning in daily life and adopt some conservative methods for treatment. Clinical symptoms and diagnosis: 1. Severe shoulder pain may occur during the calcium salt absorption stage, which may wake the patient up at night. 2. Obvious tenderness is seen over the greater tuberosity of the humerus. 3. Patients usually seek treatment during the absorption phase of calcification when pain is severe and the patient may wake up at night. Some patients are also discovered accidentally during the evaluation of rotator cuff impingement syndrome. 4. Weakness of the affected limb, difficulty raising the arm 5. High-density shadow in the rotator cuff on the X-ray How to treat calcified tendon of the shoulder joint? 1. Since the course of the disease is self-limited, conservative treatment should be the first choice, including rest, anti-inflammatory drug treatment, physical therapy, functional exercise, and local injection of steroid drugs. 2. If the pain continues to worsen and affects daily activities, or conservative treatment is ineffective, surgical treatment may be considered. Calcium salt deposits can be punctured under X-ray monitoring to aspirate the deposits and reduce pressure within the tendon. Calcium deposits can also be removed arthroscopically or through an open incision. 3. The affected limb is weak and difficult to lift. In the late stage, the shoulder joint movement may be limited. Currently, some doctors use shock waves to treat chronic calcific tendinitis. The mechanism is to cause micro-trauma through shock waves and stimulate local blood flow to achieve the treatment goal. About 50%-70% of patients experience improvement in symptoms after 1 to 2 high-energy shock wave treatments. The treatment is painful for the patient and sometimes requires anesthesia. However, complications from shock wave therapy are rare. 4. Tendonitis can be treated with traditional Chinese medicine. Traditional Chinese medicine tendon ointment is a good prescription handed down from generation to generation. Compared with other therapies, it has the advantage of treating both the symptoms and the root causes. It can relieve pain and inflammation, relax the meridians and activate the collaterals, nourish yin and tonify the kidneys, and can completely cure tendonitis. 5. For emergency treatment of tendinitis, it is recommended to use the RICE method ICRE steps, namely rest (rest), cold compress (ice), hot compress (compression) and elevation of the affected limb (elevation). Aspirin and ibuprofen can also be used to help reduce inflammation and pain. Ultrasound and sauna therapy relax muscles and tendons, improve circulation, and promote healing. Occasionally, corticosteroids are used. |
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