Extracorporeal shockwave therapy uses a machine to generate shock waves which are directed through the body towards the calcification with the intention of breaking-up the calcification. Should the symptoms fail to improve with rehabilitation, your doctor may elect to try a steroid injection, or try an ultrasound-guided procedure in an attempt to break-up or remove the calcification. Eccentric strengthening, a specific modality of tendon rehabilitation, will work to strengthen the tendons and rearrange the diseased fibers. The first step is commonly pain control with oral medications, such as anti-inflammatory medications, followed by physical therapy. Treatment of the calcific tendonitis is focused on decreasing pain and improving function. Sometimes the calcification will not show in the x-ray, but will appear on ultrasound or MRI. Generally, that will be an assessment of the location of pain, range of motion, and strengthĪn x-ray may also be used to reveal the calcification in the area of the tendon. When you see your sports medicine specialist, you will have the painful structure evaluated. This will affect the shoulder when elevating the arm above shoulder height and pain with high-impact activities such as running and jumping when it involves patellar or Achilles tendon. The most common symptoms are pain related to activity, loss of range of motion, and tenderness to palpation at the involved tendon. This affects proper function and causes pain. The key reason is an interruption of the normal repair process, leading to the forming of crystals inside the tendon. There are several theories to why a calcification develops inside the tendon, but there is no consensus. It can be found at multiple locations, the most common being the rotator cuff in the shoulder (supraspinatus tendon), the patellar tendon in the knee, and Achilles tendon in the ankle. It affects predominantly Caucasian populations, women between ages 30 to 50 years old, diabetics, and individuals with thyroid disease. Calcific tendonitis or tendinopathy is a rather uncommon disease.
0 kommentar(er)
