Shoulder calcification aspiration
Calcination tendinitis of the shoulder is a condition in which, due to calcifications in the tendon, the inflammation in the shoulder joint appears. Crystals of calcium are loaded in a poorly vascularised part of the tendons and cause inflammation in the shoulder, which is seen as an inflammation of the subacromial bursa or glenohumeral joint. Patients describe severe pain and limited mobility in the shoulder.
In addition to a clinical examination, X-rays diagnostics and Ultrasound examination of the shoulder are needed, and in some cases a magnetic resonance investigation as well. Usually inflammation is treated with rest, analgesic therapy and physical therapy. In some cases, therapy with shock waves (ESWT) is also advised. If the calcifications are larger than 8mm, the puncture of the calcification can also be performed under ultrasonic control and the calcification is washed-out with saline solution. The intervention is performed with local anaesthetic and it takes about 30 minutes. Pain can last a few days after the intervention. In these cases, we recommend taking analgesics. A few days after the intervention we recommend a gradual increase of activities, exercises, swimming, nordic walking and physical therapy and after 2 - 3 months return to the desired activities.