Calcifying supraspinatus tendinopathy is a condition in which calcium deposits form within the supraspinatus tendon, one of the four rotator cuff tendons in the shoulder. These deposits can irritate the tendon and surrounding tissues, leading to pain and inflammation. The condition is most common in adults between 30 and 60 years of age and may occur without a specific injury, although repetitive overhead activities can contribute to symptoms.
Diagnosis
Diagnosis is usually based on a clinical examination and confirmed with imaging:
- X-ray: clearly shows the calcium deposit.
- Ultrasound: identifies the size and location of the deposit and any associated bursitis.
- MRI: may be used if other shoulder problems are suspected.
Treatment Options
If symptoms remain significant despite physiotherapy:
- Anti-inflammatory medication (if appropriate).
- Corticosteroid injection into the subacromial bursa for short-term pain relief.
- Ultrasound-guided barbotage (needling and lavage) to break up and remove the calcium deposit.
- Extracorporeal shockwave therapy (ESWT) in selected cases.
- Arthroscopic surgery if symptoms persist for many months and conservative treatment fails.
Recovery
Many patients experience substantial improvement within 6–12 weeks of physiotherapy, although complete resolution of symptoms and gradual resorption of the calcium deposit may take several months. Early treatment and adherence to a structured rehabilitation programme can help restore shoulder function and reduce the risk of recurrent symptoms.