Extremely severe pain in the upper arm, such that the arm must be held and cannot be moved or touched. Usually associated with periods of overuse. X-Rays reveal calcification of one of the tendons of one of the rotator cuff muscles.

Back-in-Action clinical comment

Chiropractic assessment and treatment of acute calcific tendonitis is initially aimed at pain relief. Usually the pain subsides after about 14 days. It is important that treatment continues once the pain goes to increase and maintain the mobility of the shoulder. In the long-term optimising the strength and length of shoulder muscles and improving shoulder position are important.

In our experience treating the symptoms and underlying causes of acute calcific tendonitis benefits from a combination of treatment techniques to increase the probability of a good result.

Initially ice, rest and possibly the use of a sling for a couple of days can be beneficial. Our approach also often incorporates spinal manipulation, mobilisation, muscle release techniques, cross friction techniques to tendons, cranial work, neck and shoulder exercises, referral for massage therapy, diet and nutritional advice, functional neurological exercises, breathing techniques, acupuncture, cryotherapy (heat and/or ice), postural improvements, foot orthotics, ergonomic advice and relaxation counselling. Modification of any work or sport related activities that aggravate the problem is also essential.

If there is no response to a course of chiropractic treatment, referral for surgical management may be considered.