{"id":14441,"date":"2023-03-13T14:45:48","date_gmt":"2023-03-13T14:45:48","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=14441"},"modified":"2024-12-27T09:49:37","modified_gmt":"2024-12-27T09:49:37","slug":"shoulder-calcific-tendinopathy","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/musculoskeletalphysiotherapy\/shoulderelbow\/shoulder-calcific-tendinopathy\/","title":{"rendered":"Shoulder calcific tendinopathy"},"content":{"rendered":"\n<p>Calcific tendinopathy- Considerations relating to diagnosis<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Calcific tendonitis typically calcification within a viable and well vascularised rotator cuff<\/li>\n\n\n\n<li>Mean age of presentation 30-50 years&nbsp;<\/li>\n\n\n\n<li>Can be classified into formative and resorptive phases<\/li>\n\n\n\n<li>Confirm diagnosis with x-ray<\/li>\n\n\n\n<li>Formative phase may extend from 1 to 6 years and is usually asymptomatic<\/li>\n\n\n\n<li>Resorptive phase extends from 3 weeks up to 6 month<\/li>\n\n\n\n<li>During the acute resorptive phase the patient usually presents with severe symptoms. Typically severe pain all over the shoulder&nbsp;<\/li>\n\n\n\n<li>Dystrophic calcification is calcification within a non viable and poorly vascularised rotator cuff and common to see with other signs of degenerative changes<\/li>\n<\/ul>\n\n\n\n<p>Carefully consider red flags relating to the shoulder as the symptoms and signs associated with acute calcific tendinopathy often mimic malignant pain<\/p>\n\n\n\n<p><strong>M.A. &amp; P.A. 13-03-23<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n\n\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Calcific tendinopathy- Considerations relating to diagnosis Carefully consider red flags relating to the shoulder as the symptoms and signs associated with acute calcific tendinopathy often mimic malignant pain M.A. &amp; P.A. 13-03-23<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4425,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[900],"class_list":["post-14441","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-shoulder-calcific-tendinopathy"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/musculoskeletal-physiotherapy\/shoulder-elbow\/https-apps-nhslothian-scot-refhelp-shoulder-calcific-tendinopathy\/\" rel=\"tag\">Shoulder calcific tendinopathy<\/a>","rttpg_excerpt":"Calcific tendinopathy- Considerations relating to diagnosis Carefully consider red flags relating to the shoulder as the symptoms and signs associated with acute calcific tendinopathy often mimic malignant pain M.A. &amp; P.A. 13-03-23","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14441","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=14441"}],"version-history":[{"count":3,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14441\/revisions"}],"predecessor-version":[{"id":22150,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14441\/revisions\/22150"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4425"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=14441"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=14441"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}