{"id":9897,"date":"2023-07-16T00:24:11","date_gmt":"2023-07-15T22:24:11","guid":{"rendered":"https:\/\/www.orthopaediezentrum-muenchenost.de\/diseases\/calcareous-shoulder\/"},"modified":"2023-07-16T00:24:12","modified_gmt":"2023-07-15T22:24:12","slug":"calcareous-shoulder","status":"publish","type":"page","link":"https:\/\/www.orthopaediezentrum-muenchenost.de\/en\/orthopedics\/diseases\/calcareous-shoulder\/","title":{"rendered":"Calcareous shoulder"},"content":{"rendered":"<div  class='flex_column av-o8y12w-4efa94ba79ab858bd96d5f75259fe9ad av_one_full  avia-builder-el-0  el_before_av_section  avia-builder-el-no-sibling  first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lqe7oo-d79c2d14adc8b717a3959119c1bca43f\">\n.avia-image-container.av-lqe7oo-d79c2d14adc8b717a3959119c1bca43f img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-lqe7oo-d79c2d14adc8b717a3959119c1bca43f .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-lqe7oo-d79c2d14adc8b717a3959119c1bca43f av-styling- avia_animated_image av-animated-when-visible-95 right-to-left avia-align-center  avia-builder-el-1  el_before_av_heading  avia-builder-el-first '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-8366 avia-img-lazy-loading-not-8366 avia_image ' src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2022\/04\/ozmo-erkrankungen-schulter-banner.jpg\" alt='' title='Orthop\u00e4die Zentrum M\u00fcnchen Ost - Schulter - Erkrankungen - Banner'  height=\"600\" width=\"1310\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2022\/04\/ozmo-erkrankungen-schulter-banner.jpg 1310w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2022\/04\/ozmo-erkrankungen-schulter-banner-300x137.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2022\/04\/ozmo-erkrankungen-schulter-banner-1030x472.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2022\/04\/ozmo-erkrankungen-schulter-banner-768x352.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2022\/04\/ozmo-erkrankungen-schulter-banner-705x323.jpg 705w\" sizes=\"(max-width: 1310px) 100vw, 1310px\" \/><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l0eh0x54-39eee6a9143990ad7075e474655c8a90\">\n#top .av-special-heading.av-l0eh0x54-39eee6a9143990ad7075e474655c8a90{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l0eh0x54-39eee6a9143990ad7075e474655c8a90 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l0eh0x54-39eee6a9143990ad7075e474655c8a90 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-l0eh0x54-39eee6a9143990ad7075e474655c8a90 av-special-heading-h1 blockquote modern-quote  avia-builder-el-2  el_after_av_image  el_before_av_heading '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Calcific shoulder (tendinosis calcarea)<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l0eh132x-2a58753b20ecd8c1b34efaffc22c82fd\">\n#top .av-special-heading.av-l0eh132x-2a58753b20ecd8c1b34efaffc22c82fd{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l0eh132x-2a58753b20ecd8c1b34efaffc22c82fd .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l0eh132x-2a58753b20ecd8c1b34efaffc22c82fd .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-l0eh132x-2a58753b20ecd8c1b34efaffc22c82fd av-special-heading-h2 blockquote modern-quote  avia-builder-el-3  el_after_av_heading  el_before_av_hr '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >What is meant by a calcified shoulder?<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kz2f0o-6d1e0ec1fe49c629b1817c6754a31539\">\n#top .hr.av-kz2f0o-6d1e0ec1fe49c629b1817c6754a31539{\nmargin-top:15px;\nmargin-bottom:15px;\n}\n.hr.av-kz2f0o-6d1e0ec1fe49c629b1817c6754a31539 .hr-inner{\nwidth:200px;\nborder-color:#004225;\n}\n<\/style>\n<div  class='hr av-kz2f0o-6d1e0ec1fe49c629b1817c6754a31539 hr-custom  avia-builder-el-4  el_after_av_heading  el_before_av_textblock  hr-center hr-icon-no'><span class='hr-inner inner-border-av-border-thin'><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-l0eh1fpg-c452108d36345de0c1bc6030b7e9305a '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Sudden, <strong>stabbing shoulder pain<\/strong> that intensifies when the arm is raised may be the first indication of what is known as calcified shoulder. If left untreated, this condition can cause significant problems for sufferers, depriving them of sleep even when at rest. The <strong>mobility of the shoulder<\/strong> becomes limited and the pain intensifies with inflammation that further damages the battered shoulder joint.  <\/p>\n<p>The causes of calcified shoulder are still largely unclear, but are probably caused by reduced blood flow to the tendons. The diagnosis is made by means of catchy examinations of the symptoms, ultrasound, X-ray and \/ or magnetic resonance imaging (MRI). Treatment is usually a multistage approach that addresses symptoms and alleviates concomitant conditions, followed by appropriate measures to restore shoulder mobility. With good therapy, calcified shoulder can be treated specifically &#8211; in most cases even without surgery.<\/p>\n<\/div><\/section><\/p><\/div><\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-j5mvmw-a19c793f23af712096f3ce49c5437660\">\n.avia-section.av-j5mvmw-a19c793f23af712096f3ce49c5437660{\nbackground-color:#004225;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-j5mvmw-a19c793f23af712096f3ce49c5437660 main_color avia-section-default avia-no-border-styling  avia-builder-el-6  el_after_av_one_full  el_before_av_one_third  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-9897'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-hj1tpk-0b6a364d1248496caeab66193750d521\">\n#top .av-special-heading.av-hj1tpk-0b6a364d1248496caeab66193750d521{\npadding-bottom:10px;\ncolor:#ffffff;\n}\nbody .av-special-heading.av-hj1tpk-0b6a364d1248496caeab66193750d521 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-hj1tpk-0b6a364d1248496caeab66193750d521 .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-hj1tpk-0b6a364d1248496caeab66193750d521 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-hj1tpk-0b6a364d1248496caeab66193750d521 av-special-heading-h3 custom-color-heading blockquote modern-quote  avia-builder-el-7  el_before_av_three_fourth  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Do you need a personal consultation?<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<div  class='flex_column av-fri0lk-be6ae64183a9ddf64caea2f3b6175efc av_three_fourth  avia-builder-el-8  el_after_av_heading  el_before_av_one_fourth  first flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-dew3tk-7fc8bc5e138472d8b35d99693d6a745b\">\n#top .av_textblock_section.av-dew3tk-7fc8bc5e138472d8b35d99693d6a745b .avia_textblock{\ncolor:#ffffff;\n}\n<\/style>\n<section  class='av_textblock_section av-dew3tk-7fc8bc5e138472d8b35d99693d6a745b '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><p>The specialists at the Orthop\u00e4die Zentrum M\u00fcnchen Ost will be happy to provide you with a medical consultation. 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https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2022\/04\/ozmo-erkrankungen-schulter-300x199.jpg 300w\" sizes=\"(max-width: 361px) 100vw, 361px\" \/><\/div><\/div><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-3axm08-c59f0f09bde31c631f7d333e7b24e911\">\n.flex_column.av-3axm08-c59f0f09bde31c631f7d333e7b24e911{\npadding:15px 15px 15px 15px;\nbackground-color:#004225;\n}\n<\/style>\n<div  class='flex_column av-3axm08-c59f0f09bde31c631f7d333e7b24e911 av_two_third  avia-builder-el-16  el_after_av_one_third  el_before_av_one_full  flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lc79rv87-37736c18009310d1a1e9c7b5877fa922\">\n#top .av_textblock_section.av-lc79rv87-37736c18009310d1a1e9c7b5877fa922 .avia_textblock{\ncolor:#ffffff;\n}\n<\/style>\n<section  class='av_textblock_section av-lc79rv87-37736c18009310d1a1e9c7b5877fa922 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><p>Table of Contents:<\/p>\n<ul class=\"margin0\">\n<li><a title=\"Symptoms of calcified shoulder - Orthop\u00e4die Zentrum M\u00fcnchen Ost (OZMO)\" href=\"#kalkschulter-symptome\">Calcareous shoulder symptoms<\/a><\/li>\n<li><a title=\"What is calcified shoulder? - Orthopaedics Center Munich East (OZMO)\" href=\"#kalkschulter-was-ist\">What is a calcified shoulder?<\/a><\/li>\n<ul>\n<li><a title=\"Supraspinatus Tendon - Orthopaedics Center Munich East (OZMO)\" href=\"#kalkschulter-supraspinatussehne\">Supraspinatus tendon<\/a><\/li>\n<li><a title=\"Infraspinatus Tendon - Orthopaedics Center Munich East (OZMO)\" href=\"#kalkschulter-infraspinatussehne\">Infraspinatus tendon<\/a><\/li>\n<li><a title=\"Subscapularis tendon - Orthopaedics Center Munich East (OZMO)\" href=\"#kalkschulter-subscapularissehne\">Subscapularis tendon<\/a><\/li>\n<\/ul>\n<li><a title=\"Causes of calcified shoulder often unclear - Orthop\u00e4die Zentrum M\u00fcnchen Ost (OZMO)\" href=\"#kalkschulter-ursachen\">Causes of calcified shoulder often unclear<\/a><\/li>\n<ul>\n<li><a title=\"Precalcific stage - Orthopaedic Center Munich East (OZMO)\" href=\"#kalkschulter-praekalzifikationsstadium\">Precalcification stage<\/a><\/li>\n<li><a title=\"Calcification Stage - Orthopaedic Center Munich East (OZMO)\" href=\"#kalkschulter-verkalkungsstadium\">Calcification stage<\/a><\/li>\n<li><a title=\"Postcalcific stage - Orthopaedics Center Munich East (OZMO)\" href=\"#kalkschulter-postkalzifikationsstadium\">Postcalcification stage<\/a><\/li>\n<\/ul>\n<li><a title=\"What diagnostics and therapies are used for calcified shoulder? - Orthopedics Center Munich East (OZMO)\" href=\"#kalkschulter-diagnose\">What diagnostics and therapies are used for calcified shoulder?<\/a><\/li>\n<ul>\n<li><a title=\"Modern Therapies for the Treatment of Calcified Shoulder at the Orthopaedic Center Munich East (OZMO)\" href=\"#kalkschulter-moderne-therapien\">Modern Therapies for the Treatment of Calcified Shoulder at the Orthopaedic Center Munich East (OZMO)<\/a><\/li>\n<li><a title=\"Related Links - Orthopaedic Center Munich East (OZMO)\" href=\"#kalkschulter-weiterfuehrende-links\">Related links<\/a><\/li>\n<\/ul>\n<\/ul>\n<\/div><\/section><\/div><div  class='flex_column av-6d9vjs-66f6ce7728fccbb55e90c036919917ae av_one_full  avia-builder-el-18  el_after_av_two_third  el_before_av_one_half  first flex_column_div  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l0eh1nt0-16ae0bb7b86331d9471387de9f4dbf49\">\n#top .av-special-heading.av-l0eh1nt0-16ae0bb7b86331d9471387de9f4dbf49{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l0eh1nt0-16ae0bb7b86331d9471387de9f4dbf49 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l0eh1nt0-16ae0bb7b86331d9471387de9f4dbf49 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"kalkschulter-symptome\"  class='av-special-heading av-l0eh1nt0-16ae0bb7b86331d9471387de9f4dbf49 av-special-heading-h2 blockquote modern-quote  avia-builder-el-19  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Calcareous shoulder symptoms<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-l0eh29u2-8ca7e4335e67599efa5c73c70eb16b09 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>The disease develops in phases, the pain develops insidiously. When rotating or lifting the arms, the first discomfort is often noticed in the form of shooting pain. When the calcium deposits become larger, the pain is also present for longer and longer.<\/p>\n<p>The following symptoms are typical:<\/p>\n<ul class=\"margin0\">\n<li>Pain when lying on the affected side<\/li>\n<li>Pain during stress<\/li>\n<li>shoulder pain shooting in for no reason<\/li>\n<li>Pain when lifting the arms to the side<\/li>\n<\/ul>\n<p>At the beginning of the disease, the tendon tissue transforms into fibrocartilage. Almost no pain is noticeable here yet. The next phase is the death of cartilage tissue and calcium deposits. These deposits can cause the shoulder tendon to be thrown up. Then, when the arms are lifted, there is tightness in the acromion.<\/p>\n<p>This phenomenon is known as impingement. There is irritation of the tendons and bursa. The calcium is eventually broken down again by the body, leading to an inflammatory reaction. If calcific foci extend to the acromion, bursitis may also follow.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l0eh3cwt-bc57d0ce6f010fcf3dc329ca56e08540\">\n#top .av-special-heading.av-l0eh3cwt-bc57d0ce6f010fcf3dc329ca56e08540{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l0eh3cwt-bc57d0ce6f010fcf3dc329ca56e08540 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l0eh3cwt-bc57d0ce6f010fcf3dc329ca56e08540 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"kalkschulter-was-ist\"  class='av-special-heading av-l0eh3cwt-bc57d0ce6f010fcf3dc329ca56e08540 av-special-heading-h2 blockquote modern-quote  avia-builder-el-21  el_after_av_textblock  el_before_av_textblock '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >What is a calcified shoulder?<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-l0eh89rb-99dc1521fdb5f4786ca844c51371d9cb '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Calcified shoulder is<\/strong> the name given to a <strong>syndrome<\/strong> in which the tendons in the area known as the rotator cuff are stressed by calcium deposits. The natural and congenital norm variations of the shoulder structure form a low (shoulder) roof. Below this lie various tendon cords, for example the supraspinatus tendon, the infraspinatus tendon and the subcapularis tendon. The tendons connect the muscles to the bones to allow specific movement.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l0eh8gkr-5459262f85923ca127649f5a86444751\">\n#top .av-special-heading.av-l0eh8gkr-5459262f85923ca127649f5a86444751{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l0eh8gkr-5459262f85923ca127649f5a86444751 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l0eh8gkr-5459262f85923ca127649f5a86444751 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"kalkschulter-supraspinatussehne\"  class='av-special-heading av-l0eh8gkr-5459262f85923ca127649f5a86444751 av-special-heading-h3 blockquote modern-quote  avia-builder-el-23  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Supraspinatus tendon<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-l0eh8ldm-ea3ad01ea0db6592fa283128c1226fa0 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>This tendon and the associated muscle (spuraspinatus muscle) allow the shoulder to splay the arm. This tendon is most commonly affected when calcific shoulder is present.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l0eh924b-ae2b161de426a63f2c804b338a0c7189\">\n#top .av-special-heading.av-l0eh924b-ae2b161de426a63f2c804b338a0c7189{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l0eh924b-ae2b161de426a63f2c804b338a0c7189 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l0eh924b-ae2b161de426a63f2c804b338a0c7189 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"kalkschulter-infraspinatussehne\"  class='av-special-heading av-l0eh924b-ae2b161de426a63f2c804b338a0c7189 av-special-heading-h3 blockquote modern-quote  avia-builder-el-25  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Infraspinatus tendon<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-l0eh97nw-51b6dcd526cb31bd49ad06e9aa55aa7e '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Together with the muscle and the infraspinatus tendon (Musculus infraspinatus), external rotation of the arm is made possible. This is another common area where mobility is affected in calcific shoulder.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l0eh9iyx-86fcc1d1fe7f3ef39a97c687ee4ee3ef\">\n#top .av-special-heading.av-l0eh9iyx-86fcc1d1fe7f3ef39a97c687ee4ee3ef{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l0eh9iyx-86fcc1d1fe7f3ef39a97c687ee4ee3ef .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l0eh9iyx-86fcc1d1fe7f3ef39a97c687ee4ee3ef .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"kalkschulter-subscapularissehne\"  class='av-special-heading av-l0eh9iyx-86fcc1d1fe7f3ef39a97c687ee4ee3ef av-special-heading-h3 blockquote modern-quote  avia-builder-el-27  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Subscapularis tendon<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-l4aro8e1-a7f575c2087f397a98b841ae7ba385b1 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>The internal rotation of the arms is made possible by the subscapularis tendon and the associated muscle (Musculus subscapularis). This tendon-muscle combination is rarely limited by calcific shoulder.<\/p>\n<p>Since the space under the acromion is limited, there is a constriction here in which a bursa protects the tendons from pressure from above. If calcium deposits settle in this area, the tendon is pressed against the acromion. The lime deposits constrict the already limited space. Friction and irritation occur, which limits the natural flexibility of the rotator cuff.<\/p>\n<p>In the acute phase, the symptoms of calcific shoulder are usually caused by an inflamed bursa that presses the tendons against the acromion during movement. This combination provides pain that is exacerbated when the tendons are pinched between the acromion and the bursa (impingement).<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l4arrkoi-6e4a9b30c90e021044022ab6cba9df24\">\n#top .av-special-heading.av-l4arrkoi-6e4a9b30c90e021044022ab6cba9df24{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l4arrkoi-6e4a9b30c90e021044022ab6cba9df24 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l4arrkoi-6e4a9b30c90e021044022ab6cba9df24 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"kalkschulter-ursachen\"  class='av-special-heading av-l4arrkoi-6e4a9b30c90e021044022ab6cba9df24 av-special-heading-h2 blockquote modern-quote  avia-builder-el-29  el_after_av_textblock  el_before_av_textblock '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Causes of calcified shoulder often unclear<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-l4arsfkd-3ac893312284805511df8da5b2014074 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>The first appearance of <strong>symptoms of calcific shoulder<\/strong> mostly occurs in patients between 30 and 50 years of age. For a long time, a link to osteoarthritis was seen. In contrast to osteoarthritis, calcific shoulder is not a wear and tear disease, but an independent clinical picture. Often, calcific shoulder is preceded by rotator cuff injury or disease (rotator cuff defect), which requires immobilization of the shoulder area. Sometimes the symptom picture also develops during bursitis or entrapment\/impingement, both of which are considered typical concomitant diseases of calcific shoulder.<\/p>\n<p>The specific cause of calcified shoulder is considered uncertain and not yet sufficiently researched due to its <strong>differentiation from osteoarthritis<\/strong>. Various theories link calcified shoulder to reduced blood flow to tendons or rely on a connection with metabolic and tissue disorders that occur in addition to a genetic predisposition. Elevated blood lipid levels are also being considered in conjunction with the development of calcific shoulder as a cause and observed as a possible influence. This is said to cause calcium deposits in the shoulder joint, which, if undetected and untreated, can lead to calcified shoulder. It is quite possible that a calcified shoulder remains undetected, since symptoms do not always occur. If an injury then occurs and, based on this, the shoulder is immobilized during the healing process, the calcium deposits can increase and trigger calcific shoulder.<\/p>\n<p>The course of the disease is divided into three phases that follow one another:<\/p>\n<ul>\n<li>Precalcification stage<\/li>\n<li>Calcification stage<\/li>\n<li>Postcalcification stage<\/li>\n<\/ul>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l4arthqj-18ac95df00782d2e8266101651f176d0\">\n#top .av-special-heading.av-l4arthqj-18ac95df00782d2e8266101651f176d0{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l4arthqj-18ac95df00782d2e8266101651f176d0 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l4arthqj-18ac95df00782d2e8266101651f176d0 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"kalkschulter-praekalzifikationsstadium\"  class='av-special-heading av-l4arthqj-18ac95df00782d2e8266101651f176d0 av-special-heading-h3 blockquote modern-quote  avia-builder-el-31  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Precalcification stage<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-l4artpmw-385f3e8020274708381bb11a3b7fd0c0 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>In the precalcification stage, increased calcification in the tissue stimulates the formation of more cartilage tissue in the shoulder joint.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l4artwe7-e569575fe2ae3e3ebc48ffbb49da1e35\">\n#top .av-special-heading.av-l4artwe7-e569575fe2ae3e3ebc48ffbb49da1e35{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l4artwe7-e569575fe2ae3e3ebc48ffbb49da1e35 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l4artwe7-e569575fe2ae3e3ebc48ffbb49da1e35 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"kalkschulter-verkalkungsstadium\"  class='av-special-heading av-l4artwe7-e569575fe2ae3e3ebc48ffbb49da1e35 av-special-heading-h3 blockquote modern-quote  avia-builder-el-33  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Calcification stage<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-l4aru6rf-5ce24ccfec6a20a247899a35d82446a1 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>In the calcification stage, calcium substances are deposited in the tissue. They form small calcium deposits.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l4arufjh-d5ce766695f8edfa02ea2ae0e5c01a69\">\n#top .av-special-heading.av-l4arufjh-d5ce766695f8edfa02ea2ae0e5c01a69{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l4arufjh-d5ce766695f8edfa02ea2ae0e5c01a69 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l4arufjh-d5ce766695f8edfa02ea2ae0e5c01a69 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"kalkschulter-postkalzifikationsstadium\"  class='av-special-heading av-l4arufjh-d5ce766695f8edfa02ea2ae0e5c01a69 av-special-heading-h3 blockquote modern-quote  avia-builder-el-35  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Postcalcification stage<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-l4aruutp-30a4c8076722c9ca2fccb295c41168b9 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>In the postcalcification stage, liquefaction of the calcium deposits begins spontaneously or is triggered by treatment. The now viscous, paste-like mass dissolves, but takes on an increased volume in the process. This volume increases pressure on the tissues in the shoulder joint, which can cause irritation and painful inflammation.<\/p>\n<p>In some cases, spontaneous healing occurs, in which the body breaks down the calcium deposit on its own. If this is not the case, adept treatment is indispensable.<\/p>\n<\/div><\/section><\/p><\/div><div  class='flex_column av-41nz2g-4219c9582cf3fbe6cefb66cd0031c27c av_one_half  avia-builder-el-37  el_after_av_one_full  el_before_av_one_half  first flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-l0ehayob-ed0fed851a7cb81c742ba2b99093b539 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><div class=\"center\">\n<div class=\"brlbs-cmpnt-container brlbs-cmpnt-content-blocker brlbs-cmpnt-with-individual-styles\" data-borlabs-cookie-content-blocker-id=\"default\" data-borlabs-cookie-content=\"PGlmcmFtZSB3aWR0aD0iNTYwIiBoZWlnaHQ9IjMxNSIgc3JjPSJodHRwczovL3d3dy55b3V0dWJlLmNvbS9lbWJlZC9CQzNhOVEzYlhtTSIgdGl0bGU9IllvdVR1YmUgdmlkZW8gcGxheWVyIiBmcmFtZWJvcmRlcj0iMCIgYWxsb3c9ImFjY2VsZXJvbWV0ZXI7IGF1dG9wbGF5OyBjbGlwYm9hcmQtd3JpdGU7IGVuY3J5cHRlZC1tZWRpYTsgZ3lyb3Njb3BlOyBwaWN0dXJlLWluLXBpY3R1cmUiIGFsbG93ZnVsbHNjcmVlbj0iIj48L2lmcmFtZT4=\">\n<div class=\"brlbs-cmpnt-cb-preset-a\">\n<p class=\"brlbs-cmpnt-cb-description\">You are currently viewing a placeholder content from <strong>Default<\/strong>. To access the actual content, click the button below. Please note that doing so will share data with third-party providers.<\/p>\n<div class=\"brlbs-cmpnt-cb-buttons\"> <a class=\"brlbs-cmpnt-cb-btn\" href=\"#\" data-borlabs-cookie-unblock role=\"button\">Unblock content<\/a> <a class=\"brlbs-cmpnt-cb-btn\" href=\"#\" data-borlabs-cookie-accept-service role=\"button\" style=\"display: none\">Accept required service and unblock content<\/a> <\/div>\n<p> <a class=\"brlbs-cmpnt-cb-provider-toggle\" href=\"#\" data-borlabs-cookie-show-provider-information role=\"button\">More Information<\/a> <\/div>\n<\/div>\n<\/div>\n<\/div><\/section><\/div><\/p>\n<div  class='flex_column av-1w7h9k-fdf7a12e1c6e490e00e150d205e488f1 av_one_half  avia-builder-el-39  el_after_av_one_half  el_before_av_one_full  flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-l0ehbfyf-749f3961f1379337ff7ce5461da1b141 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><div class=\"brlbs-cmpnt-container brlbs-cmpnt-content-blocker brlbs-cmpnt-with-individual-styles\" data-borlabs-cookie-content-blocker-id=\"default\" data-borlabs-cookie-content=\"PGlmcmFtZSB3aWR0aD0iNTYwIiBoZWlnaHQ9IjMxNSIgc3JjPSJodHRwczovL3d3dy55b3V0dWJlLmNvbS9lbWJlZC9VRmkydUx0LVVObyIgdGl0bGU9IllvdVR1YmUgdmlkZW8gcGxheWVyIiBmcmFtZWJvcmRlcj0iMCIgYWxsb3c9ImFjY2VsZXJvbWV0ZXI7IGF1dG9wbGF5OyBjbGlwYm9hcmQtd3JpdGU7IGVuY3J5cHRlZC1tZWRpYTsgZ3lyb3Njb3BlOyBwaWN0dXJlLWluLXBpY3R1cmUiIGFsbG93ZnVsbHNjcmVlbj0iIj48L2lmcmFtZT4=\">\n<div class=\"brlbs-cmpnt-cb-preset-a\">\n<p class=\"brlbs-cmpnt-cb-description\">You are currently viewing a placeholder content from <strong>Default<\/strong>. To access the actual content, click the button below. Please note that doing so will share data with third-party providers.<\/p>\n<div class=\"brlbs-cmpnt-cb-buttons\"> <a class=\"brlbs-cmpnt-cb-btn\" href=\"#\" data-borlabs-cookie-unblock role=\"button\">Unblock content<\/a> <a class=\"brlbs-cmpnt-cb-btn\" href=\"#\" data-borlabs-cookie-accept-service role=\"button\" style=\"display: none\">Accept required service and unblock content<\/a> <\/div>\n<p> <a class=\"brlbs-cmpnt-cb-provider-toggle\" href=\"#\" data-borlabs-cookie-show-provider-information role=\"button\">More Information<\/a> <\/div>\n<\/div>\n<\/div><\/section><\/div>\n<div  class='flex_column av-7kx5wo-6207936b34a74900800c17c7980442ee av_one_full  avia-builder-el-41  el_after_av_one_half  avia-builder-el-last  first flex_column_div  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l4arvy0z-66d118c3aaaecf8fe08631dde785f471\">\n#top .av-special-heading.av-l4arvy0z-66d118c3aaaecf8fe08631dde785f471{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l4arvy0z-66d118c3aaaecf8fe08631dde785f471 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l4arvy0z-66d118c3aaaecf8fe08631dde785f471 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"kalkschulter-diagnose\"  class='av-special-heading av-l4arvy0z-66d118c3aaaecf8fe08631dde785f471 av-special-heading-h2 blockquote modern-quote  avia-builder-el-42  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >What diagnostics and therapies are used for calcified shoulder?<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-l4arxz70-46b31eea2e5303c1daa59d1317ae1bf1 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>On the basis of the medical <strong>history and the physical examination, it is usually already possible to guess what is behind the complaints<\/strong>. Sonography and X-rays usually provide good evidence of the calcium deposits, which must be suitably removed in the resulting therapy. The therapy then proceeds in 2 phases.<\/p>\n<p>In the first phase, conservative treatment of calcific shoulder usually begins. In this case, one should try to reduce the inflammation as much as possible by means of medication and injections. These include above all painkillers with anti-inflammatory properties (anti-inflammatory drugs), which also include non-steroidal anti-inflammatory drugs. In some cases, injections with cortisone support the healing of the inflammation. <strong>Very severe pain<\/strong> can also be relieved with local anesthetics in exceptional cases. Immobilization of the shoulder joint with relief of the shoulder by an arm sling may also be necessary in the acute <strong>phase of calcific shoulder<\/strong>.<\/p>\n<p>Once the inflammation and associated pain situation is improved, the second phase can be to treat the cause. This is usually followed by a so-called shock wave therapy, which causes the <strong>calcium deposit to dissolve<\/strong>. Here it is important to ensure that the calcium deposit is sustainably &#8220;treated away&#8221;, otherwise the inflammation will return after a certain time. The high-energy pressure waves are intended to dissolve the calcium deposits and remove them from the body. In addition, targeted physiotherapy is an optimal promotion for the complete healing process of the calcific shoulder.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l4arz33t-f03559c26d29a58c2a9f9312a6d8db92\">\n#top .av-special-heading.av-l4arz33t-f03559c26d29a58c2a9f9312a6d8db92{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l4arz33t-f03559c26d29a58c2a9f9312a6d8db92 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l4arz33t-f03559c26d29a58c2a9f9312a6d8db92 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"kalkschulter-moderne-therapien\"  class='av-special-heading av-l4arz33t-f03559c26d29a58c2a9f9312a6d8db92 av-special-heading-h3 blockquote modern-quote  avia-builder-el-44  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Modern Therapies for the Treatment of Calcified Shoulder at the Orthopaedic Center Munich East (OZMO)<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-l4as08d4-56041124eda89051251fd534165f7aa3 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>What most patients do not know is that radial shock waves are still used in many practices today. The required devices are found in many practices, but their performance is nowhere near that of devices that deliver focused shock waves. Because of this, the calcium cannot be completely eliminated, causing the calcium deposits to build up again and the pain to return quickly.<\/p>\n<p>At the <strong>Orthopaedic Center Munich East (OZMO)<\/strong>, we therefore rely on a combination of focused and radial shock waves. The focused shock waves are delivered specifically to the calcium deposit, while the radial shock waves loosen and detonate the affected tendons fascia and muscles. The combination can significantly increase the success of the therapy.<\/p>\n<p>Shock wave therapy is performed 3-5 times a week. More than 90% of those affected become symptom-free within a few months with conservative measures, which means that surgery for calcified shoulder can be avoided. Only if there is no improvement during this time, the calcium is removed by a so-called keyhole surgery in an outpatient procedure.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-4vlv2w-b61eeaa22605fa84116ef107f9cae830\">\n#top .av-special-heading.av-4vlv2w-b61eeaa22605fa84116ef107f9cae830{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-4vlv2w-b61eeaa22605fa84116ef107f9cae830 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-4vlv2w-b61eeaa22605fa84116ef107f9cae830 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"kalkschulter-weiterfuehrende-links\"  class='av-special-heading av-4vlv2w-b61eeaa22605fa84116ef107f9cae830 av-special-heading-h4 blockquote modern-quote  avia-builder-el-46  el_after_av_textblock  el_before_av_textblock '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Related links<\/h4><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-31h17c-20f5c48791437ac02db48cabccff8945 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><ul>\n<li><a href=\"\/files\/paper_kalk_mmw_2014.pdf\">Article in &#8220;MMW &#8211; Fortschritte der Medizin 2014\u2033 Not only vessels can calcify&#8221; Authors P. Diehl, J. Schauwecker<\/a><\/li>\n<li><a href=\"\/files\/paper_enthesiopathie.pdf\">Article in &#8220;Orthop\u00e4de 2014&#8221; Conservative therapyof chronic enthesiopathies, <\/a><a href=\"\/files\/paper_kalk_mmw_2014.pdf\">Authors<\/a><a href=\"\/files\/paper_enthesiopathie.pdf\">: P. Diehl, H. Gollwitzer, J. Schauwecker, T. Tischer, L. Gerdesmeyer<\/a><\/li>\n<li><a href=\"\/files\/1223_artikel-kalkschulter-diehl-sauer.pdf\">Article in &#8220;Der Orthop\u00e4de&#8221; Ausg. 08\/2011: &#8220;The calcified shoulder &#8211; tendinosis calcarea&#8221; Authors: Dres. P.Diehl, L.Gerdesmeyer, H.Gollwitzer, W.Sauer, T.Tischler<\/a><\/li>\n<\/ul>\n<\/div><\/section><\/p><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":8,"featured_media":0,"parent":9656,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-9897","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Calcified shoulder &quot; Shoulder diseases | OZMO<\/title>\n<meta name=\"description\" content=\"Calcified shoulder - Orthopaedics Center Munich East. 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