{"id":14724,"date":"2026-11-05T08:00:00","date_gmt":"2026-11-05T07:00:00","guid":{"rendered":"https:\/\/www.orthopaediezentrum-muenchenost.de\/?p=14724"},"modified":"2026-11-10T13:19:46","modified_gmt":"2026-11-10T12:19:46","slug":"calcific-shoulder-why-surgery-can-usually-be-avoided","status":"publish","type":"post","link":"https:\/\/www.orthopaediezentrum-muenchenost.de\/en\/calcific-shoulder-why-surgery-can-usually-be-avoided\/","title":{"rendered":"Calcific Shoulder: Why Surgery Can Usually Be Avoided"},"content":{"rendered":"<p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-s8b9pave-cf0dbf36d52d6d343c8c910b98a92bb2\">\n.avia-section.av-s8b9pave-cf0dbf36d52d6d343c8c910b98a92bb2{\nbackground-color:#004225;\nbackground:linear-gradient( to bottom right, #004225, #004225, #ffffff );\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-s8b9pave-cf0dbf36d52d6d343c8c910b98a92bb2 header_color avia-section-default avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  avia-bg-style-scroll av-minimum-height av-minimum-height-75 av-height-75  container_wrap fullsize'   data-av_minimum_height_pc='75' data-av_min_height_opt='75'><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-14724'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-hrpk476f-9e314542da09881124af07dff05d8694 av_three_fifth  avia-builder-el-1  el_before_av_two_fifth  avia-builder-el-first  first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-xg3spc36-b06e11946ab476e2c8b0d7cbb7402622\">\n#top .hr.hr-invisible.av-xg3spc36-b06e11946ab476e2c8b0d7cbb7402622{\nheight:50px;\n}\n<\/style>\n<div  class='hr av-xg3spc36-b06e11946ab476e2c8b0d7cbb7402622 hr-invisible  avia-builder-el-2  el_before_av_heading  avia-builder-el-first '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kp4ejh07-2b2609f44d9b8201c9f043340474349b\">\n#top .av-special-heading.av-kp4ejh07-2b2609f44d9b8201c9f043340474349b{\npadding-bottom:10px;\ncolor:#ffffff;\n}\nbody .av-special-heading.av-kp4ejh07-2b2609f44d9b8201c9f043340474349b .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kp4ejh07-2b2609f44d9b8201c9f043340474349b .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-kp4ejh07-2b2609f44d9b8201c9f043340474349b .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kp4ejh07-2b2609f44d9b8201c9f043340474349b av-special-heading-h1 custom-color-heading blockquote modern-quote  avia-builder-el-3  el_after_av_hr  el_before_av_heading '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Calcific Shoulder: Why Surgery Can Usually Be Avoided<\/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-6bd5tksh-bb15c5ac5aff2bebca960ec502b23cab\">\n#top .av-special-heading.av-6bd5tksh-bb15c5ac5aff2bebca960ec502b23cab{\npadding-bottom:10px;\ncolor:#ffffff;\n}\nbody .av-special-heading.av-6bd5tksh-bb15c5ac5aff2bebca960ec502b23cab .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-6bd5tksh-bb15c5ac5aff2bebca960ec502b23cab .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-6bd5tksh-bb15c5ac5aff2bebca960ec502b23cab .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-6bd5tksh-bb15c5ac5aff2bebca960ec502b23cab av-special-heading-h2 custom-color-heading blockquote modern-quote  avia-builder-el-4  el_after_av_heading  avia-builder-el-last '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Modern, gentle treatment approaches at a glance<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/p><\/div><div  class='flex_column av-lztu8txd-db8132bb772db93579d0f364e1dd20d5 av_two_fifth  avia-builder-el-5  el_after_av_three_fifth  avia-builder-el-last  flex_column_div  '     ><\/div>\n<br \/>\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><div id='av_section_2'  class='avia-section av-8muwvbyu-ce601d65d380a52e56e362e33bbb8080 main_color avia-section-default avia-no-border-styling  avia-builder-el-6  el_after_av_section  el_before_av_section  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-14724'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-jho6cwyr-8cc704b80b5bc5971600ce2430a035e4 av_two_third  avia-builder-el-7  el_before_av_one_third  avia-builder-el-first  first flex_column_div  '     ><section  class='av_textblock_section av-u3u4660l-e9964a427b57eb58ce0f5b08d5e8f278 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>The diagnosis <strong>calcific shoulder<\/strong> initially worries many patients about surgery. But we can reassure you: modern orthopaedics now offers a wide range of highly effective, gentle treatments that make surgery unnecessary in most cases. As an experienced orthopaedic center in Munich, we support you on your way back to a pain-free, mobile everyday life \u2013 without the burden of a surgical procedure.<\/p>\n<p>Although the pain associated with a calcific shoulder can be extremely severe and make everyday life a struggle, it is fundamentally a condition with a strong tendency to heal on its own. The key to success is to specifically support the body in its natural breakdown processes and to significantly shorten the painful phases. Modern treatments such as <a href=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/en\/orthopedics\/treatments\/shockwave-therapy\/\"><strong>shock wave therapy<\/strong><\/a> have proven themselves here and can support healing without surgery. In this comprehensive guide you will learn everything about the leading conservative treatment approaches, how they work and how <strong>calcific shoulder treatment without surgery<\/strong> can help you become pain-free again.<\/p>\n<\/div><\/section><\/div><div  class='flex_column av-iyp3jowc-8ea25180d23b8d0cbf42daeef9f0289b av_one_third  avia-builder-el-9  el_after_av_two_third  avia-builder-el-last  flex_column_div  '     ><section  class='av_textblock_section av-8sytpce6-a29e2719a0398a66da2cf17ce0b1c6cd '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" >\n<\/div><\/section><\/div><br \/>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-fwdw2lju-a72124517e4afd9535ee1c66f0ffc8fe\">\n.avia-section.av-fwdw2lju-a72124517e4afd9535ee1c66f0ffc8fe{\nbackground-color:#ffffff;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_3'  class='avia-section av-fwdw2lju-a72124517e4afd9535ee1c66f0ffc8fe main_color avia-section-default avia-no-border-styling  avia-builder-el-11  el_after_av_section  el_before_av_section  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-14724'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-wongg9uh-1a0dcf4936cbc92cb06510f10a414a47 av_one_full  avia-builder-el-12  avia-builder-el-no-sibling  first flex_column_div  '     ><section  class='av_textblock_section av-fenqq0kv-5ba08080adce136c238549c1bf930f49 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><style>.ozmo-fig-r{float:right;width:40%;margin:4px 0 24px 48px}.ozmo-fig-l{float:left;width:40%;margin:4px 48px 24px 0}@media (max-width:767px){.ozmo-fig-r,.ozmo-fig-l{float:none;width:100%;margin:0 0 20px}}<\/style>\n<div style=\"background:#eef5f1;border:1px solid #d6e4dc;border-radius:20px;padding:36px 40px;margin:8px 0\">\n<p style=\"margin:0 0 4px;font-size:13px;font-weight:700;letter-spacing:.08em;text-transform:uppercase;color:#2e6b4f\">At a glance<\/p>\n<p style=\"margin:0 0 22px;font-size:24px;font-weight:700;line-height:1.3;color:#004225\">The key points in brief<\/p>\n<ul style=\"list-style:none;margin:0;padding:0;display:flex;flex-direction:column;gap:14px 36px\">\n<li style=\"display:flex;gap:12px;align-items:flex-start;margin:0;padding:0;font-size:16px;line-height:1.55;color:#24332b;background:none;list-style:none\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#004225\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"flex:0 0 22px;margin-top:1px\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#dcebe2\" stroke=\"none\"><\/circle><path d=\"M7.5 12.5l3 3 6-6.5\"><\/path><\/svg><span>Calcific shoulder is a common condition of the rotator cuff and can be treated <strong>without surgery in most cases<\/strong>.<\/span><\/li>\n<li style=\"display:flex;gap:12px;align-items:flex-start;margin:0;padding:0;font-size:16px;line-height:1.55;color:#24332b;background:none;list-style:none\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#004225\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"flex:0 0 22px;margin-top:1px\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#dcebe2\" stroke=\"none\"><\/circle><path d=\"M7.5 12.5l3 3 6-6.5\"><\/path><\/svg><span>Typical are <strong>sudden, severe pain<\/strong>, especially at night and during overhead movements.<\/span><\/li>\n<li style=\"display:flex;gap:12px;align-items:flex-start;margin:0;padding:0;font-size:16px;line-height:1.55;color:#24332b;background:none;list-style:none\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#004225\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"flex:0 0 22px;margin-top:1px\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#dcebe2\" stroke=\"none\"><\/circle><path d=\"M7.5 12.5l3 3 6-6.5\"><\/path><\/svg><span><strong>Ultrasound and X-ray<\/strong> show the location, size and consistency of the calcium deposit.<\/span><\/li>\n<li style=\"display:flex;gap:12px;align-items:flex-start;margin:0;padding:0;font-size:16px;line-height:1.55;color:#24332b;background:none;list-style:none\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#004225\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"flex:0 0 22px;margin-top:1px\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#dcebe2\" stroke=\"none\"><\/circle><path d=\"M7.5 12.5l3 3 6-6.5\"><\/path><\/svg><span><strong>Shock wave therapy<\/strong> is a central component of conservative treatment.<\/span><\/li>\n<li style=\"display:flex;gap:12px;align-items:flex-start;margin:0;padding:0;font-size:16px;line-height:1.55;color:#24332b;background:none;list-style:none\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#004225\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"flex:0 0 22px;margin-top:1px\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#dcebe2\" stroke=\"none\"><\/circle><path d=\"M7.5 12.5l3 3 6-6.5\"><\/path><\/svg><span><strong>Surgery<\/strong> only becomes an option if conservative treatment has not helped sufficiently over several months.<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div><\/section><\/div>\n<br \/>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-gi9pzmtg-41b415b83d3d2a743170b3d7a9d0bcdb\">\n.avia-section.av-gi9pzmtg-41b415b83d3d2a743170b3d7a9d0bcdb{\nbackground-color:#004225;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_4'  class='avia-section av-gi9pzmtg-41b415b83d3d2a743170b3d7a9d0bcdb header_color avia-section-default avia-no-border-styling  avia-builder-el-14  el_after_av_section  el_before_av_section  avia-bg-style-scroll av-minimum-height av-minimum-height-75 av-height-75  container_wrap fullsize'   data-av_minimum_height_pc='75' data-av_min_height_opt='75'><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-14724'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-0toz4fic-058bd143bae7f9e6fc9d50c272f77332 av_three_fifth  avia-builder-el-15  el_before_av_two_fifth  avia-builder-el-first  first flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-0kwwvqul-d50f0b937867b0922d931eb6e17534ec\">\n#top .av_textblock_section.av-0kwwvqul-d50f0b937867b0922d931eb6e17534ec .avia_textblock{\ncolor:#ffffff;\n}\n<\/style>\n<section  class='av_textblock_section av-0kwwvqul-d50f0b937867b0922d931eb6e17534ec '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><p><strong style=\"color: #fff;\">Table of contents:<\/strong><\/p>\n<ul class=\"margin0\">\n<li><a title=\"What is a calcific shoulder and how does it develop?\" href=\"#what-is-a-calcific-shoulder-and-how-does-it-d\">What is a calcific shoulder and how does it develop?<\/a><\/li>\n<li><a title=\"Anatomy of the rotator cuff\" href=\"#anatomy-of-the-rotator-cuff\">Anatomy of the rotator cuff<\/a><\/li>\n<li><a title=\"Symptoms and diagnosis \u2013 modern imaging\" href=\"#symptoms-and-diagnosis-modern-imaging\">Symptoms and diagnosis \u2013 modern imaging<\/a><\/li>\n<li><a title=\"Shock wave therapy \u2013 gentle and without surgery\" href=\"#shock-wave-therapy-gentle-and-without-surgery\">Shock wave therapy \u2013 gentle and without surgery<\/a><\/li>\n<li><a title=\"Other conservative treatments\" href=\"#other-conservative-treatments\">Other conservative treatments<\/a><\/li>\n<li><a title=\"Physiotherapy and home exercises\" href=\"#physiotherapy-and-home-exercises\">Physiotherapy and home exercises<\/a><\/li>\n<li><a title=\"When is surgery really necessary?\" href=\"#when-is-surgery-really-necessary\">When is surgery really necessary?<\/a><\/li>\n<li><a title=\"Prognosis and course of healing\" href=\"#prognosis-and-course-of-healing\">Prognosis and course of healing<\/a><\/li>\n<li><a title=\"Frequently asked questions (FAQ)\" href=\"#frequently-asked-questions-faq\">Frequently asked questions (FAQ)<\/a><\/li>\n<li><a title=\"Conclusion \u2013 modern orthopaedics relies on gentle methods\" href=\"#conclusion-modern-orthopaedics-relies-on-gent\">Conclusion \u2013 modern orthopaedics relies on gentle methods<\/a><\/li>\n<\/ul>\n<\/div><\/section><\/div><div  class='flex_column av-s2xndkqw-826be5809ec3c41a019be79c8d7fbbfa av_two_fifth  avia-builder-el-17  el_after_av_three_fifth  avia-builder-el-last  flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-vkb5e8e8-781abaa1c63588fbca39f44f9973e83e\">\n.avia-image-container.av-vkb5e8e8-781abaa1c63588fbca39f44f9973e83e img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-vkb5e8e8-781abaa1c63588fbca39f44f9973e83e .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-vkb5e8e8-781abaa1c63588fbca39f44f9973e83e av-styling- avia-align-center  avia-builder-el-18  avia-builder-el-no-sibling '   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-14732 avia-img-lazy-loading-not-14732 avia_image ' src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/01-kalkschulter-behandlung-ohne-op-orthopaedie-muenchen-ost.jpg\" alt='Schultermodell auf dem Schreibtisch in einem hellen orthop\u00e4dischen Sprechzimmer' title='Schultermodell auf dem Schreibtisch in einem hellen orthop\u00e4dischen Sprechzimmer'  height=\"768\" width=\"1376\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/01-kalkschulter-behandlung-ohne-op-orthopaedie-muenchen-ost.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/01-kalkschulter-behandlung-ohne-op-orthopaedie-muenchen-ost-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/01-kalkschulter-behandlung-ohne-op-orthopaedie-muenchen-ost-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/01-kalkschulter-behandlung-ohne-op-orthopaedie-muenchen-ost-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/01-kalkschulter-behandlung-ohne-op-orthopaedie-muenchen-ost-705x393.jpg 705w\" sizes=\"(max-width: 1376px) 100vw, 1376px\" \/><\/div><\/div><\/div><\/div>\n<br \/>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_5'  class='avia-section av-4giyu2bn-49ebb97b6101a6370d8e1c34f1907f6e main_color avia-section-default avia-no-border-styling  avia-builder-el-19  el_after_av_section  el_before_av_section  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-14724'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8cmjlftb-81ba42a5bb838d3c176e1f0474db2ed4\">\n#top .av-special-heading.av-8cmjlftb-81ba42a5bb838d3c176e1f0474db2ed4{\npadding-bottom:28px;\n}\nbody .av-special-heading.av-8cmjlftb-81ba42a5bb838d3c176e1f0474db2ed4 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-8cmjlftb-81ba42a5bb838d3c176e1f0474db2ed4 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"what-is-a-calcific-shoulder-and-how-does-it-d\"  class='av-special-heading av-8cmjlftb-81ba42a5bb838d3c176e1f0474db2ed4 av-special-heading-h2 blockquote modern-quote  avia-builder-el-20  el_before_av_one_full  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >What is a calcific shoulder and how does it develop?<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<div  class='flex_column av-vw0be647-52f69f6e69ab04efe24872704e1fee80 av_one_full  avia-builder-el-21  el_after_av_heading  el_before_av_one_full  first flex_column_div  '     ><section  class='av_textblock_section av-8w0idjth-2685399641ae1fa281ea6fd4e6d384c8 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"font-size:16px;line-height:1.7\">\n<div class=\"ozmo-fig-r\"><img decoding=\"async\" class=\"wp-image-14622\" src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/02-kalkschulter-rotatorenmanschette-sehnen-modell.jpg\" alt=\"Anatomical shoulder model showing the tendons of the rotator cuff\" width=\"1376\" height=\"768\" loading=\"lazy\" style=\"display:block;width:100%;height:auto;border-radius:14px\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/02-kalkschulter-rotatorenmanschette-sehnen-modell.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/02-kalkschulter-rotatorenmanschette-sehnen-modell-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/02-kalkschulter-rotatorenmanschette-sehnen-modell-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/02-kalkschulter-rotatorenmanschette-sehnen-modell-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/02-kalkschulter-rotatorenmanschette-sehnen-modell-705x393.jpg 705w\" sizes=\"auto, (max-width: 1376px) 100vw, 1376px\" \/><\/div>\n<p>The <strong>tendinosis calcarea<\/strong>, commonly known as <a href=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/en\/orthopedics\/diseases\/calcareous-shoulder\/\">calcific shoulder<\/a>, is a condition of the rotator cuff in which calcium deposits form in the shoulder tendons. These deposits are not caused by mechanical wear or overuse, but follow a characteristic biological process that unfolds in three clearly defined phases and can extend over months to years.<\/p>\n<p>The <strong>three-phase model<\/strong> of calcific shoulder is central to understanding the condition: in the first phase, <strong>precalcification<\/strong>, normal tendon cells transform into cartilage cells through mechanisms that are not yet fully understood. These cellular changes create the conditions for the calcium deposits that follow. During the second phase, <strong>calcification<\/strong>, chalky, firm calcium deposits form first and may later take on a softer, toothpaste-like consistency. The third and often most painful phase, <strong>postcalcification<\/strong> or resorption phase, marks the body\u2019s own breakdown process. Here the immune system becomes active, scavenger cells migrate in and begin to dissolve and carry away the calcium deposits. This natural cycle underlines the body\u2019s fundamental ability to heal itself, even though without treatment this process can be very lengthy and painful.<\/p>\n<p><strong>Who is affected?<\/strong> Calcific shoulder is a common shoulder condition. Women are affected more often than men, and incidence peaks between the <strong>ages of 40 and 60<\/strong>, a stage of life in which work and family demands are often particularly high. The calcium deposits most commonly form in the <strong>supraspinatus tendon<\/strong>, less often in the infraspinatus or subscapularis tendon. This distribution is related to the particular anatomy of the different tendon sections.<\/p>\n<p>The <strong>causes<\/strong> of calcific shoulder have not yet been fully clarified. Contrary to what is often assumed, it does not result from overuse or degenerative wear. Instead, local circulatory disturbances, genetic factors and disorders of calcium metabolism appear to play a role. The fact that women are affected more often also suggests hormonal influences. It is important to know that calcific shoulder is not caused by a poor diet or too much calcium \u2013 these widespread assumptions are not medically tenable.<\/p>\n<div style=\"clear:both\"><\/div>\n<\/div>\n<\/div><\/section><\/div>\n<div  class='flex_column av-1okop1bn-e6d31494452e82d43c4f81bc495d624c av_one_full  avia-builder-el-23  el_after_av_one_full  avia-builder-el-last  first flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-792u6os9-676e800377f2784ab2bec340ab321b5e '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(max(210px,calc(33.33% - 16px)),1fr));gap:16px;margin:8px 0 48px\">\n<div style=\"background:#fff;border:1px solid #d6e4dc;border-top:5px solid #4f9a73;border-radius:14px;padding:22px 22px 20px;box-shadow:0 6px 18px rgba(0,40,20,.05)\">\n<div style=\"display:flex;align-items:center;gap:12px;margin-bottom:12px\"><span style=\"flex:0 0 36px;height:36px;border-radius:50%;background:#4f9a73;color:#fff;font-weight:700;font-size:16px;display:flex;align-items:center;justify-content:center\">1<\/span><span style=\"font-size:17px;font-weight:700;color:#004225;line-height:1.25\">Precalcification<span style=\"display:block;font-size:13px;font-weight:600;color:#5b6d63\">Phase 1<\/span><\/span><\/div>\n<p style=\"margin:0;font-size:15px;line-height:1.6;color:#24332b\">Tendon cells change \u2013 usually <strong>without symptoms<\/strong> at this stage.<\/p>\n<\/div>\n<div style=\"background:#fff;border:1px solid #d6e4dc;border-top:5px solid #23704b;border-radius:14px;padding:22px 22px 20px;box-shadow:0 6px 18px rgba(0,40,20,.05)\">\n<div style=\"display:flex;align-items:center;gap:12px;margin-bottom:12px\"><span style=\"flex:0 0 36px;height:36px;border-radius:50%;background:#23704b;color:#fff;font-weight:700;font-size:16px;display:flex;align-items:center;justify-content:center\">2<\/span><span style=\"font-size:17px;font-weight:700;color:#004225;line-height:1.25\">Calcification<span style=\"display:block;font-size:13px;font-weight:600;color:#5b6d63\">Phase 2<\/span><\/span><\/div>\n<p style=\"margin:0;font-size:15px;line-height:1.6;color:#24332b\"><strong>Calcium deposits<\/strong> form, firm at first and softer later.<\/p>\n<\/div>\n<div style=\"background:#fff;border:1px solid #d6e4dc;border-top:5px solid #004225;border-radius:14px;padding:22px 22px 20px;box-shadow:0 6px 18px rgba(0,40,20,.05)\">\n<div style=\"display:flex;align-items:center;gap:12px;margin-bottom:12px\"><span style=\"flex:0 0 36px;height:36px;border-radius:50%;background:#004225;color:#fff;font-weight:700;font-size:16px;display:flex;align-items:center;justify-content:center\">3<\/span><span style=\"font-size:17px;font-weight:700;color:#004225;line-height:1.25\">Resorption<span style=\"display:block;font-size:13px;font-weight:600;color:#5b6d63\">Phase 3<\/span><\/span><\/div>\n<p style=\"margin:0;font-size:15px;line-height:1.6;color:#24332b\">The body <strong>breaks down the calcium<\/strong> \u2013 often the most painful phase.<\/p>\n<\/div>\n<\/div>\n<\/div><\/section><\/div>\n<br \/>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-shg9bcf0-cd7f4f866c7ebb3005727934a76547f8\">\n.avia-section.av-shg9bcf0-cd7f4f866c7ebb3005727934a76547f8{\nbackground-color:#ffffff;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_6'  class='avia-section av-shg9bcf0-cd7f4f866c7ebb3005727934a76547f8 main_color avia-section-default avia-no-border-styling  avia-builder-el-25  el_after_av_section  el_before_av_section  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-14724'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-w8qh32vs-4cbb7ba6042f9e8b00f343946e39f6d7\">\n#top .av-special-heading.av-w8qh32vs-4cbb7ba6042f9e8b00f343946e39f6d7{\npadding-bottom:28px;\n}\nbody .av-special-heading.av-w8qh32vs-4cbb7ba6042f9e8b00f343946e39f6d7 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-w8qh32vs-4cbb7ba6042f9e8b00f343946e39f6d7 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"anatomy-of-the-rotator-cuff\"  class='av-special-heading av-w8qh32vs-4cbb7ba6042f9e8b00f343946e39f6d7 av-special-heading-h2 blockquote modern-quote  avia-builder-el-26  el_before_av_one_full  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Anatomy of the rotator cuff<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<div  class='flex_column av-03mpqv97-e7ec3151c039b9773c0d6aeb154d55f5 av_one_full  avia-builder-el-27  el_after_av_heading  avia-builder-el-last  first flex_column_div  '     ><section  class='av_textblock_section av-2l9k1str-31681dd7b8cf2a47d92d4f42c872b528 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"font-size:16px;line-height:1.7\">\n<div class=\"ozmo-fig-l\"><img decoding=\"async\" class=\"wp-image-14623\" src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/03-schulter-anatomie-supraspinatus-modell.jpg\" alt=\"Anatomical model of the shoulder joint with rotator cuff on a stand\" width=\"1376\" height=\"768\" loading=\"lazy\" style=\"display:block;width:100%;height:auto;border-radius:14px\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/03-schulter-anatomie-supraspinatus-modell.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/03-schulter-anatomie-supraspinatus-modell-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/03-schulter-anatomie-supraspinatus-modell-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/03-schulter-anatomie-supraspinatus-modell-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/03-schulter-anatomie-supraspinatus-modell-705x393.jpg 705w\" sizes=\"auto, (max-width: 1376px) 100vw, 1376px\" \/><\/div>\n<p>The shoulder is the most mobile ball-and-socket joint in the human body and allows movement in all directions \u2013 a property that makes it unique. This exceptional mobility is ensured by a complex interplay of bones, ligaments, muscles and tendons. A central role is played by the <strong>rotator cuff<\/strong>, a group of four muscles that run from the shoulder blade to the head of the upper arm and enclose it like a protective cap.<\/p>\n<p>The <strong>four muscles of the rotator cuff<\/strong> each have specific functions and work together harmoniously: the <strong>supraspinatus muscle<\/strong> is mainly responsible for lifting the arm out to the side and for centering the humeral head in the socket. The <strong>infraspinatus muscle<\/strong> and the <strong>teres minor muscle<\/strong> are responsible for external rotation of the arm, while the <strong>subscapularis muscle<\/strong> enables internal rotation. Their tendons fuse into a common tendon plate that envelops the humeral head and provides both stability and the complex movement patterns of the shoulder.<\/p>\n<p>The <strong>supraspinatus muscle<\/strong> holds a special position, because its tendon runs through the anatomically narrow <strong>subacromial space<\/strong> between the humeral head and the shoulder roof (acromion). This area is also known as the <strong>\u201ccritical zone\u201d<\/strong>, because blood supply here is naturally reduced. The reduced oxygen supply makes this region particularly susceptible to degenerative changes and the formation of calcium deposits. In addition, movements can cause mechanical narrowing that aggravates the problem. These anatomical features explain why the supraspinatus tendon in particular is so often affected by calcium deposits and why targeted treatment is so important to avoid complications such as a stiff shoulder.<\/p>\n<div style=\"clear:both\"><\/div>\n<\/div>\n<\/div><\/section><\/div>\n<br \/>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_7'  class='avia-section av-fddqpi9u-39d5cfdac28f203a63336531cce99889 main_color avia-section-default avia-no-border-styling  avia-builder-el-29  el_after_av_section  el_before_av_section  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-14724'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-zmg9y3m7-8eb7e5017cd31831aa275f8c613de903\">\n#top .av-special-heading.av-zmg9y3m7-8eb7e5017cd31831aa275f8c613de903{\npadding-bottom:28px;\n}\nbody .av-special-heading.av-zmg9y3m7-8eb7e5017cd31831aa275f8c613de903 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-zmg9y3m7-8eb7e5017cd31831aa275f8c613de903 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"symptoms-and-diagnosis-modern-imaging\"  class='av-special-heading av-zmg9y3m7-8eb7e5017cd31831aa275f8c613de903 av-special-heading-h2 blockquote modern-quote  avia-builder-el-30  el_before_av_one_full  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Symptoms and diagnosis \u2013 modern imaging<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<div  class='flex_column av-4n8zi09z-8cc304e44be2e08ada48dac21e5170fd av_one_full  avia-builder-el-31  el_after_av_heading  el_before_av_one_full  first flex_column_div  '     ><section  class='av_textblock_section av-dtoqheyy-5bc6856313e0138318b72351fbea52b1 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"font-size:16px;line-height:1.7\">\n<div class=\"ozmo-fig-r\"><img decoding=\"async\" class=\"wp-image-14624\" src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/04-kalkschulter-diagnose-ultraschall-sonografie.jpg\" alt=\"Ultrasound device next to an examination table in the orthopaedic treatment room\" width=\"1376\" height=\"768\" loading=\"lazy\" style=\"display:block;width:100%;height:auto;border-radius:14px\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/04-kalkschulter-diagnose-ultraschall-sonografie.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/04-kalkschulter-diagnose-ultraschall-sonografie-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/04-kalkschulter-diagnose-ultraschall-sonografie-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/04-kalkschulter-diagnose-ultraschall-sonografie-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/04-kalkschulter-diagnose-ultraschall-sonografie-705x393.jpg 705w\" sizes=\"auto, (max-width: 1376px) 100vw, 1376px\" \/><\/div>\n<p>The symptoms of a calcific shoulder are often described among specialists as the <strong>\u201cchameleon of shoulder pathologies\u201d<\/strong>, because the range of symptoms can be extraordinarily varied. This variability makes the condition a diagnostic challenge for patients and doctors alike. While some people feel no symptoms at all and the calcium deposits are only discovered by chance during other examinations, others suffer unbearable pain that can make life a torment.<\/p>\n<p><strong>Typical symptoms<\/strong> include suddenly occurring, severe pain that often appears without an identifiable trigger and becomes more intense at night in particular. This pain at rest at night makes it impossible to lie on the affected side and leads to considerable sleep disturbances. During the day, load-dependent pain occurs mainly with overhead movements \u2013 putting on a sweater, combing your hair or reaching for objects on shelves becomes a painful ordeal. The symptoms often radiate from the shoulder into the upper arm and can be accompanied by marked restrictions of movement. The pain is particularly intense during the <strong>resorption phase<\/strong>, when the immune system begins to actively break down the calcium deposits and triggers a massive inflammatory reaction in the surrounding tissue.<\/p>\n<p>The <strong>modern diagnosis<\/strong> of a calcific shoulder relies on a combination of clinical examination and imaging. As experienced orthopaedists, we can already gain important clues for the diagnosis through targeted function tests and range-of-motion assessments. For definitive confirmation and precise characterization of the calcium deposits, however, imaging is indispensable:<\/p>\n<div style=\"clear:both\"><\/div>\n<\/div>\n<\/div><\/section><\/div>\n<div  class='flex_column av-o2tl5qin-027ebe23a62ed8fde6137b26b6726fc4 av_one_full  avia-builder-el-33  el_after_av_one_full  el_before_av_one_full  first flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-1oq3pjvn-dc6697a6dbf39185387b6194b0650343 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"background:#ffffff;border:1px solid #d6e4dc;border-radius:16px;padding:28px 32px;margin:28px 0 48px;box-shadow:0 1px 2px rgba(0,40,20,.04),0 8px 24px rgba(0,40,20,.06)\">\n<ul style=\"list-style:none;margin:0;padding:0;display:flex;flex-direction:column;gap:14px 36px\">\n<li style=\"display:flex;gap:12px;align-items:flex-start;margin:0;padding:0;font-size:16px;line-height:1.55;color:#24332b;background:none;list-style:none\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#004225\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"flex:0 0 22px;margin-top:1px\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#dcebe2\" stroke=\"none\"><\/circle><path d=\"M7.5 12.5l3 3 6-6.5\"><\/path><\/svg><span><strong>Ultrasound (sonography)<\/strong>: Today regarded as the <strong>gold standard<\/strong> in calcific shoulder diagnostics. Modern high-resolution ultrasound devices allow a dynamic examination and show the exact location, size and consistency of the calcium deposit as well as any accompanying bursitis with precision.<\/span><\/li>\n<li style=\"display:flex;gap:12px;align-items:flex-start;margin:0;padding:0;font-size:16px;line-height:1.55;color:#24332b;background:none;list-style:none\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#004225\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"flex:0 0 22px;margin-top:1px\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#dcebe2\" stroke=\"none\"><\/circle><path d=\"M7.5 12.5l3 3 6-6.5\"><\/path><\/svg><span><strong>X-ray<\/strong>: Makes the calcium deposit visible as a characteristic dense shadow and allows its size and shape to be assessed. Two views (anterior-posterior and lateral) are required for a complete picture.<\/span><\/li>\n<li style=\"display:flex;gap:12px;align-items:flex-start;margin:0;padding:0;font-size:16px;line-height:1.55;color:#24332b;background:none;list-style:none\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#004225\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"flex:0 0 22px;margin-top:1px\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#dcebe2\" stroke=\"none\"><\/circle><path d=\"M7.5 12.5l3 3 6-6.5\"><\/path><\/svg><span><strong>Magnetic resonance imaging (MRI)<\/strong>: Needed less often, but can provide valuable additional information in unclear findings or to distinguish calcific shoulder from tendon tears and other complex shoulder pathologies.<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div><\/section><\/div>\n<div  class='flex_column av-una1n6xy-0e94f826a4cf56bad0795560336de679 av_one_full  avia-builder-el-35  el_after_av_one_full  avia-builder-el-last  first flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-c9v1sq8p-00f3ba70369dcdb645d97c37c022dbe0 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"font-size:16px;line-height:1.7\">\n<p>However, the <strong>clinical assessment<\/strong> always takes precedence over imaging alone. What matters for our treatment planning is not just the size of the calcium deposits or how they look on the X-ray, but above all the symptoms and the individual level of suffering of the patient. A precise distinction from other shoulder conditions such as impingement syndrome, frozen shoulder or tendon tears is very important, as these require different treatment approaches.<\/p>\n<div style=\"clear:both\"><\/div>\n<\/div>\n<\/div><\/section><\/div>\n<br \/>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-vtl38e21-41f4e4759e077654ba0f5512bfa82d18\">\n.avia-section.av-vtl38e21-41f4e4759e077654ba0f5512bfa82d18{\nbackground-color:#ffffff;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_8'  class='avia-section av-vtl38e21-41f4e4759e077654ba0f5512bfa82d18 main_color avia-section-default avia-no-border-styling  avia-builder-el-37  el_after_av_section  el_before_av_section  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-14724'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-43gcuzv1-84038e9492914b6505ec3ffe31575369\">\n#top .av-special-heading.av-43gcuzv1-84038e9492914b6505ec3ffe31575369{\npadding-bottom:28px;\n}\nbody .av-special-heading.av-43gcuzv1-84038e9492914b6505ec3ffe31575369 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-43gcuzv1-84038e9492914b6505ec3ffe31575369 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"shock-wave-therapy-gentle-and-without-surgery\"  class='av-special-heading av-43gcuzv1-84038e9492914b6505ec3ffe31575369 av-special-heading-h2 blockquote modern-quote  avia-builder-el-38  el_before_av_one_full  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Shock wave therapy \u2013 gentle and without surgery<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<div  class='flex_column av-aloraauc-0db98023f20a9591f13a55cc7869aa0e av_one_full  avia-builder-el-39  el_after_av_heading  el_before_av_heading  first flex_column_div  '     ><section  class='av_textblock_section av-s93bn0wy-a64960122a5c8f37a6f55342a0ec213f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"font-size:16px;line-height:1.7\">\n<div class=\"ozmo-fig-l\"><img decoding=\"async\" class=\"wp-image-14625\" src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/05-kalkschulter-stosswellentherapie-geraet.jpg\" alt=\"Shock wave therapy device next to a treatment table\" width=\"1376\" height=\"768\" loading=\"lazy\" style=\"display:block;width:100%;height:auto;border-radius:14px\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/05-kalkschulter-stosswellentherapie-geraet.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/05-kalkschulter-stosswellentherapie-geraet-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/05-kalkschulter-stosswellentherapie-geraet-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/05-kalkschulter-stosswellentherapie-geraet-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/05-kalkschulter-stosswellentherapie-geraet-705x393.jpg 705w\" sizes=\"auto, (max-width: 1376px) 100vw, 1376px\" \/><\/div>\n<p>Among the conservative treatment methods, <strong>extracorporeal shock wave therapy (ESWT)<\/strong> has become established as an important non-surgical option. This non-invasive form of treatment has been used in orthopaedics since the end of the 1980s and can be an alternative to surgery for many patients. At the Orthopaedic Center Munich East, shock wave therapy is an integral part of our range of treatments.<\/p>\n<p>The <strong>mechanism of action<\/strong> of shock wave therapy is multifaceted: the high-energy sound waves are directed from outside precisely at the calcium deposit in the shoulder tendon, where they take effect. Mechanically, the shock waves fragment the calcium crystals and make them accessible to the body\u2019s own breakdown processes. At the same time, blood flow in the treated tissue is significantly increased and tendon metabolism is activated. This speeds up both the removal of the calcium fragments via the lymphatic system and the regeneration of the damaged tendon tissue. In addition, the body\u2019s own growth factors are released, which further promote the healing process and stimulate the formation of healthy replacement tissue.<\/p>\n<p><strong>Studies<\/strong> show that shock wave therapy can relieve pain and improve shoulder function in calcific shoulder. How well it works in an individual case depends, among other things, on the size, location and consistency of the calcium deposit. Starting treatment early generally has a favorable effect.<\/p>\n<p>The <strong>course of treatment<\/strong> usually comprises several sessions about a week apart; we determine the number individually. Treatment usually takes only a few minutes and is carried out on an outpatient basis. Beforehand, the calcium deposit is located by imaging so that the shock waves reach exactly the right spot. Many patients notice an improvement during the series, but the full effect often only shows a few weeks after treatment has finished.<\/p>\n<div style=\"clear:both\"><\/div>\n<\/div>\n<\/div><\/section><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7ipslc7j-d59e005972d1afff05653cfd8789e307\">\n#top .av-special-heading.av-7ipslc7j-d59e005972d1afff05653cfd8789e307{\npadding-bottom:28px;\n}\nbody .av-special-heading.av-7ipslc7j-d59e005972d1afff05653cfd8789e307 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-7ipslc7j-d59e005972d1afff05653cfd8789e307 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"fokussierte-vs-radiale-stosswellentherapie\"  class='av-special-heading av-7ipslc7j-d59e005972d1afff05653cfd8789e307 av-special-heading-h3 blockquote modern-quote  avia-builder-el-41  el_after_av_one_full  el_before_av_one_full '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Focused vs. radial shock wave therapy<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<div  class='flex_column av-04lhipbk-70b927b500edb5515971ba97c0a29a9f av_one_full  avia-builder-el-42  el_after_av_heading  avia-builder-el-last  first flex_column_div  '     ><section  class='av_textblock_section av-vfz4il1a-5ff71a7ed79ce1b4f7e693c0e975dc14 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"font-size:16px;line-height:1.7\">\n<p>Modern shock wave therapy distinguishes between two different forms of application that differ in their physical mode of action and penetration depth: the <strong>focused<\/strong> and the <strong>radial<\/strong> shock wave. Both methods have their specific strengths and can be used individually or in combination depending on the findings.<\/p>\n<p><strong>Focused shock waves<\/strong> concentrate their energy precisely deep in the tissue and can be aimed at the calcium deposit with millimeter accuracy. They act with high energy and in a targeted way, which makes them particularly effective for directly fragmenting the calcium deposits. The <strong>radial shock wave<\/strong>, by contrast, releases its energy more superficially and spreads out in a fan shape through the tissue. It is excellent for treating muscular tension and for loosening the surrounding tense tendon and fascial tissue, which is often badly affected by inflammation and pain-related protective posture.<\/p>\n<p>A <strong>combination of both methods<\/strong> can make sense. It allows us to address not only the calcium deposit itself but also to treat the entire functional environment of the shoulder. While the focused shock wave directly fragments the calcium deposit, the radial shock wave treats the surrounding muscle and tendon structures. Whether this combination is right for you, we decide after the examination.<\/p>\n<div style=\"clear:both\"><\/div>\n<\/div>\n<\/div><\/section><\/div>\n<br \/>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-rua1axu0-5e1e5fb5baef28f64364353bb0165293\">\n.avia-section.av-rua1axu0-5e1e5fb5baef28f64364353bb0165293{\nbackground-color:#ffffff;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_9'  class='avia-section av-rua1axu0-5e1e5fb5baef28f64364353bb0165293 main_color avia-section-default avia-no-border-styling  avia-builder-el-44  el_after_av_section  el_before_av_section  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-14724'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-nnm9xdvp-66b478b3580d71dd87c77f3efa9397bf av_one_full  avia-builder-el-45  avia-builder-el-no-sibling  first flex_column_div  '     ><section  class='av_textblock_section av-7v6sm74v-0097d392c8ab10b843a92ed0d1a82093 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"background:linear-gradient(135deg,#004225 0%,#0d6a40 100%);border-radius:20px;padding:40px 44px;display:flex;flex-wrap:wrap;gap:28px;align-items:center;justify-content:space-between;margin:8px 0;box-shadow:0 12px 32px rgba(0,66,37,.18)\">\n<div style=\"flex:1 1 420px;min-width:0\">\n<p style=\"margin:0 0 6px;font-size:13px;font-weight:700;letter-spacing:.08em;text-transform:uppercase;color:#a9d4bb\">Orthopaedic Center Munich East<\/p>\n<p style=\"margin:0 0 10px;font-size:26px;font-weight:700;line-height:1.3;color:#ffffff\">Have your shoulder pain assessed by a specialist<\/p>\n<p style=\"margin:0;font-size:16px;line-height:1.6;color:rgba(255,255,255,.9)\">We examine your shoulder thoroughly, including by ultrasound, and discuss the right treatment with you.<\/p>\n<\/div>\n<p><a href=\"https:\/\/www.doctolib.de\/praxis\/haar\/orthopaedie-zentrum-muenchen-ost-ozmo\" target=\"_blank\" rel=\"noopener\" style=\"display:inline-flex;align-items:center;justify-content:center;background:#ffffff;color:#004225;font-weight:700;font-size:16px;line-height:1;padding:16px 32px;min-height:52px;border-radius:12px;text-decoration:none;box-sizing:border-box;white-space:nowrap\">Book an appointment online<\/a><\/div>\n<\/div><\/section><\/div>\n<br \/>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-omfvmm8u-3d9351f37afd399062d8f67809f347e7\">\n.avia-section.av-omfvmm8u-3d9351f37afd399062d8f67809f347e7{\nbackground-color:#ffffff;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_10'  class='avia-section av-omfvmm8u-3d9351f37afd399062d8f67809f347e7 main_color avia-section-default avia-no-border-styling  avia-builder-el-47  el_after_av_section  el_before_av_section  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-14724'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-vonbkyqj-ab337f587e34864c39e8d76ffb38ac52\">\n#top .av-special-heading.av-vonbkyqj-ab337f587e34864c39e8d76ffb38ac52{\npadding-bottom:28px;\n}\nbody .av-special-heading.av-vonbkyqj-ab337f587e34864c39e8d76ffb38ac52 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-vonbkyqj-ab337f587e34864c39e8d76ffb38ac52 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"other-conservative-treatments\"  class='av-special-heading av-vonbkyqj-ab337f587e34864c39e8d76ffb38ac52 av-special-heading-h2 blockquote modern-quote  avia-builder-el-48  el_before_av_one_full  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Other conservative treatments<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<div  class='flex_column av-wz0tp56q-199def344f869499839d027b5db7ede2 av_one_full  avia-builder-el-49  el_after_av_heading  el_before_av_one_full  first flex_column_div  '     ><section  class='av_textblock_section av-wgvz27y6-1db099b0f59917123f87cd0e8b877e3e '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"font-size:16px;line-height:1.7\">\n<div class=\"ozmo-fig-r\"><img decoding=\"async\" class=\"wp-image-14626\" src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/06-kalkschulter-konservative-therapie-injektion-kuehlung.jpg\" alt=\"Sterile-packed syringe, swabs and cold pack on a treatment table\" width=\"1376\" height=\"768\" loading=\"lazy\" style=\"display:block;width:100%;height:auto;border-radius:14px\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/06-kalkschulter-konservative-therapie-injektion-kuehlung.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/06-kalkschulter-konservative-therapie-injektion-kuehlung-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/06-kalkschulter-konservative-therapie-injektion-kuehlung-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/06-kalkschulter-konservative-therapie-injektion-kuehlung-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/06-kalkschulter-konservative-therapie-injektion-kuehlung-705x393.jpg 705w\" sizes=\"auto, (max-width: 1376px) 100vw, 1376px\" \/><\/div>\n<p>In addition to shock wave therapy, other proven conservative treatment options are available, which we use or combine in a targeted way depending on the phase of the disease and the individual situation. <strong>Phase-appropriate treatment<\/strong> takes into account the current stage of the condition and the patient\u2019s present symptoms.<\/p>\n<p><strong>Drug-based pain therapy<\/strong> with non-steroidal anti-inflammatory drugs (NSAIDs) is often the first line of treatment, especially in acute pain phases. These medications, such as ibuprofen, diclofenac or etoricoxib, relieve pain and reduce inflammation and can significantly ease the often unbearable pain of the resorption phase. In cases of very severe pain, stronger analgesics may be needed for a short time, and we always aim for balanced pain therapy with as few side effects as possible.<\/p>\n<p><a href=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/en\/orthopedics\/treatments\/injection-therapy\/\"><strong>Injection treatments<\/strong><\/a> are another important therapy option that may be considered depending on the symptoms. <strong>Cortisone injections<\/strong> under the shoulder roof (subacromial infiltrations) can bring rapid pain relief during acute inflammatory phases. The injection is placed precisely in the inflamed bursa and acts directly at the site of inflammation. We use cortisone sparingly and only in limited numbers.<\/p>\n<div style=\"clear:both\"><\/div>\n<\/div>\n<\/div><\/section><\/div>\n<div  class='flex_column av-82xqp9he-81b6f905370f524792f822cf68a0b39b av_one_full  avia-builder-el-51  el_after_av_one_full  el_before_av_one_full  first flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-ypftuedc-3b16f1bf3700c891c166fb50469589e9 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"background:#ffffff;border:1px solid #d6e4dc;border-radius:16px;padding:28px 32px;margin:28px 0 48px;box-shadow:0 1px 2px rgba(0,40,20,.04),0 8px 24px rgba(0,40,20,.06)\">\n<p style=\"margin:0 0 20px;font-size:19px;line-height:1.35;font-weight:700;color:#004225;text-transform:none;letter-spacing:0\">Physical therapy measures can usefully complement treatment<\/p>\n<ul style=\"list-style:none;margin:0;padding:0;display:flex;flex-direction:column;gap:14px 36px\">\n<li style=\"display:flex;gap:12px;align-items:flex-start;margin:0;padding:0;font-size:16px;line-height:1.55;color:#24332b;background:none;list-style:none\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#004225\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"flex:0 0 22px;margin-top:1px\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#dcebe2\" stroke=\"none\"><\/circle><path d=\"M7.5 12.5l3 3 6-6.5\"><\/path><\/svg><span><strong>Cold therapy<\/strong>: In acute inflammatory phases for pain relief and to reduce inflammation<\/span><\/li>\n<li style=\"display:flex;gap:12px;align-items:flex-start;margin:0;padding:0;font-size:16px;line-height:1.55;color:#24332b;background:none;list-style:none\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#004225\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"flex:0 0 22px;margin-top:1px\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#dcebe2\" stroke=\"none\"><\/circle><path d=\"M7.5 12.5l3 3 6-6.5\"><\/path><\/svg><span><strong>Heat therapy<\/strong>: In chronic cases to promote blood flow and muscle relaxation<\/span><\/li>\n<li style=\"display:flex;gap:12px;align-items:flex-start;margin:0;padding:0;font-size:16px;line-height:1.55;color:#24332b;background:none;list-style:none\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#004225\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"flex:0 0 22px;margin-top:1px\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#dcebe2\" stroke=\"none\"><\/circle><path d=\"M7.5 12.5l3 3 6-6.5\"><\/path><\/svg><span><strong>Electrotherapy and ultrasound therapy<\/strong>: For pain modulation and tissue activation<\/span><\/li>\n<li style=\"display:flex;gap:12px;align-items:flex-start;margin:0;padding:0;font-size:16px;line-height:1.55;color:#24332b;background:none;list-style:none\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#004225\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"flex:0 0 22px;margin-top:1px\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#dcebe2\" stroke=\"none\"><\/circle><path d=\"M7.5 12.5l3 3 6-6.5\"><\/path><\/svg><span><a href=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/en\/emtt\/\"><strong>Electromagnetic transduction therapy (EMTT)<\/strong><\/a>: As a supportive measure to promote regeneration<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div><\/section><\/div>\n<div  class='flex_column av-fwc2tk1y-120a898ba7f4c8cc658fa0b0be26d203 av_one_full  avia-builder-el-53  el_after_av_one_full  el_before_av_one_full  first flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-hg6cdtup-6ee695d5d12653aa1b3aa3e747389330 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"font-size:16px;line-height:1.7\">\n<p><strong>Patience and consistency<\/strong> are of central importance in conservative treatment. We always tell our patients honestly that courses of treatment lasting several months are completely normal and should in no way be interpreted as treatment failure. Combining different approaches \u2013 in particular shock wave therapy with physiotherapy and, where needed, medication \u2013 optimizes the chances of success and in most cases leads to a significant improvement without surgery.<\/p>\n<div style=\"clear:both\"><\/div>\n<\/div>\n<\/div><\/section><\/div>\n<div  class='flex_column av-4yvsoskv-21f499bacdfa58d54300d8b9a13afc0b av_one_full  avia-builder-el-55  el_after_av_one_full  avia-builder-el-last  first flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-8bcgbewt-3bc9191635bfff9b3dcdd9ff68ac5904 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"display:flex;gap:16px;align-items:flex-start;background:#eef5f1;border-left:4px solid #004225;border-radius:0 14px 14px 0;padding:22px 26px;margin:28px 0 48px\"><svg width=\"26\" height=\"26\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#004225\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"flex:0 0 26px;margin-top:2px\"><path d=\"M9 18h6\"><\/path><path d=\"M10 22h4\"><\/path><path d=\"M15.09 14c.18-.98.65-1.74 1.41-2.5A4.65 4.65 0 0 0 18 8 6 6 0 0 0 6 8c0 1 .23 2.23 1.5 3.5A4.61 4.61 0 0 1 8.91 14\"><\/path><\/svg><\/p>\n<p style=\"margin:0;font-size:16px;line-height:1.65;color:#24332b\"><strong>Good to know:<\/strong> A calcific shoulder is not caused by too much calcium in the diet. A low-calcium diet therefore does not help and is even unfavorable for your bones.<\/p>\n<\/div>\n<\/div><\/section><\/div>\n<br \/>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_11'  class='avia-section av-a50ri1px-52c953c4b6b02e8b46c5f9a43bdc1d44 main_color avia-section-default avia-no-border-styling  avia-builder-el-57  el_after_av_section  el_before_av_section  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-14724'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-tzustlan-17f985f2705f9ed1631506e4d274aece\">\n#top .av-special-heading.av-tzustlan-17f985f2705f9ed1631506e4d274aece{\npadding-bottom:28px;\n}\nbody .av-special-heading.av-tzustlan-17f985f2705f9ed1631506e4d274aece .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-tzustlan-17f985f2705f9ed1631506e4d274aece .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"physiotherapy-and-home-exercises\"  class='av-special-heading av-tzustlan-17f985f2705f9ed1631506e4d274aece av-special-heading-h2 blockquote modern-quote  avia-builder-el-58  el_before_av_one_full  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Physiotherapy and home exercises<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<div  class='flex_column av-gcsrmz3x-e65307796f0fc0fc922c23907e123ad4 av_one_full  avia-builder-el-59  el_after_av_heading  avia-builder-el-last  first flex_column_div  '     ><section  class='av_textblock_section av-0rgyua1p-d9206691cf2eb81778a157e43b7a7acc '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"font-size:16px;line-height:1.7\">\n<div class=\"ozmo-fig-l\"><img decoding=\"async\" class=\"wp-image-14627\" src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/07-kalkschulter-physiotherapie-eigenuebungen-theraband.jpg\" alt=\"Resistance band, dumbbells and exercise mat for shoulder exercises at home\" width=\"1376\" height=\"768\" loading=\"lazy\" style=\"display:block;width:100%;height:auto;border-radius:14px\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/07-kalkschulter-physiotherapie-eigenuebungen-theraband.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/07-kalkschulter-physiotherapie-eigenuebungen-theraband-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/07-kalkschulter-physiotherapie-eigenuebungen-theraband-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/07-kalkschulter-physiotherapie-eigenuebungen-theraband-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/07-kalkschulter-physiotherapie-eigenuebungen-theraband-705x393.jpg 705w\" sizes=\"auto, (max-width: 1376px) 100vw, 1376px\" \/><\/div>\n<p><strong>Physiotherapy<\/strong> plays a central and indispensable role in the conservative treatment of calcific shoulder. We prescribe the appropriate physiotherapy and tailor its focus to your findings. The main goal of physiotherapeutic treatment is to maintain and improve the mobility of the shoulder joint while preventing pain-related stiffening (frozen shoulder) \u2013 a feared complication that can considerably delay healing.<\/p>\n<p><strong>Special capsule stretching exercises<\/strong> are at the heart of treatment. In painful conditions the joint capsule of the shoulder tends to shorten and thicken, which leads to considerable restrictions of movement. Targeted stretching exercises in different directions \u2013 especially external rotation, internal rotation and elevation \u2013 can prevent or reverse this shortening. These exercises are first performed passively by the therapist, later actively assisted and finally actively by the patient.<\/p>\n<p><strong>Strengthening the rotator cuff muscles<\/strong> is another important building block of therapy. Pain-related protective posture weakens the stabilizing muscles of the shoulder, which can lead to imbalances and further problems. A systematic strengthening program that starts with light resistance and is increased step by step helps restore normal shoulder function and prevent further overload. It is important that the exercises are adapted to pain \u2013 they should challenge but not cause additional damage.<\/p>\n<p><strong>Posture training and ergonomic advice<\/strong> often address existing incorrect loading that may have contributed to the development of the calcific shoulder. Many of our patients suffer from posture-related problems caused by screen work, one-sided strain or unfavorable sleeping positions. Targeted education and practical exercises can correct these problems.<\/p>\n<p>The <strong>patient\u2019s own responsibility<\/strong> is of decisive importance for the success of treatment. Home exercises performed regularly and correctly can speed up healing considerably and effectively prevent relapses. A home exercise program that you learn in physiotherapy helps you actively work on your recovery between therapy appointments as well.<\/p>\n<div style=\"clear:both\"><\/div>\n<\/div>\n<\/div><\/section><\/div>\n<br \/>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-tz9qq3dw-4996a17fd087c9cc7f88d82334f43759\">\n.avia-section.av-tz9qq3dw-4996a17fd087c9cc7f88d82334f43759{\nbackground-color:#ffffff;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_12'  class='avia-section av-tz9qq3dw-4996a17fd087c9cc7f88d82334f43759 main_color avia-section-default avia-no-border-styling  avia-builder-el-61  el_after_av_section  el_before_av_section  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-14724'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-bpho66nr-a54b010f2b6a4f07beab1a388227fb6b\">\n#top .av-special-heading.av-bpho66nr-a54b010f2b6a4f07beab1a388227fb6b{\npadding-bottom:28px;\n}\nbody .av-special-heading.av-bpho66nr-a54b010f2b6a4f07beab1a388227fb6b .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-bpho66nr-a54b010f2b6a4f07beab1a388227fb6b .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"when-is-surgery-really-necessary\"  class='av-special-heading av-bpho66nr-a54b010f2b6a4f07beab1a388227fb6b av-special-heading-h2 blockquote modern-quote  avia-builder-el-62  el_before_av_one_full  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >When is surgery really necessary?<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<div  class='flex_column av-9q91tnup-578c86ef2b9595100ed347f3d5120bcc av_one_full  avia-builder-el-63  el_after_av_heading  avia-builder-el-last  first flex_column_div  '     ><section  class='av_textblock_section av-vedcx8rj-f6522a08ed8daba6ca692b834f00c2b2 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"font-size:16px;line-height:1.7\">\n<div class=\"ozmo-fig-r\"><img decoding=\"async\" class=\"wp-image-14628\" src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/08-kalkschulter-operation-arthroskopie-op-saal.jpg\" alt=\"Prepared operating room with arthroscopy tower\" width=\"1376\" height=\"768\" loading=\"lazy\" style=\"display:block;width:100%;height:auto;border-radius:14px\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/08-kalkschulter-operation-arthroskopie-op-saal.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/08-kalkschulter-operation-arthroskopie-op-saal-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/08-kalkschulter-operation-arthroskopie-op-saal-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/08-kalkschulter-operation-arthroskopie-op-saal-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/08-kalkschulter-operation-arthroskopie-op-saal-705x393.jpg 705w\" sizes=\"auto, (max-width: 1376px) 100vw, 1376px\" \/><\/div>\n<p>Surgery for calcific shoulder should always be the exception and by no means the rule. As a modern orthopaedic center, we consistently follow the principle: <strong>\u201cAs conservative as possible, as surgical as necessary.\u201d<\/strong> This philosophy has proven its worth not only from a medical point of view, but also meets our patients\u2019 natural wish for gentle, low-risk treatment.<\/p>\n<p>The <strong>clear indication<\/strong> for a surgical procedure requires several criteria to be met at the same time: conservative treatment should generally have been carried out consistently over several months (often cited is about <strong>six months<\/strong>) without achieving sufficient pain relief or functional improvement. All available conservative options \u2013 in particular shock wave therapy, physiotherapy and injection treatments \u2013 must have been applied properly. In addition, there must be treatment-resistant pain in an otherwise healthy patient that significantly impairs quality of life and causes marked functional limitations in everyday life.<\/p>\n<p><strong>Prerequisites for a surgical intervention<\/strong> also include an appropriate balance between surgical risk and expected benefit. Here we take into account the patient\u2019s age, existing conditions, occupational demands and personal expectations. Realistic information about the surgical risks, the expected course of healing and the necessary follow-up care is essential. Patients must understand that even after surgery several months of rehabilitation are required and that complete freedom from symptoms cannot be guaranteed in every case.<\/p>\n<p><strong>Minimally invasive arthroscopic procedures<\/strong> are now regarded as the gold standard of surgical calcific shoulder treatment when an operation is truly unavoidable. This modern keyhole technique allows precise removal of the calcium with minimal trauma to the surrounding tissue. Through a few small skin incisions, a mini camera and fine instruments are introduced into the shoulder joint to locate and remove the calcium deposit under direct vision. At the same time, any accompanying pathologies such as bursitis or small tendon tears can be treated as well.<\/p>\n<p><strong>Second opinions<\/strong> before surgical procedures are generally recommended and are expressly welcomed by us as reputable practitioners. An independent specialist assessment ensures that all conservative options have really been exhausted and that the operation is truly medically indicated. We therefore actively encourage our patients to seek another orthopaedic opinion if they are unsure \u2013 because only a well-informed patient can make a sound decision.<\/p>\n<div style=\"clear:both\"><\/div>\n<\/div>\n<\/div><\/section><\/div>\n<br \/>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_13'  class='avia-section av-yvxydn23-c77ccfff3fb7ba2d3fc9b05784e3405e main_color avia-section-default avia-no-border-styling  avia-builder-el-65  el_after_av_section  el_before_av_section  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-14724'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-tibucg2k-944ff245bb4db096c94259b27f756561\">\n#top .av-special-heading.av-tibucg2k-944ff245bb4db096c94259b27f756561{\npadding-bottom:28px;\n}\nbody .av-special-heading.av-tibucg2k-944ff245bb4db096c94259b27f756561 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-tibucg2k-944ff245bb4db096c94259b27f756561 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"prognosis-and-course-of-healing\"  class='av-special-heading av-tibucg2k-944ff245bb4db096c94259b27f756561 av-special-heading-h2 blockquote modern-quote  avia-builder-el-66  el_before_av_one_full  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Prognosis and course of healing<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<div  class='flex_column av-z2hyn9hf-905d3aaeeb0d94830b59e17c6438fa38 av_one_full  avia-builder-el-67  el_after_av_heading  el_before_av_one_full  first flex_column_div  '     ><section  class='av_textblock_section av-2g2rvl26-7f7e04534ff6ac5488780a04f99bc0bc '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"font-size:16px;line-height:1.7\">\n<p>Calcific shoulder is fundamentally a <strong>self-limiting condition<\/strong> with a very good long-term prognosis. This means the human body has the natural ability to break down and reabsorb the calcium deposits on its own. This biological fact gives us the certainty that healing is in principle always possible \u2013 even though without targeted treatment this self-healing process can take months to years and is associated with considerable pain.<\/p>\n<p><strong>Factors for a favorable prognosis<\/strong> are manifold and in part within the patient\u2019s control: starting treatment early, before chronic pain cycles have become established, clearly improves the chances of success. Consistently carrying out the prescribed treatments \u2013 especially shock wave therapy and physiotherapy \u2013 is decisive for success. The patient\u2019s willingness to take an active part, including regularly doing home exercises and observing ergonomic principles in everyday life, can speed up healing considerably. Age also plays a role \u2013 younger patients often heal faster because their tissues regenerate better.<\/p>\n<p>The <strong>individual course<\/strong>, however, varies greatly and depends on several factors: the size and consistency of the calcium deposit influence both the intensity of the symptoms and the time until it dissolves completely. The stage of the condition at the start of treatment also matters \u2013 patients in the early calcification phase often respond faster to treatment than those in the late resorption phase. Physical constitution, blood supply and immune system activity vary individually and have a decisive influence on healing.<\/p>\n<p><strong>Realistic expectations of timing<\/strong> help our patients go through treatment calmly. First improvements may be noticeable after just a few weeks, but complete freedom from pain usually only occurs after three to six months. The radiologically detectable dissolution of the calcium deposits can take even longer and often only follows the clinical improvement. It is important to understand that fluctuations during healing are normal and should not be seen as a setback.<\/p>\n<p><strong>Follow-up care<\/strong> includes regular check-ups at our center to monitor healing progress and adjust the treatment strategy if needed. Continuing movement-preserving measures and preventive exercises even after the acute symptoms have subsided is important to avoid relapses. The <strong>risk of recurrence<\/strong> is low with proper treatment and can be reduced further through preventive measures such as regular shoulder exercises, ergonomic workplace design and avoiding one-sided strain.<\/p>\n<div style=\"clear:both\"><\/div>\n<\/div>\n<\/div><\/section><\/div>\n<div  class='flex_column av-524wh2qt-a45bfb2a50b9d44aa2c1ff7e69bc6a72 av_one_full  avia-builder-el-69  el_after_av_one_full  avia-builder-el-last  first flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-9a6o1mpz-604266e20c31aae32f7963b8c92637af '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"display:flex;gap:16px;align-items:flex-start;background:#eef5f1;border-left:4px solid #004225;border-radius:0 14px 14px 0;padding:22px 26px;margin:28px 0 48px\"><svg width=\"26\" height=\"26\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"#004225\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"flex:0 0 26px;margin-top:2px\"><path d=\"M9 18h6\"><\/path><path d=\"M10 22h4\"><\/path><path d=\"M15.09 14c.18-.98.65-1.74 1.41-2.5A4.65 4.65 0 0 0 18 8 6 6 0 0 0 6 8c0 1 .23 2.23 1.5 3.5A4.61 4.61 0 0 1 8.91 14\"><\/path><\/svg><\/p>\n<p style=\"margin:0;font-size:16px;line-height:1.65;color:#24332b\"><strong>Important:<\/strong> Courses lasting several months are normal in calcific shoulder. Fluctuations during healing are not a sign that the treatment is not working.<\/p>\n<\/div>\n<\/div><\/section><\/div>\n<br \/>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-grntizkv-1d5f5a679e0c1638c06be0a580c96c68\">\n.avia-section.av-grntizkv-1d5f5a679e0c1638c06be0a580c96c68{\nbackground-color:#ffffff;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_14'  class='avia-section av-grntizkv-1d5f5a679e0c1638c06be0a580c96c68 main_color avia-section-default avia-no-border-styling  avia-builder-el-71  el_after_av_section  el_before_av_section  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-14724'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-wd4bedq5-09960ef9e4fdd7eac24dea9ffb4da791 av_one_full  avia-builder-el-72  avia-builder-el-no-sibling  first flex_column_div  '     ><section  class='av_textblock_section av-x4w1vffc-4ff282d206d51eaca7f1b61a4ed4775d '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div style=\"background:linear-gradient(135deg,#004225 0%,#0d6a40 100%);border-radius:20px;padding:40px 44px;display:flex;flex-wrap:wrap;gap:28px;align-items:center;justify-content:space-between;margin:8px 0;box-shadow:0 12px 32px rgba(0,66,37,.18)\">\n<div style=\"flex:1 1 420px;min-width:0\">\n<p style=\"margin:0 0 6px;font-size:13px;font-weight:700;letter-spacing:.08em;text-transform:uppercase;color:#a9d4bb\">Orthopaedic Center Munich East<\/p>\n<p style=\"margin:0 0 10px;font-size:26px;font-weight:700;line-height:1.3;color:#ffffff\">Your appointment at OZMO<\/p>\n<p style=\"margin:0;font-size:16px;line-height:1.6;color:rgba(255,255,255,.9)\">Do you have shoulder pain, or have you already been advised to have surgery? Make an appointment \u2013 a second opinion is also possible on request.<\/p>\n<\/div>\n<p><a href=\"https:\/\/www.doctolib.de\/praxis\/haar\/orthopaedie-zentrum-muenchen-ost-ozmo\" target=\"_blank\" rel=\"noopener\" style=\"display:inline-flex;align-items:center;justify-content:center;background:#ffffff;color:#004225;font-weight:700;font-size:16px;line-height:1;padding:16px 32px;min-height:52px;border-radius:12px;text-decoration:none;box-sizing:border-box;white-space:nowrap\">Book an appointment online<\/a><\/div>\n<\/div><\/section><\/div>\n<br \/>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_15'  class='avia-section av-i54qjdpf-8531708df0832e1d45c9cd26cb3df5bf main_color avia-section-default avia-no-border-styling  avia-builder-el-74  el_after_av_section  el_before_av_section  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-14724'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-gbjxxbls-5ff7d75bdb32d50170bce5f34e47a74a av_two_fifth  avia-builder-el-75  el_before_av_three_fifth  avia-builder-el-first  first flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ptu646zr-114eb07f174e331cc15cc602821b43da\">\n.avia-image-container.av-ptu646zr-114eb07f174e331cc15cc602821b43da img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-ptu646zr-114eb07f174e331cc15cc602821b43da .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-ptu646zr-114eb07f174e331cc15cc602821b43da av-styling- avia-align-center  avia-builder-el-76  avia-builder-el-no-sibling '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-14733 avia-img-lazy-loading-not-14733 avia_image ' src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/09-kalkschulter-faq-beratung-orthopaedie.jpg\" alt='Beratungsecke mit zwei Sesseln und Schultermodell in der Praxis' title='Beratungsecke mit zwei Sesseln und Schultermodell in der Praxis'  height=\"768\" width=\"1376\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/09-kalkschulter-faq-beratung-orthopaedie.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/09-kalkschulter-faq-beratung-orthopaedie-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/09-kalkschulter-faq-beratung-orthopaedie-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/09-kalkschulter-faq-beratung-orthopaedie-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/09-kalkschulter-faq-beratung-orthopaedie-705x393.jpg 705w\" sizes=\"(max-width: 1376px) 100vw, 1376px\" \/><\/div><\/div><\/div><\/div>\n<div  class='flex_column av-i8lsioyp-61676b41a9942612aa10b92205bacdbc av_three_fifth  avia-builder-el-77  el_after_av_two_fifth  avia-builder-el-last  flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kwserjg4-01573b14071c446c634b959c438cea4d\">\n#top .av-special-heading.av-kwserjg4-01573b14071c446c634b959c438cea4d{\npadding-bottom:28px;\n}\nbody .av-special-heading.av-kwserjg4-01573b14071c446c634b959c438cea4d .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kwserjg4-01573b14071c446c634b959c438cea4d .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"frequently-asked-questions-faq\"  class='av-special-heading av-kwserjg4-01573b14071c446c634b959c438cea4d av-special-heading-h2 blockquote modern-quote  avia-builder-el-78  el_before_av_toggle_container  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Frequently asked questions (FAQ)<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<div  class='togglecontainer av-nwl64jj6-a009cc4ddb32a9f1b0b33efd3acaae93 av-minimal-toggle  avia-builder-el-79  el_after_av_heading  avia-builder-el-last  toggle_close_all'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/FAQPage\" >\n<section class='av_toggle_section av-jsgjdhuk-10f74f2137cbccf4208255c8c7e88bed'  itemscope=\"itemscope\" itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><h3 id='toggle-toggle-id-1' data-fake-id='#toggle-id-1' class='toggler  av-title-above '  itemprop=\"name\"  role='tab' tabindex='0' aria-controls='toggle-id-1' data-slide-speed=\"200\" data-title=\"How long does it take for calcium in the shoulder to dissolve?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: How long does it take for calcium in the shoulder to dissolve?\" data-aria_expanded=\"Click to collapse: How long does it take for calcium in the shoulder to dissolve?\">How long does it take for calcium in the shoulder to dissolve?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/h3><div id='toggle-id-1' aria-labelledby='toggle-toggle-id-1' role='region' class='toggle_wrap  av-title-above'   itemscope=\"itemscope\" itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\" ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>The time it takes for calcium deposits to dissolve is highly individual and can range from a few months to several years. Without treatment, this natural process can take two to four years. The duration depends on several factors: the size and consistency of the calcium deposit, the stage of the condition, the activity of the body\u2019s own immune system and the chosen treatment. Targeted <strong>calcific shoulder treatment without surgery<\/strong>, in particular with shock wave therapy, can speed up this process considerably. Many patients experience significant pain relief after just a few weeks, although complete dissolution of the calcium deposits can take several months.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-07vgupf0-1c16935fee5441d2d0671891cadb49e9'  itemscope=\"itemscope\" itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><h3 id='toggle-toggle-id-2' data-fake-id='#toggle-id-2' class='toggler  av-title-above '  itemprop=\"name\"  role='tab' tabindex='0' aria-controls='toggle-id-2' data-slide-speed=\"200\" data-title=\"How many sessions of shock wave therapy are needed for calcific shoulder?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: How many sessions of shock wave therapy are needed for calcific shoulder?\" data-aria_expanded=\"Click to collapse: How many sessions of shock wave therapy are needed for calcific shoulder?\">How many sessions of shock wave therapy are needed for calcific shoulder?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/h3><div id='toggle-id-2' aria-labelledby='toggle-toggle-id-2' role='region' class='toggle_wrap  av-title-above'   itemscope=\"itemscope\" itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\" ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>Extracorporeal shock wave therapy usually involves several sessions, often three to five, about a week apart. After the first sessions we check together how the treatment is responding. The exact number of treatments needed depends on your individual response to therapy, the size and consistency of the calcium deposit and how the pain develops. Many patients feel a clear improvement after the first or second treatment, but the full treatment success with dissolution of the calcium deposit usually only appears after the entire treatment series is complete. For particularly large or stubborn calcium deposits, additional sessions can make sense.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-v673o3o9-0f301ec32ce2f3a3323cecab0faa62ac'  itemscope=\"itemscope\" itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><h3 id='toggle-toggle-id-3' data-fake-id='#toggle-id-3' class='toggler  av-title-above '  itemprop=\"name\"  role='tab' tabindex='0' aria-controls='toggle-id-3' data-slide-speed=\"200\" data-title=\"Can a calcific shoulder dissolve on its own?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: Can a calcific shoulder dissolve on its own?\" data-aria_expanded=\"Click to collapse: Can a calcific shoulder dissolve on its own?\">Can a calcific shoulder dissolve on its own?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/h3><div id='toggle-id-3' aria-labelledby='toggle-toggle-id-3' role='region' class='toggle_wrap  av-title-above'   itemscope=\"itemscope\" itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\" ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>Yes, calcific shoulder is fundamentally a self-limiting condition with a high tendency to heal spontaneously. The human body has its own immunological mechanisms that are able to completely break down and reabsorb the calcium deposits. However, this natural course can be very lengthy and drag on for several years. During this time, patients are often exposed to recurring phases of severe pain that can considerably impair quality of life. The goal of conservative treatment is therefore not to force a process that would not take place anyway, but to specifically accelerate the body\u2019s own healing, significantly shorten the painful phases and prevent complications such as a stiff shoulder.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-t1gybeii-59ed1f659e7e8f74d6f5fbf0a9c32dfb'  itemscope=\"itemscope\" itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><h3 id='toggle-toggle-id-4' data-fake-id='#toggle-id-4' class='toggler  av-title-above '  itemprop=\"name\"  role='tab' tabindex='0' aria-controls='toggle-id-4' data-slide-speed=\"200\" data-title=\"Is a calcific shoulder caused by too much calcium in the diet?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: Is a calcific shoulder caused by too much calcium in the diet?\" data-aria_expanded=\"Click to collapse: Is a calcific shoulder caused by too much calcium in the diet?\">Is a calcific shoulder caused by too much calcium in the diet?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/h3><div id='toggle-id-4' aria-labelledby='toggle-toggle-id-4' role='region' class='toggle_wrap  av-title-above'   itemscope=\"itemscope\" itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\" ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>No, this widespread assumption is not medically tenable. The development of a calcific shoulder has nothing to do with calcium intake from food. The calcium deposits arise from local cell changes in the tendon itself, which cause tendon cells to transform into calcium-producing cells. A low-calcium diet therefore does not help in treatment and can even be harmful, as calcium is essential for bone health. Instead, it is important to concentrate on proven treatment methods.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-72osdij3-4a179b545c1c156671f8a77a91b5900f'  itemscope=\"itemscope\" itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><h3 id='toggle-toggle-id-5' data-fake-id='#toggle-id-5' class='toggler  av-title-above '  itemprop=\"name\"  role='tab' tabindex='0' aria-controls='toggle-id-5' data-slide-speed=\"200\" data-title=\"Is sport possible with a calcific shoulder?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: Is sport possible with a calcific shoulder?\" data-aria_expanded=\"Click to collapse: Is sport possible with a calcific shoulder?\">Is sport possible with a calcific shoulder?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/h3><div id='toggle-id-5' aria-labelledby='toggle-toggle-id-5' role='region' class='toggle_wrap  av-title-above'   itemscope=\"itemscope\" itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\" ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>Sport is generally possible and often even beneficial for healing, but the activity should be adapted to the current pain phase. During acute pain phases, overhead movements and strenuous shoulder loading should be avoided. Cycling, walking or jogging are usually well suited. Swimming is possible as long as the arm movements are pain-free. We will discuss with you individually which load makes sense at the moment. It is important that sport is never done through severe pain, as this can aggravate the inflammation.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-7uwrxe7b-096b9a97bc8516d351843b054a2f81a7'  itemscope=\"itemscope\" itemprop=\"mainEntity\" itemtype=\"https:\/\/schema.org\/Question\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><h3 id='toggle-toggle-id-6' data-fake-id='#toggle-id-6' class='toggler  av-title-above '  itemprop=\"name\"  role='tab' tabindex='0' aria-controls='toggle-id-6' data-slide-speed=\"200\" data-title=\"How does a calcific shoulder differ from other shoulder conditions?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: How does a calcific shoulder differ from other shoulder conditions?\" data-aria_expanded=\"Click to collapse: How does a calcific shoulder differ from other shoulder conditions?\">How does a calcific shoulder differ from other shoulder conditions?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/h3><div id='toggle-id-6' aria-labelledby='toggle-toggle-id-6' role='region' class='toggle_wrap  av-title-above'   itemscope=\"itemscope\" itemprop=\"acceptedAnswer\" itemtype=\"https:\/\/schema.org\/Answer\" ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>Calcific shoulder differs from other shoulder conditions in several characteristic features: the pain often appears suddenly and without an identifiable trigger, is typically more intense at night and radiates into the upper arm. Unlike in impingement syndrome, the symptoms are very severe in phases but can then disappear completely. The definitive distinction is made by imaging, in particular ultrasound and X-ray, which make the characteristic calcium deposits visible. A specialist examination is essential for a reliable differential diagnosis.<\/p>\n<\/div><\/div><\/div><\/section>\n<\/div><\/p><\/div>\n<br \/>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_16'  class='avia-section av-0o3r2luz-7027fd5921b200ddeef07332180a2ac1 main_color avia-section-default avia-no-border-styling  avia-builder-el-80  el_after_av_section  avia-builder-el-last  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-14724'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-v3lvt6ht-64e661885dfec655f4ea789aec2e0d3a av_three_fifth  avia-builder-el-81  el_before_av_two_fifth  avia-builder-el-first  first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-a8fkagwm-5c6dd29c731f6554ce7c65bd93148833\">\n#top .av-special-heading.av-a8fkagwm-5c6dd29c731f6554ce7c65bd93148833{\npadding-bottom:28px;\n}\nbody .av-special-heading.av-a8fkagwm-5c6dd29c731f6554ce7c65bd93148833 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-a8fkagwm-5c6dd29c731f6554ce7c65bd93148833 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"conclusion-modern-orthopaedics-relies-on-gent\"  class='av-special-heading av-a8fkagwm-5c6dd29c731f6554ce7c65bd93148833 av-special-heading-h2 blockquote modern-quote  avia-builder-el-82  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Conclusion \u2013 modern orthopaedics relies on gentle methods<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-vg1w9ebc-a5bc805c8ef0208dcb4bf8ded6357310 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Calcific shoulder treatment without surgery<\/strong> is a proven therapeutic approach: in most cases a calcific shoulder can be treated in a targeted way and without surgery. A precise diagnosis, phase-appropriate treatment and a little patience are what matter.<\/p>\n<p><strong>Shock wave therapy<\/strong> is a central component. It can relieve pain, improve function and be an alternative to surgery for many patients. Complemented by individually tailored physiotherapy and supportive measures as needed, the result is a treatment plan that fits your situation.<\/p>\n<p>Modern orthopaedics respects the body\u2019s natural healing processes and supports them optimally rather than disturbing them with invasive procedures. <strong>Patience and trust<\/strong> in the body\u2019s self-healing powers, combined with the possibilities of modern medicine, lead to the best result for our patients. We take the time for thorough information and advice, because only a well-informed patient can actively contribute to their recovery.<\/p>\n<p><strong>Our conclusion<\/strong>: Early orthopaedic advice and consistent conservative treatment are the keys to successful therapy. Do not hesitate to see a specialist if you have shoulder pain \u2013 the sooner treatment begins, the sooner you can return to a pain-free, mobile everyday life. At the Orthopaedic Center Munich East we are at your side with modern diagnostics and gentle treatment methods.<\/p>\n<\/div><\/section><\/p><\/div>\n<div  class='flex_column av-axbak4um-21558f00bcfcbfb5b056eb73c500d065 av_two_fifth  avia-builder-el-84  el_after_av_three_fifth  avia-builder-el-last  flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-uq8pwdmz-2f02057458094e9a1f7bd86712e5f179\">\n.avia-image-container.av-uq8pwdmz-2f02057458094e9a1f7bd86712e5f179 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-uq8pwdmz-2f02057458094e9a1f7bd86712e5f179 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-uq8pwdmz-2f02057458094e9a1f7bd86712e5f179 av-styling- avia-align-center  avia-builder-el-85  avia-builder-el-no-sibling '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-14734 avia-img-lazy-loading-not-14734 avia_image ' src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/10-kalkschulter-fazit-schmerzfrei-alltag.jpg\" alt='Frau stellt mit erhobenen Armen ein Glas in ein hohes K\u00fcchenregal' title='Frau stellt mit erhobenen Armen ein Glas in ein hohes K\u00fcchenregal'  height=\"768\" width=\"1376\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/10-kalkschulter-fazit-schmerzfrei-alltag.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/10-kalkschulter-fazit-schmerzfrei-alltag-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/10-kalkschulter-fazit-schmerzfrei-alltag-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/10-kalkschulter-fazit-schmerzfrei-alltag-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/10\/10-kalkschulter-fazit-schmerzfrei-alltag-705x393.jpg 705w\" sizes=\"(max-width: 1376px) 100vw, 1376px\" \/><\/div><\/div><\/div><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":8,"featured_media":14621,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_wbai_post_ai":"","footnotes":""},"categories":[64],"tags":[],"class_list":["post-14724","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-information"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Calcific Shoulder: Treatment Without Surgery \u25b7 OZMO<\/title>\n<meta name=\"description\" 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