Non-surgical treatment options may include a combination of the following treatment approaches:
- Activity modification: Avoid activities that cause shoulder pain.
- Nonsteroidal anti-inflammatory medication: Medications like ibuprofen and naproxen reduce pain and swelling.
- Strengthening exercises and Physical Therapy: Rotator cuff specific exercises can restore movement and strengthen your shoulder.
- Cortisone injection: Cortisone is an anti-inflammatory medicine that acts rapidly, effectively, and avoids side effects to other parts of your body.
Continued pain and compromised function is the main indication for surgery, others include:
- Your symptoms have lasted several months
- You have a large tear and the quality of the surrounding tissue is good
- You have significant weakness and loss of function in your shoulder
- Your tear was caused by a recent, acute injury
Surgery to repair a torn rotator cuff most often involves re-attaching the tendon to its normal bone attachment site.
The treatment of calcific tendinitis is similar to that of rotator cuff injuries.
- anti-inflammatory medication
- physical therapy
- a cortisone injection, depending on need
Some patients fail to respond to the non-operative treatment and symptoms continue. For these patients Dr. Alkhatib recommends arthroscopic removal of the calcium, and possible repair of the rotator cuff.
Surgery for removal of the calcium has a high success rate and patients have great satisfaction with their pain relief restored motion function and ability to get back to the things they like doing.