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Calcific Tendinitis of the Shoulder

Calcium deposits in the rotator cuff tendons

Calcific tendinitis is severe shoulder pain caused by calcium-deposit buildup within the rotator cuff tendons, often mistaken for impingement or a rotator cuff tear. Same-day or next-day evaluations across eight LA-area offices.

Los Angeles orthopedic specialist evaluating a patient for calcific tendinitis of the shoulder. LAOSS board-certified care across eight LA offices

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Board-certified surgeons and podiatrists across eight Los Angeles area neighborhoods.

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Common shoulder & elbow concerns we treat

  • Pain that limits walking, lifting, or sleep
  • Stiffness, swelling, or reduced range of motion
  • Sports injuries: acute or overuse
  • Arthritis or post-traumatic joint changes
  • Conditions other doctors couldn't resolve

What sets LAOSS apart

  • Same- or next-day appointments at eight Los Angeles-area offices
  • On-site imaging; PT coordinated with your in-network provider
  • Conservative-first care, surgery only when needed
  • Board-certified specialists, not generalists

Key takeaways

  • Calcific tendinitis of the shoulder is one of many shoulder & elbow conditions our specialists evaluate every day.
  • Most patients improve without surgery: anti-inflammatory medication, physical therapy, and injections ease the pain, and many deposits are reabsorbed over time.
  • When a procedure is the right call, we explain every option, recovery timeline, and return-to-activity milestone.
  • On-site imaging at most offices and same-day appointments across eight Los Angeles-area locations.

What is calcific tendinitis of the shoulder?

Calcific tendinitis is severe shoulder pain caused by calcium-deposit buildup within the rotator cuff tendons, often mistaken for impingement or a rotator cuff tear. Pain can build gradually or flare suddenly and severely, usually without any injury, often as the body starts to reabsorb the deposit.

Most patients with calcific tendinitis of the shoulder improve with conservative care: anti-inflammatory medication, physical therapy, and a steroid injection during a severe flare. Many deposits are reabsorbed by the body over time. When pain persists, options include ultrasound-guided needling and lavage of the deposit and arthroscopic removal.

Below, we walk through the anatomy involved, the symptoms and causes we most often see, how we diagnose calcific tendinitis of the shoulder, and the full range of treatment options, from the simplest to the most involved.

Watch: Calcific Tendinitis of the Shoulder (Degenerative Calcification)

This painful condition occurs when calcium deposits form in tendons of the rotator cuff. These tendons and surrounding tissues in the shoulder become inflamed. This condition typically affects adults.

Animations licensed from ViewMedica · Swarm Interactive
Anatomical illustration of the shoulder and elbow showing the rotator cuff, glenoid, humerus, and ulna
Anatomy of the shoulder & elbow: rotator cuff, glenoid, humerus, ulna, and radius.

Inside the shoulder & elbow.

The shoulder is the most mobile joint in the body, which makes it vulnerable to instability and impingement. The elbow is a hinge that lets you reach, lift, and rotate the forearm. Both rely on tendons and ligaments that can tear or fray over time.

Symptoms and causes of calcific tendinitis of the shoulder

Common symptoms

  • Sudden severe shoulder pain, often at night
  • Pain reaching overhead or behind the back
  • Difficulty sleeping on the affected side
  • Stiffness and limited range of motion

Common causes

  • Idiopathic: true cause not fully known
  • More common in women aged 30 to 60
  • Diabetes or thyroid disease
  • Repetitive overhead use

How we diagnose calcific tendinitis of the shoulder

You want answers, fast, and we're built to give them. Most patients leave their first LAOSS visit with a clear diagnosis and a written plan, not another referral chain.

Here's what your initial visit for calcific tendinitis of the shoulder typically looks like:

  • Detailed history: when it started, what makes it better or worse, what you've already tried
  • Focused exam of the shoulder & elbow: range of motion, stability, strength, specific provocation tests
  • On-site imaging at most offices: X-ray for bone, ultrasound or MRI when soft-tissue detail is needed
  • A written plan with options ranging from conservative care to surgical procedures, in plain English

Schedule your evaluation at the LAOSS office nearest you.

How we treat calcific tendinitis of the shoulder at LAOSS

Once we've confirmed the diagnosis, the next step is matching the right treatment to your situation. We start with the least-invasive option that fits, and escalate only when it doesn't.

Conservative care
Step 1

Conservative care first

Non-surgical options designed to relieve pain, restore movement, and avoid the OR when possible.

  • Rest from painful overhead activity, with ice or heat for comfort
  • Anti-inflammatory medication (NSAIDs) during painful flares
  • Physical therapy to keep the shoulder moving and strengthen the rotator cuff
  • Corticosteroid injection into the space above the rotator cuff for severe pain
  • Ultrasound-guided needling and lavage (barbotage) to break up and wash out the deposit
Surgical care
When needed

Surgical options when needed

Minimally invasive and reconstructive procedures performed by board-certified orthopedic surgeons.

  • Arthroscopic removal of the calcium deposit
  • Repair of the rotator cuff tendon if removing the deposit leaves a significant gap
  • Bursectomy or subacromial decompression in selected cases
  • Physical therapy after surgery to restore motion and strength

Why experience matters.

Why experience matters

Shoulder & elbow care is highly technique-dependent. Volume, training, and judgment together determine the outcome you actually feel six months later.

  • Precise diagnosis from imaging and exam
  • Conservative-first care that avoids unnecessary surgery
  • Surgical technique refined over thousands of cases
  • On-site imaging + coordinated PT through your in-network provider

The LAOSS approach

Our shoulder & elbow specialists move stepwise: start with the least-invasive option that fits your situation, escalate only when it doesn't.

  • Same-day imaging at most offices
  • PT coordinated in your insurance network
  • Board-certified surgeons performing the procedures themselves
  • Direct access to your specialist between visits

Am I a candidate?

If most of these match your situation, an evaluation with a shoulder & elbow specialist is the next step.

You may be

You may be a candidate if

These signs typically point toward an in-person evaluation with a shoulder & elbow specialist.

  • Pain or stiffness in the shoulder & elbow that lasts more than a few days
  • Swelling, instability, or noticeable change in function
  • Symptoms that limit walking, lifting, sleep, or work
  • Previous treatment that didn't fully resolve the problem
  • Imaging or exam findings that suggest an underlying issue
Evaluation

What evaluation includes

Your first visit is built to give you an answer the same day, not just another referral.

  • Detailed history: onset, mechanism, what makes it better or worse
  • Hands-on exam focused on the affected joint or region
  • On-site imaging at most offices (X-ray, ultrasound)
  • Clear plan with options ranging from conservative to surgical
  • Same-day or next-day scheduling for any follow-up tests

ImportantSeek urgent evaluation for sudden severe pain, numbness, progressive weakness, or any sign of infection (fever, increasing redness or swelling).

Your shoulder & elbow recovery roadmap.

Recovery is rarely a straight line, but a clear plan with measurable milestones makes the path predictable.

  1. Days 0 to 14

    Right after care

    In the first two weeks we focus on protecting the shoulder & elbow, calming inflammation, and restoring basic motion.

    • Activity modification with clear do/don't guidance
    • Ice and pain control as needed
    • Gentle range-of-motion within safe limits
    • Follow-up scheduled to track healing
  2. Weeks 2 to 8

    Rehabilitation

    Targeted physical therapy rebuilds strength, mobility, and confidence in the shoulder & elbow.

    • Progressive strengthening and neuromuscular work
    • Manual therapy and soft-tissue treatment
    • Sport- or job-specific movement re-training
    • Coordinated PT through your in-network provider
  3. Months 2+

    Long-term care

    Once function is restored, the focus shifts to keeping you there, and catching any recurrence early.

    • Return-to-activity plan with measured benchmarks
    • Home program tailored to your sport or job
    • Maintenance visits or imaging if symptoms change
    • Direct line back to your specialist if needed
Risks & considerations

What to weigh before you decide.

We talk through the risks and benefits with every patient. Informed consent is a conversation, not a form.

General

General considerations

Every orthopedic intervention carries a small set of standard risks. We screen, prepare, and monitor for these on every patient.

  • Infection (rare with modern technique and prophylaxis)
  • Bleeding or bruising at the treatment site
  • Reaction to anesthesia or medications
  • Need for additional procedures in some cases
Specific

Shoulder and elbow considerations

Some risks are tied to the structures we're treating in the shoulder & elbow. We discuss these in detail at your visit so you can weigh them against the benefits.

  • Temporary stiffness or weakness during recovery
  • Incomplete pain relief in a small percentage of cases
  • Nerve or vessel irritation near the treatment area
  • Need for follow-up therapy to fully restore function

Meet our shoulder & elbow doctors in the Greater Los Angeles area

At LAOSS, our shoulder & elbow specialists are board-certified and treat these problems every day. From minimally invasive arthroscopic techniques to joint replacement and arthritis management, our physicians bring decades of experience to every case. We have cared for Los Angeles patients since 2007, with one goal for each: less pain, better movement, and a return to the activities you love.

Meet your shoulder & elbow specialists.

View all providers
Compare up to 34 providers
  • Accepting new patients

    Sevag Bastian, MD

    Sports Medicine · Shoulder & Elbow

    • Glendale
  • Accepting new patients

    Daniel Acevedo, MD

    Shoulder & Elbow Surgeon

    Speaks English and Spanish

    Habla español

    • Encino
    • Thousand Oaks
  • Accepting new patients

    Matthew Longacre, MD

    Sports Medicine · Knee

    • Glendale
    • Encino
    • Valencia
    • +1 more
  • Accepting new patients

    Hayk Stepanyan, MD

    Total Joint & Sports Medicine

    • Glendale
    • Santa Fe Springs
    • East Los Angeles

Care for calcific tendinitis of the shoulder starts here

Don't let calcific tendinitis of the shoulder be something you just power through. With same- or next-day appointments at multiple Los Angeles locations, you'll never wait weeks or months for answers. The same team handles your diagnosis, treatment, and recovery. Whether you need physical therapy, injections, or surgery, we plan it with you and coordinate each step.

Call or schedule online today to see a shoulder & elbow specialist in Los Angeles.

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Jump to a nearby condition page and compare treatment paths across the body.

Common calcific tendinitis questions

  • We start with a focused orthopedic exam and detailed history. X-rays are usually done in-office; MRI or ultrasound is ordered when soft-tissue detail is needed. Most patients leave the first visit with a clear diagnosis and a written plan.

Don't wait on pain.

Book a visit with a shoulder & elbow specialist at any of our eight Los Angeles-area offices.

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21 specialists · 8 offices
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