Dr Jonas Fernandez is an Orthopaedic Surgeon at Putrajaya Hospital . He is also a member of the Malaysian Arthroscopy Society ( MAS ).

That said , the reality of it can be quite different . Being caught in a snowstorm is not an experience for the faint-hearted . I ’ ve had first-hand encounters , and it is not an experience enjoyed by any stretch of the imagination .

So , what does this blizzard weather forecast have to do with the shoulder ? Well , in reality , nothing much unless you have a little something called calcific tendinitis .

A little bit on what calcific tendinitis is first .

Calcific tendinitis of the shoulder is a condition that is often misunderstood despite its common occurrence . It can cause significant pain and discomfort . This condition is characterised by calcium deposits within the tendons of the rotator cuff , a group of muscles and tendons that provide stability and movement to the shoulder joint .

The exact cause of calcific tendinitis remains unclear , but several factors contribute to its development . As we age , parts of our body degenerate and the tendons in our shoulders can undergo wear and tear , which may make them more susceptible to calcification .

Furthermore , repeated shoulder movements or injuries can trigger the formation of calcium deposits . Certain medical conditions like diabetes can increase the likelihood of developing calcific tendinitis .

CONSERVATIVE TREATMENT

There may also be a hereditary component , as some individuals are more prone to tendon calcification .

Calcific tendinitis often starts with sudden and intense shoulder pain , particularly at night . This pain can make everyday activities challenging due to shoulder stiffness .

In some cases , inflammation can cause noticeable swelling . Diagnosis usually involves a combination of clinical examination and imaging studies . X-rays are beneficial as they can clearly show calcium deposits within the tendons . Ultrasound and MRI may also be used to assess the extent of tendon involvement and to rule out other conditions .

Treatment for calcific tendinitis is designed to reduce pain , improve shoulder function , and dissolve the calcium deposits . The good news is that most of these conditions can be effectively treated conservatively with rest and activity modification , which

includes avoiding activities that exacerbate the pain .

Anti-inflammatory medications can help reduce pain and inflammation . In addition , physical therapy can alleviate pain , improve range of motion , and strengthen the shoulder muscles .

If none of the above works , the final option is surgery . The procedure would remove these calcium deposits while also treating any other injuries or defects that may be present .

The procedure is done arthroscopically . It means a camera inserted through keyhole incisions of the skin .

PREVENTING CALCIFIC TENDINITIS

This is the part where I liken the shoulder to a snow globe . The joint acts like a glass of the snow globe , and there ’ s fluid within the joint , too . These calcium deposits sit nestled within the tendon of the rotator cuff .

To remove them , your surgeon will displace them and send them floating around the joint . Viewed through the arthroscope camera , it has uncanny similarities to how a snow globe would appear once shaken .

These deposits are then cleaned up , and the cuff tissue is repaired if necessary .

Preventing calcific tendinitis involves maintaining good shoulder health . Regular exercise , proper ergonomics , and avoiding repetitive shoulder movements can help .

For those with metabolic disorders , managing the underlying condition is crucial . However , the prognosis for calcific tendinitis is generally good , especially with early treatment . It underscores the importance of being proactive in managing your health .

Most individuals experience significant relief with conservative measures , though some may require more invasive treatments .

Should your condition not improve with conservative treatment , your friendly neighbourhood surgeon will always be on hand to help you weather the snowstorm . – The HEALTH