What should I do about calcific tendinitis?

Written by Su Zhen Bo
Orthopedics
Updated on February 06, 2025
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In cases of calcific tendinitis, which is a relatively severe form of tendinitis, conservative treatment should initially be considered. It is important to reduce repeated external forces on the tendon area, ensure the area is kept warm, and treatments like small needle-knife loosening, orthopedic herbal fumigation soaking, or combined with physical therapy and electric heating can be used to soften the calcified tendon tissue, which can alleviate clinical symptoms. If the condition does not improve after conservative treatment, or if it recurs, surgical intervention may be considered as the next step. This could involve tendon release surgery or sheathectomy. Early joint movement is necessary after the surgery to avoid joint adhesion.

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Written by Na Hong Wei
Orthopedics
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Can tendinitis be treated with a cortisone injection?

Can a cortisone injection be used for tendinitis? From a clinical perspective, for tendinitis, other conservative treatments such as physical therapy, massage, and oral medications can be used. When treatments like phototherapy are ineffective or not yielding results, a cortisone injection is certainly an option. As long as it is accurately targeted, the results of a cortisone injection are very satisfactory. In some cases of tendinitis, a cortisone injection can even achieve a curative effect. Thus, after tendinitis, a cortisone injection can definitely be used for treatment.

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Written by Li Jie
Orthopedics
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Can tendinitis be treated with acupuncture?

The occurrence of tendinitis is mostly due to local overuse and trauma, which causes local stagnation of qi and blood, and blockage of the meridians. As a result, there may be adhesion and pain in the tendons. Acupuncture is particularly effective in dredging meridians, activating blood circulation, and relieving pain quickly. Therefore, acupuncture can be very effective for tendinitis. We can perform acupuncture treatment by needling the painful area and selecting points along the meridian. Generally, the effects of acupuncture are favorable. If combined with other conservative treatment methods, it can produce significant results.

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Written by Lv Yao
Orthopedics
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What should be paid attention to with tendinitis?

When tendonitis occurs, the first thing to do is to rest and avoid excessive bending and extending of the tendon. Tendonitis is a sterile, chronic inflammation of the tendon due to overuse, which can lead to pain and impaired movement. It is important to avoid excessive bending and loading activities, and some physical therapy, hot compresses, and the topical application of non-steroidal anti-inflammatory drugs can be used for symptomatic treatment.

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Written by Na Hong Wei
Orthopedics
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How to treat tendinitis?

If it is an acute onset of tendinitis, urgent treatment is recommended. This involves the use of RICE therapy, which is the internationally renowned "rice therapy," including four points: rest, ice, compression, and elevation of the affected limb. Secondly, you can take some non-steroidal anti-inflammatory drugs to reduce inflammation and pain. Thirdly, consider undergoing physical therapy, mainly including heat therapy, shockwave therapy, and microwave therapy, aimed at improving blood circulation and promoting healing. If the pain is particularly severe, you might also consider block therapy, but try to avoid it as it could potentially damage the tendon. Fifth, rehabilitation therapy can be conducted, which should be performed under the guidance of a physiotherapist and rehabilitation therapist. Thus, conservative treatment for tendinitis includes these methods. If some patients, especially those for whom conservative treatment is ineffective or even worsens symptoms, consider surgical treatment. However, surgical treatment should be strictly reserved for appropriate cases because it involves significant pain, potential complications, and a longer recovery time.

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Written by Na Hong Wei
Orthopedics
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How to treat tendinitis?

Treatment of tendonitis is divided into four types. The first is conventional treatment, which involves following the RICE principle during the acute phase. The second is medication, which includes the use of non-steroidal drugs and the option of local injections, but repetitive injections are not recommended as they can lead to tendon rupture, such as the rupture of the Achilles tendon often caused by such treatment. The third approach is for patients with chronic conditions where the affected area has developed adhesions and conservative treatment is ineffective. In such cases, surgical treatment should be considered, though the drawbacks include significant trauma, pain, and a long recovery period. The fourth method involves physical therapy, including heat therapy, ultrasound treatment, and microwave treatment. Thus, the basic treatments for tendonitis encompass these four approaches.