The main tendonitis symptoms are mainly shooting pains (for example, in case of movement). As the inflammation occurs, other signs of inflammation may be present as redness, increased temperature and volume at the site of inflammation of the tendon. These are typical tendonitis symptoms.
At the stage of the formation of the calcium deposits, the patient usually feels nothing. As the deposit becomes larger, problems of impingement may occur such as the thickened tendon may be in conflict with the bony roof top of the shoulder. When it has reached the calcified stage, the patient experiences discomfort during certain activities, but pain can also occur at night, when he sleeps on the shoulder. So, other tendonitis symptoms are discomfort and pain. Most often, it is a question of pain in the side of the upper arm.
During the period of spontaneous reabsorption of the deposit, the increased pressure in the tendon is causing a period of intense pain, this being one of the worst tendonitis symptoms.
At the time when the deposit calcium is released into the bursa between the tendon and the roof of the shoulder, the patient may experience a very painful hyperacute phase. Simplistically, we can say that if the pain is intense, it will be of short duration. For years, the patient may be routinely confronted with the phases of moderate pain if he does too much activity in maintaining his arms over the head, which can cause another tendonitis symptom, the irritation. If, however, calcium is released suddenly, a burst of pain may prevent the patient to use his shoulder. It is often the “beginning of healing.” The tendonitis symptoms also depend very much on the stage of calcification.
On physical examination, your doctor will often find a painful moment during the uprising active arm (painful arc). Often, the rhythm between the normal mobility of the scapula and the thoracic cage height and movement between the shoulder blade and upper arm is disrupted. The force required to lift the arms is often diminished by the pain you feel at this time. If tendonitis symptoms persist, the muscle responsible for this movement may weakness or atrophy. During the acute phase or the acute phase of reabsorption, the upper arm can be very painful even to touch.
The shoulder has a kind of paralysis including pain (pseudo-paralysis) due to severe inflammation of the bursa under the roof of the shoulder. Such acute bursitis often pushes the patient to go to the doctor or to the emergency room. The traditional radiology and ultrasound examinations are the best basis for this disease. Radiology can make a kind of classification of this calcification and is especially useful in predicting the outcome (the prognosis).
In general, we can say that the denser are the calcifications, consistent and well defined, the less they tend to heal on their own. The better they are defined, the more it is a pasty deposit, like toothpaste, likely to the crystals of calcium. As calcifications vaguer, absorption is in progress, or it is already in hard deposits, such as limestone, which are hard to remove. Comparative radiographs may show the evolution of the calcium deposit. The echography is certainly a good diagnostic tool, especially if acute tendonitis. In contrast, ultrasound has a lower prognostic value.