What are the non-operative treatments for calcific tendonitis?

Most cases of calcific tendonitis resolve on its own over time.

Rest, medication (eg non-steroidal anti-inflammatory drugs) and physical therapy can usually treat mild cases of calcific tendonitis. Medications can help reduce swelling or inflammation in the shoulder joint, thereby reducing pain. Physical therapy involves doing gentle exercises to relieve any discomfort and help regain a full range of motion.

Another method would be injecting the area with corticosteroid and local anaesthetic, ideally, under image (X-ray or ultrasound) control. Sometimes this is helpful in reducing the pain and swelling. The effects are temporary, however, can offer relief for several months.

If pain persists, the most effective way of removing the pain is to remove the calcific material. This can be done using shockwave therapy or trephination.