Calcific Tendonitis

Referrals for USS guided steroid injections to RCHT Clinical Imaging have restarted.  Please note there is limited capacity so referrals should be reserved for patients with significant disabling and persistent symptoms.  Please click here for full details

Covid-19 Update: Corticosteroid Injections During The Coronavirus Pandemic 

Please note that any patients considering steroid injections during the Coronavirus pandemic require a risk assessment and counselling on increased risks with Covid prior to performing.  Secondary care referrals for steroid injection, including image guided injections, require the patient to be counselled and risk assessed prior to referral and this documented in the referral.  Please see guidance available here for detailed information.

A self-limiting condition which often resolves spontaneously or with conservative management

-       It may cause intense pain when acutely inflamed.

-       It may be associated with impingement (LINK impingement)

Primary care management

·         Analgesia

·         Advice to avoid aggravating exercise

·         Steroid injection into subacromial space – trial of 2 injections

 

Consider referral to the MSK Interface service if:

·         Diagnostic uncertainty

·         Conservative measures have failed.

·         US-guided barbotage by the radiology department can be arranged by the MSK interface clinic (Route preferred by radiology department)

·         Please include a copy of a recent shoulder XRAY report with the referral

 

Surgery may be beneficial if symptoms are persistent or severe despite the measures listed above. 

 

Date reviewed                     11/03/2022

Next review due                  11/03/2023

Sifter name                          Dr Rebecca Hopkins

 

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