Calcific bursitis

An overview of calcific bursitis, its causes, symptoms, and treatment

Calcific Bursitis

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X-ray image showing calcific bursitis in the shoulder

Calcific bursitis is a condition characterized by the accumulation of calcium deposits in the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues. This condition can lead to pain, inflammation, and restricted movement in the affected area.

Pathophysiology

The development of calcific bursitis involves the deposition of calcium hydroxyapatite crystals within the bursa. This process is not entirely understood, but it is believed to be related to chronic inflammation or repetitive trauma. The presence of these crystals can trigger an inflammatory response, leading to the symptoms associated with the condition.

Common Sites

Calcific bursitis most commonly affects the shoulder, particularly the subacromial bursa. However, it can also occur in other areas such as the hip, elbow, and knee.

Symptoms

The primary symptoms of calcific bursitis include:

• Pain in the affected area, which may be severe and worsen with movement.
• Swelling and tenderness over the bursa.
• Limited range of motion in the joint.
• Occasionally, redness and warmth over the affected area.

Diagnosis

Diagnosis of calcific bursitis is typically made through a combination of clinical examination and imaging studies. X-ray imaging is particularly useful in identifying calcium deposits within the bursa. In some cases, ultrasound or MRI may be used to assess the extent of inflammation and rule out other conditions.

Treatment

Treatment for calcific bursitis aims to reduce pain and inflammation, as well as to remove or reduce the calcium deposits. Common treatment options include:

• Rest and avoidance of activities that exacerbate symptoms.
• Application of ice packs to reduce swelling.
• Nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and inflammation.
• Physical therapy to improve range of motion and strengthen surrounding muscles.
• Corticosteroid injections to reduce inflammation.
• In some cases, procedures such as needle aspiration or surgical removal of the calcium deposits may be necessary.

Prognosis

With appropriate treatment, most individuals with calcific bursitis experience significant improvement in symptoms. However, recurrence is possible, and ongoing management may be required to prevent future episodes.

Related pages

• Bursitis
• Tendinitis
• Shoulder pain
• Orthopedic surgery