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Shoulder Impingement and Medical Diagnosis- Update Calcific Tendinitis

Posted on 10/1/20 at 7:56 am
Posted by McVick
Member since Jan 2011
4466 posts
Posted on 10/1/20 at 7:56 am
Is is worth it to seek a medical diagnosis if I believe I suffer from shoulder impingement? I've had ROM pain in my right shoulder for years, maybe a decade. I don't lift but even something like push-ups causes aggravation. I can throw a baseball but not really from a wind-up, more of a modified above-the-ear motion.

Should I go see an orthopedist, or skip straight to PT?
This post was edited on 10/27/20 at 1:14 pm
Posted by LSUPERMAN
Louisiana
Member since Aug 2007
2468 posts
Posted on 10/1/20 at 8:51 am to
quote:

Is is worth it to seek a medical diagnosis if I believe I suffer from shoulder impingement?


Yes. You will get an x-ray then they will recommend PT. If PT doesn't help, you will probably get an MRI to see the extent of the damage. Those impingements are the worst!
Posted by LoveThatMoney
Who knows where?
Member since Jan 2008
12268 posts
Posted on 10/1/20 at 2:33 pm to
I would go to the orthopedist and see what they say. Might be bursitis or something else as well. I had some sort of impingement for a month or two, went to the ortho, they wanted an mri of my neck but only if the steroids they gave me didn’t help. They helped and I’m in no pain. Had been radiating tingling numbness to my fingertips kinda like sciatica. So who knows? The x ray might reveal something or be inconclusive. An MRI is really the only way you’ll probably know much about the structure of the shoulder. Nevertheless they might help with a scrip and referral to PT which will hopefully help. But if it’s bugging you, go see the guys who will actually look at your shoulder structure first to determine what’s wrong and then go to PT to help fix the structure if that’s what will help.

Frankly, the cheapest way may simply to have your PCP refer you to a place to get an MRI on the shoulder so you don’t have to pay for x rays and multiple specialist visits.
Posted by h0ll@yaboy
Baton Rouge
Member since May 2013
129 posts
Posted on 10/1/20 at 8:47 pm to
Go to a PT, not a chiro. They can diagnose your impingement without expensive scans
Posted by Alltheway Tigers!
Baton Rouge
Member since Jan 2004
7122 posts
Posted on 10/5/20 at 9:06 pm to

Left shoulder was orthopedist fo X-rays to confirm what it was not and then 6-8 weeks PT. Did the trick.

Right shoulder was orthopedist for X-rays. PT for this should has been more intense. Serious PT work, dry needling and exercise/therapy. Massage therapist did wonders with some rather intense massage. Still a work in progress.

Difference between the two shoulder is I waited nearly a year to get help on right shoulder vs 4 months for left. Delaying treatment on right shoulder appears to have made rehab longer.
Posted by LSUfan20005
Member since Sep 2012
8807 posts
Posted on 10/6/20 at 7:15 am to
Do you use a mouse a lot?
Posted by Make It Rayne
Rayne
Member since Sep 2009
2022 posts
Posted on 10/6/20 at 7:59 am to
I’m in the same boat. Have impingement left shoulder. Tendonitis right shoulder. It’s been 8 months of chronic pain. Worried that the PT I’m doing may not be enough and I’ll have to get an MRI.
Posted by Yewkindewit
Near Birmingham, Alabama
Member since Apr 2012
20013 posts
Posted on 10/6/20 at 8:32 am to
I had impingement in the right shoulder while playing senior league baseball. After a 3” long needle with a corto-steroid found the bursa sac And relieved the pain, I immediately started a series of 17 exercises. Following about a month of daily exercises, I was good to throw again.
Posted by McVick
Member since Jan 2011
4466 posts
Posted on 10/13/20 at 5:50 pm to
*Update*

I went to an orthopedic today. They took some x-rays and am waiting to be scheduled for a MRI appointment. Doc believes I'm suffering from calcific tendinitis.

quote:

Do you use a mouse a lot?

Yes. THe majority of my work is at a desk using a computer.
Posted by AgentUtah
Member since Jul 2011
1798 posts
Posted on 10/16/20 at 9:48 pm to
Something wrong with your SIS? Well shite bro, just put some tin foil on it.
Posted by McVick
Member since Jan 2011
4466 posts
Posted on 10/27/20 at 1:02 pm to
Final update for a while. Had an MRI done on Saturday for my right shoulder, orthopedic doctor visit today. The MRI + X-ray show what he suspected, calcific tendonitis. It's not big and didn't show signs of a year in the tendon, and no decrease in arm strength. No PT referral, no cortisone shot. The plan now is to follow up in a year or so to see if the calcific deposit grows. He said eventually I'll need to have surgery but hopefully before a tear occurs.

I'm happy it's not anything serious but also bummed that the pain will just exist until the calcific deposit is removed.
Posted by gsadle5
Member since Sep 2007
260 posts
Posted on 10/27/20 at 1:58 pm to
There is always the option of an injection in the interim if the pain worsens to help with pain relief.
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