How long does physiotherapy take to work for calcific tendinitis?

Calcific tendinitis involves calcium material within a shoulder tendon. Pain and stiffness can change as the deposit irritates nearby tissue, and a very painful phase may limit which exercises are suitable. Physiotherapy can work on comfortable movement, shoulder-blade control, and gradual strength while the tendon settles. It may improve function without removing the deposit itself.

Improvement is better judged by reaching, dressing, sleeping, and using the arm than by expecting every scan finding to change quickly. Some people need medical review if pain remains severe or movement stays limited.

Follow the exercise progression rather than forcing a painful range. Keep gentle shoulder movement within tolerance, use the activity modifications your therapist gives you, and avoid repeated overhead loading during a flare. Tell the therapist whether pain lingers after exercise or interrupts sleep; that information helps set the next level of loading. A doctor may discuss other options when pain prevents rehabilitation.

Seek prompt assessment for sudden major loss of shoulder movement, fever with a hot or swollen shoulder, new weakness after an injury, or pain that is rapidly escalating. Arrange a review when severe night pain persists, daily activities remain limited, or the shoulder is not responding to the agreed programme. Another shoulder condition may need consideration.

Ask whether your symptoms fit the painful, settling, or recovery phase; which exercises are appropriate now; how to modify overhead activity; and when a review or additional treatment should be considered.