When is physiotherapy recommended for calcific tendinitis?

Calcific tendinitis, also called calcific tendinopathy, involves calcium deposits within a shoulder tendon. It can cause pain, restricted elevation and difficulty lying on the affected side. Symptoms may change during different phases, so an examination helps determine how much movement and resistance the shoulder can tolerate. Physiotherapy focuses on restoring motion, coordinating the shoulder blade and gradually improving strength; it does not guarantee removal of a deposit.

The therapist may start with supported or gentle shoulder movements, posture and shoulder-blade control, then add resistance as irritability decreases. Use the arm for light tasks within a comfortable range, avoid repeated forceful overhead work during a flare, and do not push through sharp pain. If your clinician recommends another treatment for the deposit, physiotherapy may help maintain movement before or after that care.

Arrange review if pain is severe, movement suddenly deteriorates, or sleep and dressing become difficult. Seek urgent assessment after an injury that causes a sudden pop, visible deformity or abrupt weakness. Return to the clinician if symptoms remain unchanged or worsen during a supervised programme, because another shoulder condition may need consideration.

Ask which shoulder movements are safe now, whether the deposit needs separate treatment, how to judge a flare, and how progress will be measured during rehabilitation.