ICD-10: M65.2

Calcific tendinitis, classified under ICD-10 code M65.2, is a condition characterized by the deposition of calcium salts in the tendons, leading to inflammation and pain. This condition primarily affects the shoulder but can occur in other areas as well. Below are alternative names and related terms associated with calcific tendinitis.

Alternative Names for Calcific Tendinitis

1. Calcific Tendinopathy: This term emphasizes the degenerative aspect of the condition, highlighting the tendon’s pathology due to calcium deposits.

2. Calcific Shoulder Tendinitis: Often used when the condition specifically affects the shoulder tendons, particularly the rotator cuff.

3. Tendinitis Calcarea: A term derived from Latin, commonly used in medical literature to describe the same condition.

4. Calcium Deposits in Tendons: A descriptive term that refers to the accumulation of calcium in the tendon tissue.

5. Shoulder Calcific Tendinitis: Specifically refers to calcific tendinitis occurring in the shoulder region.

Related Terms

1. Tendinitis: A general term for inflammation of a tendon, which can occur in various forms, including calcific tendinitis.

2. Tendinopathy: A broader term that encompasses various tendon disorders, including tendinitis and degenerative changes.

3. Rotator Cuff Disease: While not synonymous, calcific tendinitis can be a component of rotator cuff disorders, particularly in the shoulder.

4. Subacromial Impingement Syndrome: This condition can be associated with calcific tendinitis of the shoulder, where the calcium deposits lead to impingement of the rotator cuff tendons.

5. Bursitis: Inflammation of the bursa, which can occur alongside calcific tendinitis, especially in the shoulder.

6. Synovitis: Inflammation of the synovial membrane, which may accompany tendinitis conditions, including calcific tendinitis.

Conclusion

Understanding the alternative names and related terms for calcific tendinitis (ICD-10 code M65.2) is essential for accurate diagnosis and treatment. These terms reflect the condition's nature and its implications for tendon health. If you have further questions or need more specific information regarding treatment options or management strategies, feel free to ask!

Calcific tendinitis, classified under ICD-10 code M65.2, is a condition characterized by the deposition of calcium salts in the tendons, leading to inflammation and pain. This condition primarily affects the shoulder, but it can also occur in other areas such as the hip, knee, and wrist. Below is a detailed clinical description and relevant information regarding this condition.

Clinical Description

Definition

Calcific tendinitis is defined as the inflammation of a tendon due to the accumulation of calcium deposits. These deposits can cause significant pain and restrict movement in the affected joint. The condition is often associated with rotator cuff tendons in the shoulder, particularly the supraspinatus tendon.

Symptoms

Patients with calcific tendinitis typically present with:
- Localized Pain: Severe pain in the affected area, often worsening with movement.
- Swelling and Tenderness: The area around the tendon may be swollen and tender to touch.
- Limited Range of Motion: Patients may experience difficulty in moving the affected joint, particularly in overhead activities.
- Night Pain: Pain may worsen at night, disrupting sleep.

Etiology

The exact cause of calcific tendinitis is not fully understood, but several factors may contribute, including:
- Age: It is more common in individuals aged 30 to 60.
- Overuse: Repetitive overhead activities can lead to tendon degeneration and calcification.
- Metabolic Disorders: Conditions such as diabetes or thyroid disorders may increase the risk of developing calcific tendinitis.

Diagnosis

Clinical Examination

Diagnosis typically involves a thorough clinical examination, where the physician assesses the range of motion, tenderness, and swelling in the affected area.

Imaging Studies

• X-rays: These are often the first imaging modality used to identify calcium deposits in the tendon.
• Ultrasound: This can provide real-time images of the tendon and surrounding structures, helping to assess the extent of the condition.
• MRI: In some cases, MRI may be used to evaluate the soft tissue structures and rule out other conditions.

Treatment

Conservative Management

Initial treatment often involves conservative measures, including:
- Rest: Avoiding activities that exacerbate the pain.
- Ice Therapy: Applying ice to reduce swelling and pain.
- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Medications such as ibuprofen can help alleviate pain and inflammation.

Physical Therapy

Physical therapy may be recommended to improve range of motion and strengthen the surrounding muscles. Techniques may include stretching, strengthening exercises, and modalities such as ultrasound therapy.

Invasive Treatments

If conservative management fails, more invasive treatments may be considered:
- Corticosteroid Injections: These can provide temporary relief from inflammation and pain.
- Extracorporeal Shock Wave Therapy (ESWT): This non-invasive procedure uses shock waves to break down calcium deposits.
- Surgery: In severe cases, surgical intervention may be necessary to remove the calcium deposits and repair the tendon.

Prognosis

The prognosis for calcific tendinitis is generally favorable, with many patients experiencing significant improvement with appropriate treatment. However, some individuals may have recurrent symptoms or develop chronic pain.

Conclusion

Calcific tendinitis (ICD-10 code M65.2) is a painful condition resulting from calcium deposits in tendons, primarily affecting the shoulder. Early diagnosis and a combination of conservative and, if necessary, invasive treatments can lead to effective management and recovery. Understanding the clinical features, diagnostic methods, and treatment options is essential for healthcare providers to offer optimal care for patients suffering from this condition.

Calcific tendinitis, classified under ICD-10 code M65.2, is a condition characterized by the deposition of calcium salts in the tendons, most commonly affecting the shoulder, but it can also occur in other areas such as the elbow, hip, and knee. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this condition is crucial for accurate diagnosis and effective management.

Clinical Presentation

Common Locations

• Shoulder: The most frequently affected site, particularly the rotator cuff tendons.
• Other Joints: Can also occur in the elbow (M65.221), hip (M65.241), and knee (M65.261) among others[1][2].

Age and Demographics

• Age: Typically affects adults between the ages of 30 and 60, with a higher prevalence in individuals aged 40-50 years.
• Gender: More common in women than men, although the exact ratio can vary by study[1][2].

Signs and Symptoms

Pain

• Acute Pain: Patients often experience sudden, severe pain in the affected area, which may be exacerbated by movement.
• Chronic Pain: In some cases, the pain can become chronic, leading to persistent discomfort and functional limitations.

Range of Motion

• Limited Mobility: Patients may exhibit reduced range of motion in the affected joint, particularly in the shoulder, where overhead activities become difficult[1][2].

Swelling and Tenderness

• Localized Swelling: There may be noticeable swelling around the affected tendon.
• Tenderness: Palpation of the area often reveals tenderness, particularly over the site of calcium deposits.

Other Symptoms

• Night Pain: Patients frequently report pain that worsens at night, disrupting sleep.
• Stiffness: Morning stiffness or stiffness after periods of inactivity is common, particularly in the shoulder[1][2].

Patient Characteristics

Risk Factors

• Repetitive Use: Activities that involve repetitive overhead motions, such as certain sports or occupations, can increase the risk of developing calcific tendinitis.
• Metabolic Disorders: Conditions such as diabetes and thyroid disorders may predispose individuals to calcific tendinitis due to altered calcium metabolism[1][2].
• Genetic Factors: A family history of tendinopathy or calcific tendinitis may also play a role in susceptibility.

Comorbidities

• Patients with a history of other musculoskeletal disorders, such as rotator cuff tears or shoulder impingement syndrome, may be at higher risk for developing calcific tendinitis[1][2].

Conclusion

Calcific tendinitis is a painful condition that primarily affects adults, particularly in the shoulder region. The clinical presentation typically includes acute pain, limited range of motion, and localized tenderness. Understanding the signs, symptoms, and patient characteristics associated with this condition is essential for healthcare providers to facilitate timely diagnosis and appropriate treatment strategies. Early intervention can help alleviate symptoms and improve functional outcomes for affected individuals.

Calcific tendinitis, classified under the ICD-10-CM code M65.2, is a condition characterized by the deposition of calcium salts in the tendons, often leading to pain and inflammation. The diagnosis of calcific tendinitis involves several criteria, which can be categorized into clinical evaluation, imaging studies, and exclusion of other conditions.

Clinical Evaluation

1. Patient History:
   - Patients typically report a history of pain in the affected area, which may be acute or chronic. The pain is often localized and can be exacerbated by movement or pressure on the tendon.
   - A history of repetitive use or trauma to the affected tendon may also be relevant.

2. Physical Examination:
   - Tenderness over the affected tendon is a key indicator. The clinician may observe swelling or a palpable mass in the area.
   - Range of motion may be limited due to pain, and specific tests may reproduce the symptoms, indicating tendon involvement.

Imaging Studies

1. X-rays:
   - X-rays are the primary imaging modality used to confirm the diagnosis. They can reveal calcific deposits within the tendon, which are typically seen as radiopaque areas.
   - The presence of calcifications in the rotator cuff tendons (most commonly the supraspinatus tendon) is a classic finding in calcific tendinitis.

2. Ultrasound:
   - Ultrasound can be used to visualize the calcific deposits and assess the surrounding soft tissue for signs of inflammation or fluid accumulation.
   - It is also useful for guiding injections or aspirations if needed.

3. MRI:
   - While not always necessary, MRI can provide detailed images of the tendon and surrounding structures, helping to assess the extent of the condition and rule out other pathologies.

Exclusion of Other Conditions

1. Differential Diagnosis:
   - It is crucial to differentiate calcific tendinitis from other conditions that may present similarly, such as rotator cuff tears, bursitis, or other forms of tendinitis.
   - A thorough clinical assessment and imaging studies help in ruling out these alternative diagnoses.

2. Laboratory Tests:
   - In some cases, blood tests may be performed to rule out systemic conditions that could contribute to tendon pain, such as inflammatory arthritis or metabolic disorders.

Conclusion

The diagnosis of calcific tendinitis (ICD-10 code M65.2) relies on a combination of patient history, physical examination, imaging studies, and the exclusion of other potential causes of tendon pain. Accurate diagnosis is essential for effective management and treatment, which may include conservative measures such as physical therapy, corticosteroid injections, or, in some cases, surgical intervention if conservative treatments fail[1][2][3].

Calcific tendinitis, classified under ICD-10 code M65.2, is a condition characterized by the accumulation of calcium deposits in the tendons, most commonly affecting the shoulder. This condition can lead to pain, inflammation, and restricted movement. The treatment approaches for calcific tendinitis typically involve a combination of conservative management, physical therapy, and, in some cases, surgical intervention. Below is a detailed overview of standard treatment approaches.

Conservative Management

1. Rest and Activity Modification

• Rest: Patients are often advised to rest the affected area to reduce inflammation and pain. Avoiding activities that exacerbate symptoms is crucial.
• Activity Modification: Adjusting daily activities to minimize strain on the affected tendon can help alleviate symptoms.

2. Ice Therapy

• Applying ice packs to the affected area can help reduce swelling and numb the pain. This is particularly effective in the initial stages of treatment.

3. Medications

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications like ibuprofen or naproxen can help reduce pain and inflammation.
• Corticosteroids: In some cases, a doctor may prescribe corticosteroid injections to provide more significant relief from inflammation.

Physical Therapy

1. Rehabilitation Exercises

• A physical therapist may design a rehabilitation program that includes stretching and strengthening exercises to improve range of motion and reduce pain. These exercises are tailored to the individual’s specific needs and the severity of the condition.

2. Ultrasound Therapy

• Therapeutic ultrasound can be used to promote healing and reduce pain by increasing blood flow to the affected area.

3. Extracorporeal Shock Wave Therapy (ESWT)

• This non-invasive treatment involves delivering shock waves to the affected tendon, which can help break down calcium deposits and promote healing. Studies have shown ESWT to be effective in treating calcific tendinitis, particularly when conservative measures fail[4][6].

Surgical Intervention

1. Arthroscopic Surgery

• If conservative treatments do not provide relief, surgical options may be considered. Arthroscopy allows for the removal of calcium deposits and any damaged tissue. This minimally invasive procedure typically results in quicker recovery times compared to open surgery.

2. Open Surgery

• In rare cases, open surgery may be necessary to address severe cases of calcific tendinitis, especially if there are complications or if the deposits are particularly large.

Conclusion

The management of calcific tendinitis (ICD-10 code M65.2) typically begins with conservative approaches, including rest, ice therapy, and medications. Physical therapy plays a crucial role in rehabilitation, with options like ultrasound and extracorporeal shock wave therapy offering additional benefits. If these methods fail to alleviate symptoms, surgical intervention may be warranted. It is essential for patients to work closely with healthcare providers to determine the most appropriate treatment plan based on their specific condition and response to initial therapies.