ICD-10: M75.32

Calcific tendinitis of the left shoulder, designated by the ICD-10 code M75.32, is a specific condition characterized by the accumulation of calcium deposits in the tendons of the shoulder, leading to pain and restricted movement. Understanding alternative names and related terms can enhance clarity in medical documentation and communication. Here’s a detailed overview:

Alternative Names for Calcific Tendinitis of the Left Shoulder

1. Calcific Tendonitis: This is a more general term that refers to the condition of calcium deposits in tendons, applicable to various locations in the body, including the shoulder.

2. Shoulder Calcific Tendinitis: This term specifies the location of the condition, emphasizing that it affects the shoulder region.

3. Calcific Tendinopathy: This term is often used interchangeably with calcific tendinitis, highlighting the degenerative aspect of the tendon condition.

4. Shoulder Impingement Syndrome: While not synonymous, calcific tendinitis can contribute to shoulder impingement, where the rotator cuff tendons are compressed during shoulder movements.

5. Subacromial Bursitis: This condition can occur alongside calcific tendinitis, as inflammation of the bursa in the shoulder may be present.

Related Terms and Concepts

1. Rotator Cuff Disorders: Calcific tendinitis is often associated with rotator cuff injuries or disorders, as the rotator cuff tendons are commonly affected.

2. Tendinitis: A broader term that refers to inflammation of a tendon, which can occur in various locations and is not limited to calcific deposits.

3. Shoulder Pain: A general term that encompasses various conditions affecting the shoulder, including calcific tendinitis.

4. Tendon Calcification: This term describes the process of calcium buildup in tendons, which is the underlying issue in calcific tendinitis.

5. Chronic Shoulder Pain: This term may be used in clinical settings to describe ongoing pain that could be due to calcific tendinitis among other conditions.

6. Impingement Syndrome: A condition that may arise from calcific tendinitis, where the shoulder tendons are pinched during arm movements.

Conclusion

Understanding the alternative names and related terms for ICD-10 code M75.32 is crucial for accurate diagnosis, treatment, and communication among healthcare professionals. These terms not only facilitate better understanding of the condition but also aid in the documentation and coding processes essential for patient care and billing. If you have further questions or need more specific information, feel free to ask!

Calcific tendinitis of the shoulder, specifically coded as M75.32 in the ICD-10 classification, is a condition characterized by the deposition of calcium salts in the rotator cuff tendons, leading to pain and restricted movement. The management of this condition typically involves a combination of conservative and interventional treatment strategies. Below, we explore the standard treatment approaches for M75.32.

Conservative Treatment Approaches

1. Physical Therapy

Physical therapy is often the first line of treatment for calcific tendinitis. It focuses on:
- Pain Management: Techniques such as ice application and ultrasound therapy can help reduce inflammation and pain.
- Strengthening Exercises: Gradual strengthening of the shoulder muscles can improve stability and function.
- Range of Motion Exercises: Gentle stretching and mobility exercises are essential to restore movement and prevent stiffness.

2. Medications

Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly prescribed to alleviate pain and reduce inflammation. Examples include ibuprofen and naproxen. In some cases, corticosteroid injections may be administered directly into the shoulder joint to provide more immediate relief from severe pain.

3. Activity Modification

Patients are advised to avoid activities that exacerbate shoulder pain. Modifying daily activities and ergonomics can help prevent further irritation of the affected tendon.

Interventional Treatment Approaches

1. Extracorporeal Shock Wave Therapy (ESWT)

ESWT is a non-invasive treatment that uses acoustic waves to promote healing in the affected area. Studies have shown that it can be effective in reducing pain and improving function in patients with calcific tendinitis[4].

2. Ultrasound-Guided Needle Aspiration

In cases where conservative treatments fail, ultrasound-guided needle aspiration may be performed. This procedure involves using ultrasound to locate the calcific deposits and aspirate them, which can provide significant pain relief.

3. Surgical Intervention

If conservative and interventional treatments do not yield satisfactory results, surgical options may be considered. The most common surgical procedure for calcific tendinitis is arthroscopic surgery, where the calcium deposits are removed, and any damaged tissue is repaired. This approach is typically reserved for patients with persistent symptoms that significantly impact their quality of life.

Conclusion

The management of calcific tendinitis of the left shoulder (ICD-10 code M75.32) typically begins with conservative treatments such as physical therapy and medication. If these methods are ineffective, interventional treatments like ESWT or needle aspiration may be pursued, with surgery as a last resort. It is essential for patients to work closely with their healthcare providers to develop a tailored treatment plan that addresses their specific symptoms and lifestyle needs. Regular follow-up and reassessment are crucial to ensure optimal recovery and function.

Calcific tendinitis of the shoulder is a common condition characterized by the deposition of calcium salts in the rotator cuff tendons, particularly affecting the supraspinatus tendon. This condition can lead to significant pain and functional impairment in the shoulder joint.

Clinical Description of M75.32

Definition

ICD-10 code M75.32 specifically refers to calcific tendinitis of the left shoulder. This condition is marked by the presence of calcific deposits within the tendons of the shoulder, which can cause inflammation, pain, and restricted movement.

Symptoms

Patients with calcific tendinitis typically experience:
- Shoulder Pain: Often described as a deep, aching pain that may worsen with movement or at night.
- Limited Range of Motion: Difficulty in performing overhead activities or reaching behind the back.
- Swelling and Tenderness: Localized tenderness over the affected area, particularly during palpation.
- Possible Muscle Weakness: Due to pain and disuse, patients may exhibit weakness in the shoulder muscles.

Diagnosis

Diagnosis of calcific tendinitis involves:
- Clinical Examination: Assessment of pain, range of motion, and tenderness in the shoulder.
- Imaging Studies: X-rays are commonly used to visualize calcific deposits. Ultrasound or MRI may also be employed for a more detailed assessment of the soft tissues and to rule out other conditions.

Treatment Options

Management of calcific tendinitis may include:
- Conservative Treatment: Rest, ice application, and non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.
- Physical Therapy: Exercises to improve range of motion and strengthen shoulder muscles.
- Corticosteroid Injections: To alleviate inflammation and pain in more severe cases.
- Surgical Intervention: In cases where conservative treatment fails, procedures such as arthroscopic removal of calcific deposits may be considered.

Prognosis

The prognosis for patients with calcific tendinitis is generally favorable, with many individuals experiencing significant improvement with appropriate treatment. However, some may continue to have residual pain or functional limitations.

Conclusion

ICD-10 code M75.32 encapsulates the clinical aspects of calcific tendinitis of the left shoulder, highlighting its symptoms, diagnostic methods, and treatment options. Understanding this condition is crucial for effective management and improving patient outcomes. If you have further questions or need additional information on related topics, feel free to ask!

Calcific tendinitis of the shoulder, specifically coded as ICD-10 code M75.32, is a condition characterized by the deposition of calcium salts in the rotator cuff tendons, leading to inflammation and pain. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this condition is crucial for effective diagnosis and management.

Clinical Presentation

Signs and Symptoms

Patients with calcific tendinitis of the left shoulder typically present with the following signs and symptoms:

• Shoulder Pain: The most prominent symptom is localized pain in the shoulder, which may be severe and can radiate down the arm. Pain is often exacerbated by movement, particularly overhead activities or lifting[1].
• Limited Range of Motion: Patients may experience a significant reduction in the range of motion due to pain and inflammation. This limitation can affect both active and passive movements[1][2].
• Tenderness: On physical examination, there is usually tenderness over the greater tuberosity of the humerus, where the rotator cuff tendons attach[2].
• Swelling: In some cases, there may be visible swelling or a palpable mass in the shoulder region, particularly if there is associated inflammation[1].
• Crepitus: Patients may report a sensation of creaking or grinding during shoulder movements, which can be indicative of tendon involvement[2].

Patient Characteristics

Certain demographic and clinical characteristics are commonly associated with calcific tendinitis:

• Age: This condition is more prevalent in adults, particularly those aged 30 to 60 years. It is less common in younger individuals[1][3].
• Gender: There is a slight female predominance in the incidence of calcific tendinitis, although it can affect both genders[3].
• Occupational Factors: Patients with occupations that require repetitive overhead activities or heavy lifting are at a higher risk for developing this condition. This includes athletes, manual laborers, and individuals in certain sports[1][4].
• Comorbidities: Conditions such as diabetes, thyroid disorders, and elevated body mass index (BMI) have been associated with an increased risk of calcific tendinitis. These comorbidities may contribute to the overall inflammatory process and predispose individuals to tendon degeneration[4][5].

Conclusion

Calcific tendinitis of the left shoulder (ICD-10 code M75.32) presents with characteristic symptoms such as shoulder pain, limited range of motion, and tenderness. It predominantly affects middle-aged adults, with a notable association with occupational activities and certain comorbidities. Understanding these clinical features is essential for healthcare providers to facilitate timely diagnosis and appropriate management strategies for affected patients.

Calcific tendinitis of the left shoulder, classified under ICD-10 code M75.32, is a condition characterized by the deposition of calcium salts in the rotator cuff tendons, leading to pain and restricted movement. The diagnosis of this condition typically involves several criteria, which can be categorized into clinical evaluation, imaging studies, and exclusion of other conditions.

Clinical Evaluation

1. Patient History:
   - Patients often report a history of shoulder pain, which may be acute or chronic. The pain is usually localized to the shoulder and may worsen with movement or at night.
   - A history of repetitive overhead activities or trauma may be relevant, as these factors can contribute to the development of calcific tendinitis.

2. Physical Examination:
   - A thorough physical examination is essential. The clinician will assess the range of motion, strength, and any signs of tenderness in the shoulder area.
   - Specific tests, such as the Neer test or Hawkins-Kennedy test, may be performed to evaluate for impingement or pain associated with rotator cuff pathology.

Imaging Studies

1. X-rays:
   - X-rays are the primary imaging modality used to confirm the diagnosis of calcific tendinitis. They can reveal the presence of calcific deposits within the rotator cuff tendons.
   - The location and size of the calcifications can be assessed, which may help in determining the severity of the condition.

2. Ultrasound:
   - Ultrasound can be utilized to visualize the calcifications and assess the surrounding soft tissue structures. It is particularly useful for guiding injections or aspirations if needed.

3. MRI:
   - While not always necessary, MRI can provide detailed images of the shoulder's soft tissues, including the rotator cuff tendons, and can help rule out other conditions such as tears or bursitis.

Exclusion of Other Conditions

• It is crucial to differentiate calcific tendinitis from other shoulder pathologies, such as rotator cuff tears, bursitis, or arthritis. This may involve:
• Reviewing the patient's history and symptoms.
• Conducting a physical examination focused on differentiating features.
• Utilizing imaging studies to rule out other diagnoses.

Conclusion

The diagnosis of calcific tendinitis of the left shoulder (ICD-10 code M75.32) relies on a combination of patient history, physical examination findings, and imaging studies, primarily X-rays. Clinicians must also exclude other potential shoulder conditions to ensure an accurate diagnosis. If you suspect calcific tendinitis, consulting a healthcare professional for a comprehensive evaluation is essential.