About 6 in 10 patients resolve from a period of non-operative management involving rest, non-steroidal anti-inflammatories, physiotherapy and local steroid injections.
Surgery is usually reserved for cases who fail non-operative management, but calcium deposit size and position also influences the decision. In some select cases, needle injection and aspiration in the consulting rooms releases enough of the calcium to stimulate the healing process, and avoids surgery.
Surgery is through a shoulder arthroscopy and needle or other decompression of the calcium deposit. In certain cases a small open procedure may be required.
Postoperatively the arm is placed in a sling for comfort and range of motion exercises are initiated as early as possible once the pain has settled. Usually after 4-6 weeks patients are back to full range of movement.
In obstinate cases there are other treatment options that have shown some benefit that will be discussed.