Calcific Tendinitis

Research Background: Mechanical neck pain affects 45-54% of general population at after carrying sitting posture for prolong period of time which may sometimes leads to conditions like trapezitis. Muscle energy technique is used for achieving tonus release in a muscle before stretching which involves the introduction of an isometric contraction to the affected muscle producing post isometric relaxation. Positional release therapy is a manual technique that restores a muscle to it’s normal resting tone. In this study we compared the effect of both the technique on trapezitis. Aim and Objective: To Compare the effect of MET versus PRT On pain and function in patient with trapezitis. Method and procedure: Ethical approval of the study was taken from institutional ethical committee. Patient having neck pain screened initially and subjects whoever fulfilled inclusion and exclusion criteria 30 subjects having tapezitis , both male and female between age 20-50 year were included, which aga...

Objectives: This study was conducted to compare the efficacy of positional release technique with traditional exercises in the treatment of mechanical low back pain. Methods: Thirty two patients with mechanical low back pain their age ranged from 30-55 years with mean of (48.54±5.8) and their BMI below 30 kg/m 2 were randomly distributed into two equal groups. Group (A) 16 patients received infrared, ultrasound and traditional exercises. Group (B) 16 patients received infrared, ultrasound and positional release technique three sessions per week for 4 weeks. The primary outcome measures were pain, lumbar ROM and functional disabilities. Pain was measured by visual analog scale (VAS), lumbar ROM was measured by the inclinometer and functional disabilities were assessed by Oswestry disability index. Results: Group (B) had significant decrease in pain intensity level and the limitation of functional disabilities and significant increase in lumbar ROM; flexion and extension than group (A) (p <0.05). Conclusions: Positional release technique proved to be effective in reducing pain, improving lumbar range of motion and decreasing the limitation of functional disability more than traditional exercises in patients with mechanical low back pain.

Autism Spectrum disorder is defined as the global developmental disorder characterized by difficulty in social interaction and communication. It is manifested as repetitive patterns of thoughts and behavior. Toe walking is one of the most common initial signs exhibited by autism children and is mostly unilateral. The aim of this study was to identify the effect of Conventional Exercises and Sensorimotor Exercises in reducing the toe-walk in autism children. The study was a randomized control trial that included children of both sex between age group 2 & 5 years with a history of recent toe-walk. The subjects without a history of Tendo Achilles contracture and with a good hip flexibility were included. Subjects with a long time history of toe walking and with TA contracture and associated surgical corrections were excluded. Any subject with a diagnosis of Cerebral palsy and Asperger syndrome were excluded. A total of 40 subjects were included in the study who underwent assessment of Foot alignment through photographs, Plantar Foot Pressure through Foot Posture Index-6 and range of motion at ankle through Goniometer. Group A received Conventional exercises and Group B received Sensorimotor exercises for a period of 4 days a week for 8 weeks. At the end of 8 th week a post test was done for all the standard tests used in the study. The result of the study shows that the experimental group (Group B) who received sensorimotor exercises showed significant improvement in Foot Alignment and range of motion of both plantar flexion and dorsiflexion while the Control group (Group A) showed improvement only in passive range of motion of dorsiflexion alone. The study helps to conclude that the group which received Sensorimotor exercises improved well. Hence it can be considered as the best of treatment to inhibit toe-walk in autistic children.

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BackgroundThere are several treatment modalities for calcifying tendinitis of the shoulder. If the pain becomes chronic after several months of conservative treatment, open or arthroscopic removal is usually recommended. Recently, extracorporeal shock wave therapy has shown encouraging results in treating calcific deposits.Materials and methodsWe report a retrospective study to compare the outcome after arthroscopic extirpation (group I, 22 cases) with the effect of low extracorporeal shock wave therapy (group II, 24 cases) in patients with a chronic homogeneous calcific deposit in the supraspinatus tendon. Patients included in the study had undergone unsuccessful conservative therapy in the previous six months with no evidence of subacromial impingement of the rotator cuff independent of the calcium deposit or rupture of the rotator cuff detected by sonography or magnetic resonance imaging. AP and LL radiographies were performed for all of the patients at least one week before the ...

Acute calcific tendinitis involves shoulder very commonly but it is rearly found in hand or fingers. Usually it is misdiagnosed if it occurs outside the shoulder. We present here a very infrequent case of acute calcific tendinitis of left hand index finger in young male patient.

Objective. To investigate RCTs that reported the effects of Radial ShockWave Therapy (RSWT) versus traditional physiotherapy on pain, shoulder articular function and quality of life of patients suffering by tendinopathy of the shoulder. Data sources. Studies were comprehensively searched, without language restrictions, on PubMed, Embase, PEdro, Cochrane Controlled Trials Register, the Cochrane. Possible studies from reference lists of articles and review were cross-checked. Study selection. Randomized controlled trials from 2006 to present were included. Two reviewers conducted the selection independently. Data extraction. Two reviewers assessed the quality of data. Disagreements in extraction were settled by consulting a third and fourth reviewers to reach a consensus. Data synthesis. Five studies with 475 participants were included in the network meta-analysis that used a random-effect model to investigate the mean difference of pooled effect sizes of the visual analog scale, Constant-Murley score combined with UCLA, and SPADI score. Conclusions. Compared to control groups, RSWT resulted an improvement in pain -0.24 (95% CI: -0.43 to -0.05 Z=2.45 p<0.05), an increase of Constant/UCLA score 4.72 (95% CI: 4.03 to 5.4 Z=13.5 p<0.05) and a decrease in SPADI scale -6.76 (95% CI: -13.3 to -0.48 Z=2.11 p<0.05). Despite the small number of the studies, seems that RSWT can be more effective in pain, shoulder articular function and quality of life of patients with tendinopathy of the shoulder.

Tendons are the soft tissue that connects muscles to bones. They are made of collagen and elastin, they are strong and solid, and have no possibility of contraction. Their strength helps us to move. Recovery of tendon injuries is long-lasting and can take more than six months. If a tendon is shed during a time injury, calcification occurs at the site of the injury and the disease is called calcifying tendinopathy. The very existence of calcifications is an indication for treatment with a mechanical shock wave (Shock wave). Mechanical shock waves can act in focus or radially. The difference between focused and radial waves is primarily in their physical basis. Focused shock waves differ from radial shock waves in terms of therapeutic depth of penetration into the tissue. The basic biological effect of a mechanical shock wave is stimulating. The energy of the mechanical shock wave acts at the cellular level by stimulating the reduction of inflammation and pain in the tissue. Using mec...

Background:Calcific tendinitis of the rotator cuff (RCCT) is frequently diagnosed in patients with shoulder pain, but there is no consensus on its treatment.Purpose:To compare 2 regularly applied RCCT treatments: ultrasound (US)–guided needling and lavage (barbotage) combined with a US-guided corticosteroid injection in the subacromial bursa (subacromial bursa injection [SAI]) (group 1) versus an isolated SAI (group 2).Study Design:Randomized controlled trial; Level of evidence, 1.Methods:Patients were randomly assigned to the 2 groups. Shoulder function was assessed before treatment and at regular follow-up intervals (6 weeks and 3, 6, and 12 months) using the Constant shoulder score (CS, primary outcome), the Western Ontario Rotator Cuff Index (WORC), and the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH). Additionally, calcification location, size, and Gärtner classification were assessed on radiographs. Results were analyzed using the t test, linear regression, ...

As students juggle academic pressures, extracurricular activities, and social engagements, their physical health often takes a backseat. However, staying physically healthy is essential for academic success, overall well-being, and personal development. Student physical therapy services play a crucial role in supporting students by addressing physical challenges, injuries, and movement dysfunctions that can impact their academic performance, extracurricular participation, and quality of life. In this article, we'll explore the importance of physical therapy for students, common conditions treated, and the services available to enhance student health and well-being.

Periarticular calcific tendinopathy has been well described, but no retropharyngeal locations have been reported in the surgical orthopedic literature. This pathology is a diagnostic pitfall, leading to fruitless invasive examinations and treatment. The clinical aspect is misleading, but pathognomic imaging can establish diagnosis. We report a case of febrile postoperative cervicalgia, initially suggestive of a septic complication, but in which imaging indicated retropharyngeal calcific tendinitis.

Background: Extracorporeal shockwave treatment (ESWT) and ultrasound-guided percutaneous lavage (UGPL) are two effective ways of treating rotator cuff calcific tendinopathy (RCCT). Aim: The aim of the present study was to compare the effectiveness of these techniques in the treatment of RCCT. Design: Prospective, randomized, controlled trial. Setting: Patients treated in our sports medicine and rehabilitation center (Centro Médico Deyre, Madrid. Spain) between January 2007 and December 2013. Methods: This randomized study compares the results achieved with these techniques over one year following their use to treat the above condition. Eighty patients received ESWT and 121 received UGPL. A visual analogue scale was used to measure pain, and ultrasound to determine the extent of calcification, at 3, 6, and 12 months after treatment. Results: Pain and the amount of calcification were significantly reduced by both techniques at 3, 6 and 12 months (P<0.001 for each), but significantly more so by UGPL (P<0.001). Conclusions: Both techniques are valid for the treatment of RCCT, although UGPL is associated with a greater reduction of calcification and greater reduction in pain. Clinical rehabilitation impact: The results obtained applying UGPL, the low cost and the lack of complications should therefore make the treatment of choice in centers that are appropriately equipped and staffed.

The radiographic appearance of calcific tendinitis of the rotator cuff varies according to the stage of the disease. We compared currently used classification systems in a large group of observers to identify the most reliable classification system. Thirty-seven orthopaedic surgeons evaluated shoulder radiographs of 25 patients to classify the stage of the calcific tendinitis according to the classifications by (1) Gärtner and (2) Molé on a Web-based study platform. Inter and intraobserver agreement among observers was measured using the Siegel and Castellan multirater κ. Both classification systems had fair interobserver agreement : κ was 0.25 for the Molé classification and 0.34 for the Gärtner classification. The Gärtner classification was significantly more reliable than the Molé classification. Currently there is no radiographic classification that can serve the purpose of guiding the treatment in a reliable way.

Purpose: To examine the impact of rotator cuff calcific tendinitis on patients' self-reported work ability and sick leave, to compare work ability and sick leave with shoulder function after minimally invasive treatment, and to assess which prognostic factors influence the change in work ability. Methods: A prospective cohort was analyzed in this study. The primary outcome measure was the single-question work ability score (0-10 points). Secondary outcome measures were quality and quantity of work, sick leave, functional outcome, and radiographic resorption. Potential predictive factors (treatment method, age, sex, resorption of the calcific deposit, physical work load, and work status) were tested in a statistical model. Follow-up was at 6 months and 1 year. Results: The study cohort consisted of 67 patients. The mean age was 49.6 AE 6.4 years and 45 (67%) were female. Physical workload was categorized as light (58%), medium (24%), and heavy (18%). Work ability score improved from a mean of 6.1 AE 2.8 to 8.5 AE 2.0 points after 1 year. Treatment with minimally invasive treatment techniques was associated with a reduction in partial or full-time sick leave from 28% to 6%. The mean days of sick leave a month declined from 3.3 to 0.8 days. Functional disability was greater in patients with partial or full-time sick leave. The physical workload turned out to be the most important patient associated factor predicting change in work ability. Conclusions: This study supports the hypothesis that rotator cuff calcific tendinitis has a significant impact on work ability and sick leave. Minimally invasive treatment resulted in a clinically relevant improvement in work ability score and decline in sick leave. In particular, patients with medium and high physically demanding work for the shoulder benefit from minimally invasive treatment to improve their work ability. Level of Evidence: Level II, prospective comparative study. S houlder problems are common in the Netherlands, with an incidence in the primary care of around 19 per 1000 person-years. 1 Klik of tik om tekst in te voeren. Shoulder disorders represent various clinical diagnoses, varying from International Classification of Diseases codes M75.0 to M75.5. Rotator cuff calcific tendinitis (RCCT; M75.3) represents a specific subgroup of shoulder patients with calcific deposits in the tendons. The prevalence of RCCT is between 2.7% and 10% in patients without shoulder pain and up to 40% in symptomatic patients. Clinical symptoms are generally described as activity-related pain similar to subacromial pain syndrome (SAPS). 2 Klik of tik om tekst in te voeren. The condition mostly affects female patients From the Department of Orthopaedic Surgery, Spaarne Gasthuis, Hoofddorp (J.

Pain is the most symptomatic cause of the patient reporting to the medical profession. Every person has reported one in their lifetime about pain symptoms at medical consultancy. Neck and lower back are the commonest musculoskeletal related pain in all young adults. Stretching is the most used physical therapy among many in combination in the management of neck and back pain. However there in no clear studies that only discuss on effect of stretching program on neck and back pain. There for these is a short review on the aim to discuss the effectiveness of stretching program in neck and back pain. 5 highly relatable studies were selected for discussion in the present study. The study discussed the mechanism of active and passive stretching on pain. Study concluded that stretching is effective in treatment of neck and lower back pain as first line of treatment when the Couse id purely musculoskeletal. Thought desired changes can only be seen in long term bases and type of stretching programs Keywordsstretching program, neck pain, lower back pain, musculoskeletal pain.

Rotator cuff tendons are predisposed to calcific tendonitis and may present in single or multiple tendons. Despite the existence of several treatment strategies that have been proposed, clinical outcomes are controversial. Our study aims to report a case of large subscapularis tendon calcific tendonitis that was refractory to non-operative management and to investigate the clinical presentation, imaging findings, and treatment outcomes. A 42-year-old male patient presented to us for the first time complaining of right shoulder pain and weakness for 18 months with no improvement with non-operative treatment. Shoulder radiographs showed calcific tendonitis of the supraspinatus tendon. Magnetic resonance imaging (MRI) showed a larger calcific deposit with low signal intensity on all sequences within the subscapularis, along with smaller calcific deposition within the supraspinatus tendon. The patient underwent right shoulder arthroscopic debridement of calcific tendonitis and has shown an improved range of motion and pain at postoperative follow-up. Considering arthroscopic debridement for calcific tendonitis that is refractory to non-operative treatment is an effective and safe intervention in relieving patient pain and improving function and quality of life.

Background. Acute retropharyngeal tendinitis is a little known but not an uncommon condition. It was first described by Hartley in 1964 as an inflammation of the longus colli muscle secondary to calcium crystals deposition on its insertion. The calcifications are mostly located on the oblique portion of the muscle at the level of C1-C2.Methods. We will describe this disease through 4 cases that presented in our institution.Results. The most common symptoms are severe neck pain, odynophagia, and a painful restriction of neck movement. It is associated with mild fever and inflammatory lab findings such as a slight elevation of white blood cell count, erythrocyte sedimentation rate, and C-reactive protein. CT scan is recommended as the first-line imaging modality to establish a diagnosis. Treatments consist of NSAIDs and analgesics to accelerate the healing process. If symptoms are severe, a course of corticosteroids is required.Conclusion. Since the clinical and laboratory findings of...

Orthopedic physical therapy department, faculty of physical therapy, October 6 university 2 Physical therapy department, college of medical rehabilitation, Qassim university, Saudi 3 Physical therapy department, Elkaser Elainy Elfranssawy, Cairo university hospitals 4 Physical therapy department, ELkaser Eleiny, cairo university hospitals 5 Basic science department, Physical therapy college, Cairo university

Кальцифікуючий тендиніт є захворюванням плечового суглоба з характерним накопиченням гідроксиапатиту кальцію в сухожилля обертової манжети та супроводжується локальним запаленням і больовим синдромом, що суттєво впливає на якість життя пацієнтів. Мета – визначити характерні клінічні симптоми та ефективність додаткових методів дослідження для покращення діагностики та визначення подальшої тактики лікування вказаної патології. Матеріал і методи. Проведено обстеження 58 (17,90 %) пацієнтів з кальцифікуючим тендинітом сухожилків обертальної манжети плеча. Середній вік пацієнтів становив (43,7±1,6) років, чоловіків було 23 (39,65 %), жінок 35 (60,35 %). Обстеження пацієнтів проводили згідно з клінічними протоколами надання медичної допомоги. Вони включали загальноклінічні та інструментальні методи дослідження, а саме – огляд пацієнта, рентгенографію, сонографію, при показаннях – магніторезонансну томографію. Результати. Маніфестація симптомів залежала від фази захворювання. Серед провідн...

Extracorporeal shockwave treatment (ESWT) and ultrasound-guided percutaneous lavage (UGPL) are two effective ways of treating rotator cuff calcific tendinopathy (RCCT). To compare the effectiveness of these techniques in the treatment of RCCT. Prospective, randomized, controlled trial SETTING: Patients treated in our sports medicine and rehabilitation center (Deyre. Madrid. Spain) between January 2007 and December 2013. This randomized study compares the results achieved with these techniques over one year following their use to treat the above condition. Eighty patients received ESWT and 121 received UGPL. A visual analogue scale was used to measure pain, and ultrasound to determine the extent of calcification, at 3, 6, and 12 months after treatment. Pain and the amount of calcification were significantly reduced by both techniques at 3, 6 and 12 months (p&lt;0.001 for each), but significantly more so by UGPL (p&lt;0.001). Both techniques are valid for the treatment of RCCT, althou...

Aim of the study: Mechanical neck pain is a type of pain that affects the entire neck or shoulder area, that is characterized by mechanical symptoms such as symptoms triggered by maintained neck postures, neck movements, or palpation of the cervical muscles. Around twothirds of people in their forties and fifties suffer from neck pain. Stretching exercises have many advantages, including enhanced muscle performance and endurance, injury prevention, improved muscle or athletic performance, healing promotion, and a reduced onset of muscle soreness. The hyperactive muscle relaxes well after using the post isometric relaxation procedure. We aimed to compare between the efficacy of passive stretching exercises and post isometric relaxation technique on neck pain severity and functional disability as well as neck sagittal, coronal and transverse mobility in treatment of patients with chronic mechanical neck pain. Methods: Forty male and female patients diagnosed as chronic mechanical neck...

Research Background: Mechanical neck pain affects 45-54% of general population at after carrying sitting posture for prolong period of time which may sometimes leads to conditions like trapezitis. Muscle energy technique is used for achieving tonus release in a muscle before stretching which involves the introduction of an isometric contraction to the affected muscle producing post isometric relaxation. Positional release therapy is a manual technique that restores a muscle to it’s normal resting tone. In this study we compared the effect of both the technique on trapezitis. Aim and Objective: To Compare the effect of MET versus PRT On pain and function in patient with trapezitis. Method and procedure: Ethical approval of the study was taken from institutional ethical committee. Patient having neck pain screened initially and subjects whoever fulfilled inclusion and exclusion criteria 30 subjects having tapezitis , both male and female between age 20-50 year were included, which aga...

Some things can cause a person to have a dependence on using a computer just like office work or in terms of getting entertainment such as playing video games among adolescents. Some research leads to the duration of playing video games which is one of the risk factors of the MPS. The prevalence of MPS in general population varies by up to 85%. The method used in this study is an analytical observational method with a cross sectional approach. This study used simple random sampling techniques and the study subjects were observed with a one-time measurement of dependent variables. This research design was used to find out whether there was a relationship between the duration of playing video games and myofascial pain syndrome of upper trapezius muscle in adolescents in Denpasar City. The results showed from the total of 59 study samples, there were 46 samples (78.0%) who had upper trapezius MPS and as many as 13 samples (22.0%) who did not experience upper trapezius MPS. The distribu...

Conception and design, Collection and assembly of data, 2-6 Analysis and interpretation of the data, 3-5 Critical revision of the article for important intellectual content, Statistical expertise 1-6 Final approval and guarantor of the article. A r t i c l e I n f o .

Objective. To investigate RCTs that reported the effects of Radial ShockWave Therapy (RSWT) versus traditional physiotherapy on pain, shoulder articular function and quality of life of patients suffering by tendinopathy of the shoulder. Data sources. Studies were comprehensively searched, without language restrictions, on PubMed, Embase, PEdro, Cochrane Controlled Trials Register, the Cochrane. Possible studies from reference lists of articles and review were cross-checked. Study selection. Randomized controlled trials from 2006 to present were included. Two reviewers conducted the selection independently. Data extraction. Two reviewers assessed the quality of data. Disagreements in extraction were settled by consulting a third and fourth reviewers to reach a consensus. Data synthesis. Five studies with 475 participants were included in the network meta-analysis that used a random-effect model to investigate the mean difference of pooled effect sizes of the visual analog scale, Constant-Murley score combined with UCLA, and SPADI score. Conclusions. Compared to control groups, RSWT resulted an improvement in pain-0.24 (95% CI:-0.43 to-0.05 Z=2.45 p<0.05), an increase of Constant/UCLA score 4.72 (95% CI: 4.03 to 5.4 Z=13.5 p<0.05) and a decrease in SPADI scale-6.76 (95% CI:-13.3 to-0.48 Z=2.11 p<0.05). Despite the small number of the studies, seems that RSWT can be more effective in pain, shoulder articular function and quality of life of patients with tendinopathy of the shoulder.

Calcific tendinitis is a common cause of shoulder pain, peaking in the fourth and fifth decades of life. The excruciate pain; especially during the night is the symptom who brings patient to the doctor. In many cases conservative treatment is the best choice. Sometimes it doesn’t work and is necessary operative treatment. It is presented a case of 60 years old women who had calcific tendinits for several years and accused pain few months with absence of improvement after conservative treatment. The patient was treated surgically with removal of calcium deposit arthroscopically. After surgery, pain relief was dramatic and movement increased rapidly. Results were very good with no complications. As a conclusion, arthroscopic evacuation of calcific deposit could be considered the best solution for patients whose symptomatology fail to improve after conservative treatment.

Intensive, multimodal rehabilitation protocol during 3 weeks of hospitalization. Due to the pragmatic nature of the study, seasonal variation in exercises occurred. Despite this, the total amount (time) of exercising was kept constant during the entire year. Summer program (from May to October) Winter program (from October to May) Week 1 5 x Group-based exercises, 45 min. 1 x Resistance training, 45 min. 1 x Instruction in gait retraining, 60 min. 1 x Education, 60 min. 3 x Aquatic exercises (outdoor), 30 min. 5 x Group-based exercises, 50 min. 2 x Resistance training, 45 min. 1 x Instruction in gait retraining, 60 min. 1 x Education, 60 min. Week 2 5 x Group-based exercises, 45 min. 2 x Resistance training, 45 min. 2-4* x Various Group-based exercises, 45 min. 4 x Aquatic exercises (outdoor), 30 min. 5 x Group-based exercises, 50 min. 3 x Resistance training, 45 min. 4-6* x Various Group-based exercises, 45 min. Week 3 5 x Group-based exercises, 45 min. 2 x Resistance, 45 min. 1 x Education, 60 min. 2-4* x Various Group-based exercises, 45 min. 4 x Aquatic exercises, 30 min. 5 x Group-based exercises, 50 min. 3 x Resistance training, 45 min. 1 x Education, 60 min. 4-6* x Various Group-based exercises, 45 min. All training was supervised by a physiotherapist.* Number of assigned various team exercises depends on the physical condition and capacity of the individual patients and is decided by the physiotherapist. Template for the rehabilitation protocol: Group-based exercises: Consists of exercises targeting balance, coordination, stabilizing the hip and knee joints, flexibility and muscle strength. Focus was on alignment of joint, correct posture during exercises and correct activation of muscles without compensatory movements. Exercises included pelvic lifts, sit-ups, sliding exercises, lunges, rubber band exercises, chair stands, and stair climbing. Resistance training: Initiated with a warm-up session using cardiovascular equipment, such as stationary bikes, treadmills or slide steppers. Resistance training were performed in strength training equipment, such as leg press, seated knee flexion and extension, hip abductor and adductor as well as exercises targeting core muscles and upper body. 2-3 sets with 15-20 repetitions of each exercises were performed with focus on reaching muscular fatigue during the exercises. Instruction in gait retraining: Patients were instructed in how practice normal gait pattern and thereby, relearning a normal and functional optimal gait pattern. Instructions were given both with and without use of walking aid, given the functional level of the patients. Education: These group-based sessions had focus is on pain management, information about surgical procedures and the prosthesis and the relevance of exercises as treatment. Patients were encouraged to ask questions and share with their own experiences within the group. Furthermore, the patients were taught self-mobilization techniques to improve knee range of motion. Various group-based exercises: These group-based sessions consists of specific exercises, targeting various disabilities. Session could include indoor or outdoor balance, functional and dynamic stability of joints, Nordic walking, aquatic cardiovascular exercises, mindfulness or neckand-shoulder exercises.

Estudo retrospectivo dos achados da ultrassonografia no envolvimento ósseo associado a tendinopatia calcificada do manguito rotador: resultados preliminares de uma série de casos Nogueira-Barbosa MH, Gregio-Junior E, Lorenzato MM. Retrospective study of sonographic findings in bone involvement associated with rotator cuff calcific tendinopathy: preliminary results of a case series.

Objective: The present study was aimed at investigating bone involvement secondary to rotator cuff calcific tendonitis at ultrasonography. Materials and Methods: Retrospective study of a case series. The authors reviewed shoulder ultrasonography reports of 141 patients diagnosed with rotator cuff calcific tendonitis, collected from the computer-based data records of their institution over a four-year period. Imaging findings were retrospectively and consensually analyzed by two experienced musculoskeletal radiologists looking for bone involvement associated with calcific tendonitis. Only the cases confirmed by computed tomography were considered for descriptive analysis. Results: Sonographic findings of calcific tendinopathy with bone involvement were observed in 7/141 (~ 5%) patients (mean age, 50.9 years; age range, 42-58 years; 42% female). Cortical bone erosion adjacent to tendon calcification was the most common finding, observed in 7/7 cases. Signs of intraosseous migration we...

Background:  Non-specific neck pain has potential contributing factors. One of the factors being emphasized in the modern era is the Myofascial trigger points in the upper trapezius muscle. These could be treated by strain counterstrain method whose effectiveness needs to be evaluated. Hence, the objective of the study was to compare the effects of conventional Physical therapy with or without strain counterstrain in patients with trigger points of upper trapezius muscle. Patients and MethodsIt is randomized controlled clinical trial.48 patients with treatment group A (24 patients) and control group B (24 patients).48 patients with treatment group A (24 patients) and control group B (24 patients).Patients with non-specific neck pain, having active myofascial trigger points in upper trapezius muscle presented to physical therapy department. Effects of interventions were recorded on neck disability index, visual analogue scale and cervical range of motion goniometer.Results of this...

Introduction: This study aimed to investigate the effects of various exercises on quadriceps femoris muscle and on pain, strength, function, and balance in female patients with bilateral knee osteoarthritis (OA). Methods: Forty-five female patients aged 40-65 years were diagnosed with bilateral knee OA according to the American College of Rheumatology criteria and randomized into three groups. The pain and function of the patients in each group were evaluated by the visual analog scale and Western Ontario and McMaster Universities Osteoarthritis Index questionnaires. Muscle strength and endurance were measured with the Isokinetic System Cybex 350, and balance was evaluated with Biodex Balance System SD. Group 1 performed a home-based isometric exercise program, while groups 2 and 3 performed strength and endurance exercises, for 4 days per week for 6 weeks. Results: At week 6, only the activity pain scores decreased in group 1, whereas rest, night, and activity pain scores decreased significantly in groups 2 and 3 (p<0.001, p<0.01 and p<0.001, respectively). Significant improvements in physical functions were found in each group (p<0.001). The isokinetic muscle strength for knee extensors increased significantly in groups 2 and 3 (p<0.001, p<0.01, respectively). The balance scores of groups 2 and 3 were improved at certain positions (p<0.001, p<0.05, respectively). Conclusion: Isometric exercises are widely used in the treatment of patients with knee OA. However, high-intensity isotonic exercises is recommended because of the shorter time of intervention for improving muscle strength, slowing the progression of the disease, and reducing the future risk of falling by improving balance.

Calcifying tendinitis of the rotator cuff is a common disorder and the underlying cause is still not fully understood. About 90% of patients can be treated non-operatively but some are resistant to conservative treatment and surgery is indicated. Non-operative treatments include non-steroidal anti-inflammatory drugs, subacromial injection of steroid, physiotherapy, extracorporeal shockwave therapy and needle aspiration irrigation. When conservative treatment fails, arthroscopic excision of calcium, sometimes combined with an acromioplasty and/or rotator cuff repair, reliably produces excellent results with high patient satisfaction. In this article, an up-to-date review of the published papers evaluating each treatment modality is presented.

Tendons are the soft tissue that connects muscles to bones. They are made of collagen and elastin, they are strong and solid, and have no possibility of contraction. Their strength helps us to move. Recovery of tendon injuries is long-lasting and can take more than six months. If a tendon is shed during a time injury, calcification occurs at the site of the injury and the disease is called calcifying tendinopathy. The very existence of calcifications is an indication for treatment with a mechanical shock wave (Shock wave). Mechanical shock waves can act in focus or radially. The difference between focused and radial waves is primarily in their physical basis. Focused shock waves differ from radial shock waves in terms of therapeutic depth of penetration into the tissue. The basic biological effect of a mechanical shock wave is stimulating. The energy of the mechanical shock wave acts at the cellular level by stimulating the reduction of inflammation and pain in the tissue. Using mec...

Calcific tendinitis of the longus colli muscle is a retropharyngeal inflammatory process of the named prevertebral muscle that can present acutely with debilitating symptoms. The cross-sectional imaging appearances of this rare condition, although rather specific, can be somewhat misleading. This is, in part, due to a lack of familiarity with the normal anatomy and pathology of the prevertebral space, as well as the variation in the imaging appearances that can be found. Definitive radiological diagnosis is often paramount to avoid unnecessary and potentially dangerous intervention. Three cases of acute calcific tendinitis of the longus colli muscle are presented, with the salient anatomy and variation in CT appearances described.

Background: Calcified tendinitis is a disease characterized by calcification of multifocal cells mediated by living tissue. Calcified tendinitis may occur due to the collection of calcium in the supraspinatus tendon pouch or may be spread between rotator cuff muscle fibers and bursa, it may not cause pain or may cause mild pain or discomfort. The aim is to determine the correlation of calcium deposit size to the pain intensity in patients with calcified tendinitis. Methods: Methods in this study was a cross-sectional study, twenty subjects, aged 50-70 years old, diagnosed with calcified tendinitis rotator cuff through musculoskeletal ultrasonography examination. Results: No significant correlations were found between calcium deposit size and pain intensity using VAS, r=0.238, p=0.312. Conclusion. The size of the calcium deposit was not correlated with the pain intensity in rotator cuff calcified tendinitis patients. But further research is needed whether the location and form of calcium deposits affect the pain intensity in calcified tendinitis rotator cuff patients.

Lumbar spondylosis, characterized by degenerative changes in the lumbar spine, often leads to pain, reduced spinal stability, and musculoskeletal dysfunction. Understanding the impact of lumbar spondylosis on musculoskeletal function, particularly lumbar extensor endurance, functional balance, and limits of stability, is crucial for improving the management and well-being of affected individuals. This study aimed to assess lumbar extensor endurance, functional balance, and limits of stability in individuals with lumbar spondylosis compared to age-matched healthy individuals and explore the correlations among these parameters within the lumbar spondylosis group. The lumbar spondylosis group consisted of 60 individuals initially screened by an orthopedician and referred to physical therapy. Age-matched healthy controls (n = 60) were recruited. Inclusion criteria encompassed adults aged 45–70 years for both groups. Lumbar extensor endurance was assessed using the Sorensen test, functio...

Knee is the largest and the most complicated joint in your body that in addition to being moving has a kind of stability role .Since it is exposed to direct hits it is mostly peculiar to the outbreak of osteoarthritis. Excess use of the knee and its repeated injuries leads to the weakness of the knee and it also causes the reduction of the power of Quadriceps femur muscle. For this reason the knee is the most problem part of the body for spread of this disease. Strengthening the Quadriceps femur muscle plays an important part in prevention and improvement of knee osteoarthritis. The purpose of this study was to compare the effect of isometric and Pilates exercise on pain and physical and mental aspects of quality of life in women 40 to 65 years with knee osteoarthritis. Methods 40 female patients with knee osteoarthritis were selected randomly and divided into two groups. Pilates exercise, (n=20,mean age 54/8 ± 7/1 years, height 159/ 8± 6/4 cm and weight 67/1 ± 14/7 kg) and isometric exercise (n=20, mean age 56± 5/2 years, height 161/25 ± 7/5 cm weight 70/15 ± 9/7 kg) were used. Before beginning an exercise, the pain visual scales (vas) were used. For physical and mental aspects of quality of life questionnaire SF36 was used. Both exercises groups were executed for 8 weeks, 3 times per week and each session 1 hour. After 8 weeks training, both groups were assessed. Statistical analysis using analysis of covariance, significant at P <0/05 was performed. Results The results showed that in both Pilates and isometric group's decreased pain and as well as improving the physical and mental aspects of quality of life. There is no significant difference between both methods of training as well as the size of the improvement disease in patients with osteoarthritis of the knee joint. Conclusion Both methods reduce the negative effects of knee osteoarthritis and both exercises can reduce pain and also improved quality of life. Keywords Isometric exercises, Pilates exercises, knee osteoarthritis, pain, quality of life CORE Metadata, citation and similar papers at core.ac.uk Provided by Asian Journal of Multidisciplinary Studies (AJMS) Comparison of isometric and Pilates exercises on Knee pain and quality of life in women with Knee Osteoarthritis

The variety of measurement devices and protocols being used to assess neck muscle strength hampers the comparison of data and the generation of reference data. Little is known about dynamic neck muscle strength because a limited amount of research using isokinetic dynamometry as assessment method has been published. The purpose of the research on which this article is based was therefore to delineate and generate reference data for the dynamic isokinetic neck muscle strength of adults aged 19 to 69 years old, based on a purpose-built isokinetic measurement device. Measurements were made through the frontal and sagittal planes of movement. Furthermore, the data, categorised into ten gender discriminate age categories of ten years each, were statistically analysed to detect significant differences between the categories. Four hundred and fifty-two volunteers, consisting of 221 males and 231 females, were assessed. Reference data stratified according to the gender discriminate age categories and based on 95% confidence intervals were generated. Statistical analyses however indicated that significant differences were predominantly between males and females, irrespective of age. This justifies the use of reference data grouped according to gender and questions whether age should be considered as a stratification factor when generating neck muscle strength reference data.

Purpose: It is unclear how physical therapists in Florida currently treat people with knee osteoarthritis and whether current best evidence is used in clinical decision making. Methods: We conducted a survey of physical therapists in Florida. We assessed the perceived effectiveness and actual use of physical therapy (PT) interventions and quantified the association between the actual use of interventions and different characteristics of physical therapists. Results: A total of 413 physical therapists completed the survey. Most respondents perceived therapeutic exercise (94%) and education (93%) as being effective or very effective. Interventions least perceived as effective or very effective were electrotherapy (28%), wedged insole (20%), and ultrasound (19%). Physical therapists who followed the principles of evidence-based practice were more likely to use therapeutic exercise (OR 3.89; 95% CI: 1.21, 12.54) and education (OR 3.63; 95% CI: 1.40, 9.43) and less likely to use ultrasou...

Background: Common and effective treatments for calcific tendinitis involve needling procedures. However, it has been widespread practice to refer patients with calcific tendinitis, which is a predominantly orthopedic condition, to radiology department. The purpose of this study was to compare clinical and radiological outcomes after ultrasound-guided needling for calcific tendinitis between the orthopedics and radiology department. Methods: Seventy-seven shoulders (Group 1) and 38 shoulders (Group 2) treated in the radiology and orthopedic department, respectively. A fellowship-trained orthopedic surgeon and a musculoskeletal radiologist each performed the procedure of ultrasound-guided needle decompression with subacromial steroid injection. Clinical outcomes was evaluated using the visual analogue scale for pain (pVAS) and the American Shoulder and Elbow Surgeons (ASES) shoulder score before treatment and at each follow-up. The pre-and postneedling size and shape of the calcific deposits were compared between the two groups. Results: We analyzed a total of 56 shoulders for Group 1 and 32 shoulders for Group 2. The mean age and sex ratio of the patients no significantly different. We found that the mean decrease in the diameter of calcification between pre-and post-needling was 9.0 mm for Group 1 and 13.1 mm for Group 2; the difference was significantly larger in Group 2 than in Group 1. Both groups showed improved pVAS and ASES scores after needling but the extent of these improvements did not differ with the type of operator. Conclusions: Needling decompression performed by orthopedic surgeons could a viable option for the treatment of calcific tendinitis.

Osteoid osteomas of the wrist are relatively rare and the diagnosis is challenging due to atypical clinical features. We describe a case of an osteoid osteoma of the scaphoid bone associated with calcific tendinitis of the adjacent flexor carpi radialis tendon and periarticular soft tissue calcifications in a 21-year-old man presenting with radial-sided wrist pain. The lesion was successfully treated with CT-guided RF ablation. To our knowledge, this is the first description of an osteoid osteoma of the wrist associated with calcific tendinitis and periarthritis. In addition, we discuss the technical details and difficulties of CT-guided RF ablation of scaphoid osteoid osteomas.

HISTORY: 52 year old Caucasian female with known osteopenia presents with progressive mid and low back pain. Over the past year, she has developed 7 compression fractures in T7 through L5, lost 8 lbs, and reports muscle wasting, increasing abdominal girth, bloating, constipation, small-caliber stools. No prior fractures. Menarche age 12, with regular monthly periods. She bore 2 children. Menopause age 50. Not on hormone-replacement therapy. Family history of three 1 st-degree relatives with joint hypermobility and fractures, and multiple family members with UC/IBD and Celiac Disease.

Calcific tendinitis is uncommon in the tendons around the elbow joint. There are very few reports in the English-language literature. We report a rare case of calcific tendinitis at the radial insertion of the biceps brachii tendon, which caused anterior elbow pain. We were able to treat it successfully with extracorporeal shock wave therapy (ESWT). CASE REPORT A 52-year-old woman complained of severe, anterior right elbow pain of 3 months' duration. She rated the pain, which caused restriction in her work and routine activities, as 9 on a visual analog scale (VAS). The pain was present at rest, exacerbated with movement of the elbow or forearm, and only partially relieved by medication. The pain recurred with the same intensity as soon as she stopped taking medication. She received treatment in the form of medication and physiotherapy for 3 months at another hospital without relief. On examination, there was tenderness over the right proximal radioulnar joint and the biceps tendon itself. Flexion with supination and resisted extension with pronation caused aggravation of the pain, although the range of motion (extension, 0 ; flexion, 140 ; supination, 80 ; and pronation, 70) was preserved. The score on the Mayo Elbow Performance Index was 40 points. The results of laboratory investigations, including serum calcium, phosphorus, and alkaline phosphatase levels, were normal. The radiographic examination showed a discrete inverted teardrop-shaped calcification anterior to the radial tuberosity (Figure 1). The site of calcification correlated well with the location of the pain (ie, the biceps insertion), and it was concluded that the pain was due to calcific tendinitis of the radial insertion of the biceps brachii. The symptoms failed to improve despite 3 months of medication and physiotherapy. We advised surgical removal of