Calcific Bursitis

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Medical Author: William C. Shiel Jr., MD, FACP, FACR

• What is calcific bursitis?
• How is calcific bursitis diagnosed?
• What is the treatment of calcific bursitis?
• What is the outlook for a patient with calcific bursitis?

What is calcific bursitis?

A bursa is a thin fluid-filled sac that reduces friction forces between tissues of the body. Chronic (repeated or long-standing) inflammation of the bursa (bursitis) can lead to calcification of the bursa. This is referred to as "calcific bursitis." The calcium deposits (calcification) can occur as long as the inflammation is present and remain after it has resolved. Calcific bursitis occurs most commonly in the shoulder.

How is calcific bursitis diagnosed?

Calcific bursitis is diagnosed when viewed with an x-ray test or MRI scan of the inflamed, painful bursa.

What is the treatment of calcific bursitis?

Treatment of the inflammation of calcific bursitis can help to prevent further calcification as well as relieve pain and stiffness. Treatments include medications for inflammation, cold packs, immobilization, injections of cortisone into the bursa, physical therapy, and occasionally surgical removal of the inflamed bursa.

What is the outlook for a patient with calcific bursitis?

When the inflammation is quieted, the long-term outlook (prognosis) is excellent. Optimal improvement can require physical therapy treatment. The calcium deposit can remain indefinitely and may not cause any problems. Significant calcium deposits can sometimes, however, cause a mechanically abrasive area of tenderness. These deposits that continue to cause symptoms are considered for surgical removal.

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