Calcific tendonitis is a condition where calcium deposits form in the rotator cuff. This leads to inflammation in the rotator cuff and the overlying bursa. The condition can be extremely painful and lead to very decreased range of motion. The diagnosis of calcific tendonitis can be made on the basis of physical exam and a simple x-ray. The condition is more common in women, patients with diabetes and thyroid problems (or a family history of these), suggesting a metabolic component to the condition. The mainstay of treatment is nonoperative, involving anti-inflammatory medications (advil, alieve, etc) or cortisone injections in conjunction with a course of home based physical therapy. About 80% of patients will get better with this treatment. If this is not working, an arthroscopic surgery to remove the calcium deposits in the shoulder may be offered. Dr. Walker will help you make the best decision based on the severity of your symptoms.