
Q Will calcium deposits reappear even after treatment? I am curious about the possibility of recurrence.
A Although the recurrence rate of calcific tendinitis is not high, there is a possibility of recurrence if underlying causes such as reduced blood flow to the tendons and constitutional factors are not corrected. Tendon strengthening exercises, posture correction, and addressing constitutional weaknesses that cause recurrence are key to preventing it. It is recommended to monitor for recurrence using ultrasound within one year of treatment.
Detailed Answer
The recurrence rate after treatment for calcific tendinitis is reported to be 10–30%, depending on the literature. Risk factors for recurrence include: ① concomitant partial rotator cuff tear, ② diabetes or thyroid disease, ③ occupation or exercise involving shoulder overload, and ④ insufficient shoulder stabilization muscle strength. Even after treatment is completed, it is recommended to consistently perform shoulder stabilization exercises, avoid provoking postures, and undergo ultrasound follow-up examinations every 6 months to 1 year. Korean traditional medicine treatment is advantageous for suppressing recurrence because it combines tendon strengthening with constitutional improvement. Recurrence does not end with the removal of calcium deposits; it occurs because the internal environment conducive to the formation of phlegm remains. In Korean medicine, true prevention of recurrence is viewed as correcting a constitution in which dampness and phlegm easily regenerate due to weak liver and kidney function or impaired spleen and stomach function. At Dongjedang, we establish a long-term management plan that involves continuing the intake of herbal medicine tailored to the patient's constitution and lifestyle modifications even after treatment ends, while monitoring for calcium re-formation through ultrasound follow-ups every 3 to 6 months.
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