
Q I have a job that involves heavy use of my shoulders; will calcific tendinitis recur? Are there any triggering postures?
A Repeatedly using the arms above shoulder height or maintaining postures that constrict the shoulders for extended periods (such as computer work or cooking) reduces blood flow to the rotator cuff, increasing the risk of calcification recurrence. The supraspinatus tendon is particularly vulnerable when the motion of extending and lifting the arm forward is repeated. Posture correction and exercises to strengthen shoulder stabilizing muscles are key to preventing recurrence.
Detailed Answer
The main triggering and aggravating posture for calcific tendinitis is the repetitive elevation of the arm within a range of 60 to 120 degrees. At this angle, the supraspinatus tendon is compressed beneath the acromion, reducing blood flow. Using a hairdryer, reaching for items on a shelf, freestyle swimming, badminton, and painting are typical risky movements. If such posture persists even after recovery, the recurrence rate is high; therefore, fundamental strengthening of shoulder stabilizing muscles and posture correction are necessary.
Perspective of a Korean Medicine Clinic
In Korean medicine, when the circulation of Qi and blood in the meridians running through the arms and shoulders becomes stagnant due to repetitive pressure, phlegm accumulates in the surrounding area. In particular, the shoulder area, which is relatively susceptible to the invasion of cold wind and dampness, experiences further exacerbation of phlegm accumulation when cold stimulation overlaps with overwork. At Dongjedang, to prevent recurrence after treatment, we manage patients by enhancing the tendons' self-healing ability through a combination of posture correction guidance considering the meridian flow around the shoulder and the administration of constitution-tailored herbal medicine that strengthens liver and kidney functions.
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