As Tendinitis calcarea In general, a disease is referred to in which it occurs calcareous deposits in tendons and tendon attachments comes. It is assumed that 2 to 3% of all people are affected by it.
Most often, people get sick between the third and fifth decade of life.
Most often it is affected by a tendonitis calcarea a group of muscles in the shoulder region (the so-called Rotator cuff), colloquial is then from one Lime shoulder the speech. They are also often affected Kneecap tendon and the Achilles tendon.
In tendons of the Hip joint however, such limescale deposits occur rather seldom on.
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Although rare, the condition can also cause severe discomfort in the hip joint. The focus is on days to weeks getting stronger, mostly as stabbing felt Pain when moving and exercising of the hip joint.
Pressure on the affected tendon can also be used to specifically provoke pain.
As further symptoms you can Swelling, redness and restricted mobility occur due to the pain.
All of these ailments are signs of one Inflammatory response.
Cause for the clinical picture of Tendinitis calcarea are degenerative, i.e. wear-related changes in the respective tendon.
The exact process has not yet been fully clarified. What is certain, however, is that various processes on the tendon involve a remodeling of the tendon tissue and the Storage of lime crystals entail.
As a result of this run inflammatory processes which trigger the inflammation-typical symptoms swelling, redness and pain.
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In the case of the hip, various tendons can be affected by this process. So far, limescale deposits in Gluteus maximus muscle, Adductor brevis muscle and the Iliopsoas muscle observed.
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The hip joint is one of the joints that are exposed to the greatest stress.
The treatment of the hip (e.g. hip arthrosis, hip impingement, etc.) therefore requires a lot of experience.
I treat all hip diseases with a focus on conservative methods.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
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As with other joints affected by calcar tendinitis, the affected hip joint is treated in most cases conservative, so non-operational.
The taking of so-called plays above all non-steroidal anti-inflammatory drugs (NSAIDs) in the foreground. These pain relievers, which also include the well-known over-the-counter medicines Aspirin (ASA), diclofenac and ibuprofen belong, both work analgesic as well as anti-inflammatory.
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One is also important Protection of the shoulder or hipto prevent further irritation of the tendon tissue. Heavy loads should therefore be avoided in any case. This alone can cause the disease to heal itself in the majority of cases. White blood cells begin to break down calcium deposits and the tendon tissue can recover.
Alongside this are other measures to promote healing and relieve pain Physiotherapy exercises and cold therapies available.
In addition to that which is also useful for severe pain Local anesthetic injection some doctors also recommend the Injection of steroids, although it is controversial how helpful this therapeutic step actually is.
It is also possible to use the so-called extracorporeal shock wave therapy (ESWT)in which the lime crystals are shattered by low-energy waves.
However, this process is costly and commonly used not covered by health insurance. It should also be mentioned that only about half of all patients benefit from this treatment method.
About 95% of all tendinitis calcareae heal on their own within a few weeks under this conservative therapy. The remaining 5%, which are mostly from large accumulations of calcium may be affected surgical intervention be necessary for ultimate recovery.
Generally this is done when after about six months no success through conservative measures could be achieved.
The Calcular tendinitis on the hip can cause significant pain, which definitely need not or should not be endured. They are caused by inflammatory processes in the tendon and are often accompanied by swelling and reddening.
These pains can also be very annoying in everyday life, as they are caused by stress (in this case when To run) are strengthened and can lead to restricted mobility.
For this reason alone, but also because it speeds up healing, is one adequate pain therapy makes sense.
This is usually achieved by taking over-the-counter pain relievers from the group of non-steroidal anti-inflammatory drugs (NSAIDs).
They include well-known agents such as aspirin (ASA), ibuprofen and diclofenac.
The specialty of these pain relievers is that they not only analgesic, but also anti-inflammatory Act.
If this therapy is not enough, there is also one Injection of local anesthetics possible in the area of the affected tendon.
With the help of these measures, freedom from pain or a tolerable level of pain can be achieved in almost all patients.
