M65.22 Calcific tendinitis, upper arm

Name of the Condition

• Calcific tendinitis, upper arm
• Also known as calcific tendinopathy or calcium deposit tendinitis of the upper arm.

Summary

Calcific tendinitis is a condition characterized by the buildup of calcium deposits in the tendons, leading to pain, inflammation, and restricted movement. When it affects the upper arm, it typically involves tendons around the shoulder or elbow, potentially impacting mobility and function.

Causes

The exact cause of calcific tendinitis is not well understood. It is thought to involve a combination of factors, including overuse of the tendons, age-related changes, and impaired blood flow leading to calcification in the tendon fibers.

Risk Factors

• Age: Typically occurs between 30-60 years.
• Occupations or activities requiring repetitive upper arm movements.
• Previous tendon or joint issues.
• Chronic conditions such as diabetes.

Symptoms

• Intense pain and tenderness in the upper arm.
• Reduced range of motion or stiffness in the shoulder or elbow.
• Swelling and warmth over the affected tendon.
• A noticeable lump where the deposit has formed.

Diagnosis

Diagnosis typically involves a physical examination to assess pain and mobility. Imaging tests, such as X-rays or ultrasound, are used to visualize calcium deposits. MRI may be employed for detailed tendon evaluation.

Treatment Options

• Non-Surgical:
  • Rest and activity modification.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.
  • Physical therapy to improve mobility and strength.
• Surgical:
  • Procedures to remove calcium deposits or repair damaged tendons, considered for severe or persistent cases.

Prognosis and Follow-Up

Most cases improve with conservative treatment, though recovery may take weeks to months. Follow-up care often includes monitoring for recurrence and gradual return to activity. Severe cases may require longer rehabilitation or surgical intervention.

Complications

• Chronic pain or persistent stiffness.
• Tendon rupture in rare cases.
• Reduced function if left untreated.

Lifestyle & Prevention

• Avoid repetitive overhead or strenuous upper arm movements.
• Maintain strength and flexibility through regular exercise.
• Use proper form during physical activities to reduce strain.

When to Seek Professional Help

Seek care if pain is severe, worsening, or limits daily activities. Prompt evaluation is recommended if swelling, redness, or a visible lump develops.

Tips for Medical Coders

Document the specific location (upper arm) and any associated symptoms or treatments. Ensure clinical notes support the diagnosis and specify whether the condition is acute or chronic for accurate coding.