Name of the Condition

• Calcific Tendinitis, Left Hand
• Also known as calcific tendinopathy or calcium deposit tendinitis.

Summary

Calcific tendinitis is a painful condition where calcium deposits build up in the tendons, especially around joint regions. When it occurs in the left hand, it can hinder the mobility and function of the hand, affecting daily activities.

Causes

The exact cause of calcific tendinitis is not well understood, but it may be related to:

• Degenerative changes in the tendons.
• Aging and wear and tear.
• Chronic overuse or repetitive stress on the affected area.

Risk Factors

• Age: typically occurs between 30-60 years.
• Occupations or activities requiring repetitive hand movements.
• Previous shoulder or tendon issues might increase susceptibility.

Symptoms

• Intense pain in the left hand, often worsening with movement.
• Reduced range of motion or stiffness in the hand.
• Swelling and tenderness over the affected tendon.

Diagnosis

• Clinical examination by a healthcare professional.
• Imaging tests, such as X-rays or ultrasound, to visualize calcium deposits.
• MRI may be used for more detailed tendon imaging.

Treatment Options

• Non-Surgical:
  • Rest and immobilization of the hand.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.
  • Physical therapy to improve mobility and strength.
  • Corticosteroid injections directly into the tissue to reduce inflammation.
  • Extracorporeal shock wave therapy to break down calcium deposits.
• Surgical:
  • Arthroscopic removal of calcium deposits in severe cases.

Prognosis and Follow-Up

With appropriate treatment, many individuals recover function and pain reduction in the left hand. Follow-up is crucial to monitor progress, especially if symptoms persist, to adjust treatment as needed.

Complications

• Chronic pain and stiffness if untreated.
• Reduced hand function affecting daily tasks.
• Potential for tendon tears or rupture.

Lifestyle & Prevention

• Learn proper hand ergonomics and exercise regularly to strengthen tendons.
• Take breaks during repetitive activities.
• Maintain a healthy weight to reduce stress on joints and tendons.

When to Seek Professional Help

Seek medical attention if you experience:

• Severe, persistent pain in the left hand.
• Rapid swelling or significant loss of movement.
• Symptoms not improving with basic home care.

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS)
• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

Tips for Medical Coders

• Ensure the laterality (left hand) is accurately coded.
• Avoid confusion with similar conditions by verifying clinical details.
• Use additional codes for underlying conditions when applicable (e.g., repetitive stress injury).