Catherine Burt Driver, MD, is board certified in internal medicine and rheumatology by the American Board of Internal Medicine. Dr. Driver is a member of the American College of Rheumatology. She currently is in active practice in the field of rheumatology in Mission Viejo, Calif., where she is a partner in Mission Internal Medical Group.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Extracorporeal shockwave therapy has been shown to have good results in calcific tendinitis or other forms of tendinitis. Currently, it is still being studied.
Ultrasound therapy is used in some cases, but its effect has not been proven. Its greatest usefulness may be in calcific tendinitis.
Rarely, surgery may be necessary for tendinitis that is severe or does not respond to other treatments.
Your doctor may give you follow-up instructions with other specialists and physical therapists.
Use proper technique during sports or occupational activities.
Warm up and decrease overuse and repetitive motion of associated muscles.
Stop physical or occupational activity if there is any sign of pain.
With treatment and if you follow your doctor's instructions, pain and swelling should go away after a few days without further problems.
Recurrences can occur if there is continued overuse, but use of splints, proper technique during exercise, and muscle strengthening exercises can usually help.
Rarely, surgery may be needed if there is chronic inflammation causing other complications.
Authors and Editors
Author: Catherine B. Driver, MD
Editor: William C. Shiel Jr., MD, FACP, FACR
Previous contributing authors and editors:
Author: Alvaro Zeballos, MD, Staff Physician, Department of Emergency Medicine, Wake Med Hospital.
Mike Manka, MD, Assistant Professor, Department of Emergency Medicine, Erie County Medical Center, State University of New York at Buffalo.
Editors: Scott H Plantz, MD, FAAEM, Research Director,
Assistant Professor, Department of Emergency Medicine, Mount Sinai School of
Medicine; Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine; James Ungar, MD, Medical Director, Chair Department of Emergency Medicine Santa Rosa Memorial Hospital.
Harris, E.D., R.C. Budd, G.S. Firestein, M.C. Genovese, J.S. Sergent, S. Ruddy,
and C.B. Sledge. Kelley's Textbook of Rheumatology. 7th Edition.
Philadelphia: Elsevier Saunders, 2005.