Calcific Tendinitis of the Shoulder



You might be suffering from Calcific Tendonitis in your Rotator Cuff if:

  • You have pain in your shoulder lasting a few weeks or months with no relief.
  • You feel a sharp pain in your shoulder that shoots down your arm.
  • You have a lot of pain that wakes you up at night or when you get up in the morning from laying on the affected shoulder.
  • You're suffering from reduced motion in your shoulder and an inability to raise your arm and shoulder up without extreme pain.
  • You sometimes feel a snapping, catching or weakness in your shoulder.

If any of those statements are true for you or you're suffering from on-going pain in your shoulder that intensifies over time and suddenly goes away then you might be suffering from "calcific tendonitis" in your rotator cuff. Calcific tendonitis is an injury that not a lot of people have heard about, and as a medical term the name for this condition is sometimes referred to as "rotator cuff disease".

Rotator cuff disease is really an injury or condition involving any injury or damage in your rotator cuff - to the tendons, muscles, or bursae. Calcific tendonitis means specifically the formation of bone spurs in the middle of your rotator cuff tendons. These spurs will form on their own naturally and will also go away on their own. While they're there though, they can cause pain, stiffness, and loss of movement in your shoulder and arm.

If you suffer from on-going pain in your shoulder you might have calcific tendonitis

Calcific tendonitis is one of those injuries that can really bring down the quality of your life. In the early stages you might not feel a lot of pain, but the pain will increase as this condition goes on. The pain you feel will start to interrupt any of your normal daily tasks and make living life harder than it really needs to be. You might even start experiencing some sleepless night from the pain, or develop other conditions (like frozen shoulder) from resting and avoiding use of your injured shoulder.



What is Calcific Tendonitis?

We use tendons everyday to stretch, pull and move, we have about 400 tendons in our body! Tendons are cord like pieces of soft tissue that connect our muscles to our bones. Calcific Tendinitis is a condition where calcium deposits (bone spurs) build in the middle of the tendon tissue. This condition is basically a natural chemical reaction with other tissues in the body the results in the formation of these spurs (an action called 'calcification').



What Causes Calcific Tendinitis?

There is no known cause of calcific tendinitis. All that medical professionals and doctors know now is that calcific tendonitis is NOT caused by: trauma to the area of injury, a sport / activity related injury and it's rarely part of a systemic disease. So far this condition is known as a natural process than can happen to some people and not others.



The Two Types of Calcific Tendonitis Of The Shoulder Affecting The Rotator Cuff

Aging of tissue (degeneration of bone, tendon and bursae in the area) can cause degenerative calcification.

Degenerative Calcification

Aging and normal (everyday) activities can cause wear and tear on the tendons in your shoulder. This wear and tear slowly weakens your tendons over time and can cause small tearing or fraying (kind of like a rope frays as it's used). Aging also decreases the blood flow to the tendons of the rotator cuff. Normally, degenerative calcification affects people over the age of 40.

Overworking and overusing the shoulder can cause tendonitis. Tendonitis is a condition that has resulted in small microscopic tears in the tendon tissue. As a part of the normal healing process your body will react to this tendonitis with swelling and inflammation in your shoulder. Unfortunately aging of tendon tissue reduces blood flow to the rotator cuff tendons, starving the tissue from oxygen and nutrients needed for natural healing as well. This is bad news because you need blood to heal the tendon completely. In this case your tendon will make calcium deposits in your tendon tissue instead of using natural blood flow to actually make strong, healthy tissue fibers.

Reactive calcification

There is still some mystery surrounding the cause of reactive calcification. The stages of this type of calcific tendonitis can start when you're younger and progress until you're in your 40's (or even later in life). So far there is no clear cause of reactive calcification.

This condition normally affects younger women more so than men. There are 4 stages of reactive calcification:

  • Stage 1: Pre-calcific - A natural chemical reaction in the tissue (at a microscopic level) causes the calcium to form inside the tendon itself. The calcium deposit will get bigger and look like a piece of chalk (hard, dry).
  • Stage 2: Resting - The chalk-like calcium deposit enters a resting period and may or may not be painful. At this point the deposit may be large enough to reduce the range of motion in your shoulder.
  • Stage 3: Calcific - This is the most painful part of all the stages. The body is trying to break down the calcium and reabsorb it into the tendon tissue. This stage sparks inflammation and the calcium crystals turn into a 'liquid' much like the consistency of toothpaste, and may leak into the surrounding tissue (ultimately causing other conditions like shoulder bursitis / subacromial bursitis).
  • Stage 4: Post-Calcific - The healing cycle continues in the tendon and remodelling at the microscopic level helps to create new tendon tissue. The pain decreases as the calcium deposit is re-absorbed into the tissue and disappears completely.
The cause of reactive calcification is unknown but it usually occurs in 4 stages.


Symptoms of Calcific Tendinitis

If you're suffering from calcific tendinitis you may experience:


  • Pain and stiffness that lasts for a few weeks to 2 months and suddenly disappear. If your calcific tendinitis injury comes back a number of times, you could now have a chronic condition and notice pain that lingers for a few months to years.
  • Pain that radiates from the point of your shoulder half way down your arm.
  • Pain that intensifies when you raise your arm above your shoulder level.
  • Reduced range of motion in your arm and shoulder.
  • Pain that wakes you up at night if you're sleeping on your side or your affected shoulder.
  • Snapping, catching or/and or weakness of your shoulder.
Calcific tendonitis pain will focus on the front and side of the shoulder then radiate down the upper arm.


Calcific Tendinitis Diagnosis

Visiting your doctor when you have pain is always recommended, as there are many possible issues that can happen in your shoulder.

Calcific tendonitis pain will focus on the front and side of the shoulder then radiate down the upper arm.

To begin with, your doctor will gather a medical history about you and your current condition and symptoms. They'll ask about the intensity of your pain, how long your symptoms usually last and the limitations you're experiencing. Details about when it started and whether or not you have ever had treatments for this or a similar condition in the past are very helpful in assessing your shoulder injury.

Your doctor will also look and feel the bones and soft tissue in your shoulder to see what kind of pain you're having. They'll be looking for any differences between you injured shoulder and your healthy shoulder. This will help them to feel any abnormalities - like mild or severe inflammation, bone deformities, atrophied muscles (muscles that have wasted away due to injury), redness and/or warmth on the skin.

One set of symptoms can result in multiple diagnoses. An X-ray, MRI or visual ultrasound is needed in order to clearly diagnose calcific tendinitis and know the extent of the soft tissue damage. Any calcium deposits in your tendons should show up clearly in an x-ray.




What Can I Do At Home To Treat Calcific Tendonitis?

The good news is that most cases of calcific tendonitis will heal with simple home conservative treatments and surgery is often not needed.

Calcific tendonitis can be treated with conservative treatment methods.

It's generally understood by doctors and surgeons, that surgery will introduce more scar tissue into the shoulder. This added scar tissue will be problematic, requiring PT and conservative treatment options post-surgery. When it comes to calcific tendonitis there's only 1 surgical option for treatment - removal of the calcium deposit through arthroscopic, needling or open surgery. This is why surgery is only performed as a last resort for chronic calcific tendonitis injuries that won't heal with conservative treatment methods, or calcium deposits that won't re-absorb back into the tendon.

Some conservative treatment methods recommended include:

  • Rest - This is important for initial recovery; rest and elevation will help reduce pain, swelling and inflammation in the early stages of injury. This can be difficult when you have to carry on with daily activities, but resting and elevating your shoulder/arm whenever you can is recommended. During your recovery you will probably have to modify or avoid the activities that put stress on your shoulder until your pain and inflammation settles. However, too much rest can also be harmful to such injuries because elbow and shoulder immobility can eventually cause stiffening in the joints. This is why rest should be used when reducing initial pain and swelling, but should not be considered for more long-term conservative treatment.
  • Avoid Activities that Caused Your Injury - While resting your injury it's also important to avoid all activities that may have caused your shoulder damage (especially any strenuous or repetitive movement). Continuing on with regular activities can increase the severity of your injury, turning a mild to moderate case of tissue damage into a downward spiral of worsening damage that may eventually severely impact your life. Also, trying to 'work around' your injury will eventually give rise to over-compensation injuries in other areas of your body.
  • Use a Cold Compress or Ice Pack for Inflammation - Cold is very effective at reducing pain and swelling - use at the onset of the injury and during flareups. Immediate pain relief and reduced inflammation can also relieve some of the pressure that's being placed on your shoulder soft tissue and stop your injury from getting worse.
  • Use a Shoulder TShellz Wrap® (Circulatory Boost) Once Swelling is Down - After inflammation and/or swelling has been reduced, you can use your own blood flow to maximize your rehabilitation. Improved blood flow to your shoulder and arm in most cases will help improve recovery time while improving overall health of soft tissue in the area. Promoting blood flow and heat to the treatment area will help to minimize the growth of scar tissue, increase flexibility and help prevent atrophy.
  • Rehabilitative Stretching under supervision of a PT or doctor. The intent of this is to provide you with increased range of motion, pain relief and strengthening of the surrounding tissue of the joint. Doctors or surgeons typically won't perform a surgery until they feel that their patient has put effort into treating their injury with conservative treatment methods. This may include up to 4 to 6 months of visits to a PT clinic. If you haven't experienced any improvement in your condition during that time then surgery may be considered. Agressive PT approaches may focus on forced or manual manipulation of the shoulder and arm - this means they will be trying to move your limbs past the point of comfort as they strive to increase range of motion and prevent further atrophy. This can be painful and end up making your injury worse if not done correctly. (reference: 1)
  • Stretching - Stretching your joint in PT and at home will help you to regain your range of motion much faster than not stretching at all. Stretching in many ways is key maintaining good Range of Motion (ROM) in your joint, and stretching can be made much easier with use of a Shoulder TShellz Wrap® before to warm up tissue, and a Cold Compress or Ice Pack treatment after to prevent any return of swelling and inflammation.

Restricted Movement Is Risky If It Goes On For Too Long

For acute (new or recent) Achilles tendon tears that have the ability to heal on their own - your doctor may even cast your foot in a toe pointed position (in something called a "hanging enquinus cast") or in a removable brace/splint. A removable splint can be very helpful to prepare you for PT sessions and mobility exercises.

Prolonged use of a cast, removable splint, or long-term rest (restricted movement) without proper exercise or stretching can make your Achilles tendon injury worse. If your Achilles tendon remains completely immobilized and at constant rest, the ends of the Achilles tendon (where it attaches to bone or other muscles) will begin to fill in with scar tissue as part of the healing process. You may also have on-going symptoms of pain, swelling and inflammation, and even poor blood flow circulation.

Resting too long, or using bracing to restrict movement for extended periods of time, can decrease mobility of your Achilles tendon and increase pain

Lack of proper blood flow and growth of scar tissue will decrease the natural length of the tendon (atrophy) and tighten tissue, reducing the flexibility between your ankle and foot. Your ability to push off with your foot in certain activities such as running, jumping, or going up and down stairs all become compromised. You are also at an increased risk of re-rupture of the tendon, especially if the initial injury was large and required surgery in the first place. In summary, resting/casting/splinting of a compromised/injured tendon is good if done properly, but it is important to not rest it for too long as this will cause more issues related to atrophy.

If your doctor has decided that your calcific tendonitis can be treated with conservative treatments, you can join our many customers who have had great success in treating themselves at home with conservative treatment options such as the Shoulder TShellz Wrap®.

If you need to have surgery, talk to your doctor about using these same products for post-surgery recovery. You'll find them effective for reducing post-surgery inflammation, enhancing range of motion and minimizing the growth of scar tissue in your shoulder.



What if I Need Surgery?

Whether you need to have surgery and the type of surgery you'll have depends on the severity of your calcific tendonitis. The longer you've waited to have surgery or try conservative treatment methods will also be a factor to decide if you need surgery.

Has it been weeks or months since the injury?

Your doctor or surgeon will decide if you need surgery based on the conservative treatments you've tried.

An acute (recent) case of calcific tendonitis is usually treated with conservative treatment methods, like rest, minimizing activity, cold compression and Circulation Boost as we mentioned before.

Doctors and surgeons will always avoid surgery if possible because recovery from the surgery can be a lengthy process - especially because the calcium deposit is being removed from your tendon. Doctors always prefer minimally invasive treatments which is why they suggest conservative treatment first. Your doctor and surgeon know that a surgery will involve altering the structure of your foot, and so they will recommend treatment to avoid surgery at all costs.

Scar tissue will be problematic for long-term recovery after surgery.

As with any surgery there are risks to every procedure depending on a lot of factors, including your age, the severity of your injury and your level of health going into the procedure. It's always best to discuss all possible risks and complications with your doctor, orthopaedic specialist and/or surgeon before the procedure. It's important to be aware of the risks you may face with any procedure intended to fix or relieve pain from your calcific tendonitis.

If you've exhausted all forms of conservative treatments and you still have calcific tendinitis you and your doctor may decide to move forward with surgery. There are few types of procedures or surgeries they may preform:



Minimally Invasive Procedures

Lavage

Your doctor may suggest trying a procedure called lavage. During this procedure your doctor will insert two large needles into your shoulder and inject sterile saline (salt water solution). The salt water is used to rinse the tendon, and sometimes this rinsing method will help to loosen up your calcium deposit. If the lavage treatment is successful your body will have an easier time re-absorbing the calcium deposit. It could speed up healing and may reduce pressure in the tendon, reducing your pain.

Needling

Your doctor may also suggest needling. For this procedure the doctor will attempt to break up the calcium deposit by repeatedly inserting a needle in the area. They also may or may not inject a saline (salt water) solution at the same time.



Arthroscopic Surgery

For this surgery your surgeon will make small incisions in your shoulder then insert tools and a camera (arthroscope) to remove the calcium deposit and see inside your shoulder joint. Sometimes the surgeon will use the needling technique or make a small incision in the tendon and tease out the calcium with a hook. This type of surgery is much less invasive and you can return to daily life much sooner.



Open Surgery

If an arthroscopic procedure can't be done, your surgeon might use an open incision in the skin to expose the area in the shoulder where the calcium deposit is in the tendon. The calcium deposit would then be cut out and the edges of the tendon where the calcium attached itself are also cut away (a process called debridement). After this the remainder of the tendon is stitched back together. This is a much more involved surgery than an arthroscopic procedure - so you may need to wear a sling for up to 3 days and start range of motion exercises at that point.

Remember that surgery isn't the end of your journey, it's just the beginning of a new chapter. Your rehabilitation efforts will have an important impact on how soon you can return to living and enjoying your normal daily life.

Open surgery to remove calcium deposits causing calcific tendonitis pain.

Conservative Treatment Methods Will Recommended by Your Doctor After Surgery Once They Are Satisfied You Are Ready For Rehabilitation

Your rate of recovery after the surgery will depend on how dedicated you are to the conservative treatment method recommended by your doctor, the type of procedure that you had and your efforts in PT (physio).

No two rehabilitation plans are alike - Generally speaking, the less invasive your
surgery is, the quicker your road to recovery will be.




Home Conservative Treatment Options For Calcific Tendinitis


If you suspect you have calcific tendonitis,

  • Usually conservative treatment methods are all that's needed to treat calcific tendonitis, surgery is only ever used if long-term conservative treatment methods don't work or if you're suffering from a chronic case of calcific tendonitis. Conservative treatment options for calcific tendonitis typically includes rest, icing of the injury, avoiding activities that cause or worsen the pain that you're feeling, and anti-inflammatory over-the-counter medication (reference: 1, 2).
  • Second, if your doctor has decided that your injury can be treated with conservative treatment options, then you'll find that many of our customers have had great success treating themselves with our powerful conservative treatment product - the Shoulder TShellz Wrap®.
  • Or, if surgical intervention is required, talk with your doctor about using these same products for post-surgery recovery as you'll find them to be effective for reducing post-surgery inflammation, enhancing range of motion and reducing scar tissue growth.

When calcium deposits are being reabsorbed, the pain can be especially bad. There are a number of ways to relieve your pain with conservative treatments.



Conservative Treatment Step 1: Reduce The Initial Inflammation & Manage Pain

If the tendon injury is very recent - use a good quality cold pack and Arnica Pain Relief Cream. If the injury has been going on for awhile and there is little to no swelling or inflammation, skip to Step 2 below.

Inflammation is the body's natural response to an immediate shoulder injury and is a normal part of the healing process - helping to reduce tissue infection in the early stages of injury. Swelling, pain, heat sensation, redness, and loss of function are the main symptoms experienced.

The combination of rest, topical pain relief cream and minor amounts of cold is the gold standard in medicine for minimizing tissue damage and reducing inflammation after injury or activity. It serves as a critical bridge into the next phase of the healing process.


Use a Cold Compress or Ice Pack:

  • 24 to 72 hours after your initial tendon injury or when you first notice pain and swelling in your shoulder to stop tissue damage, relieve pain, and decrease swelling.
  • After exercise, workouts or activity of any kind to prevent worsening the injury in your shoulder.
  • Before and after surgery during rehabilitation to control pre and post-surgery pain and swelling.
  • Anytime you feel your shoulder has been over-extended, over-worked, twisted, strained or sprained causing pain and swelling.
  • Anytime you have swelling, sharp throbbing pain or inflammation in the tendons and/or muscles of your shoulder.
  • Any other situation where you need to draw the pain and inflammation out of your shoulder.

Conservative Treatment Step 2: Enhance Blood Flow to the Injured Soft Tissue

Tendons,ligaments, cartilage, and some muscle fibres are dense tissues. As a result, they naturally receive limited blood flow and this is precisely why injuries to these tissues take so long to heal. The challenge is, how do you effectively increase blood flow to these tissues?

  • Rigorous exercise is out of the question as it will lead to further injury.
  • Visits to the clinic are helpful, but that only happens a few times a week.

Stage 3 - In Between Treatments With TShellz Wrap®, Apply Our New Fast Acting Pain Relief Cream Called ARNICA INFUSION

Dealing with aches and pains affecting the foot, ankle, leg, knee, hamstring, hip, back, arm, shoulder, elbow, wrist, or hand? If so, then applying the Arnica Infusion to any of these targeted areas will bring about fast relief from the pain and sore tissues. Simply apply a small amount of cream to the body and moments later, you will experience a soothing and comforting sensation over the area.

Arnica Infusion is specially designed to relieve pain due to sore muscles and joints associated with arthritis, backaches, sprains, strains, and bruises. No matter if you are dealing with an acute injury, chronic pain, or a general "flare-up" - you will experience fast relief from pain and inflammation.

mendmeshop arnica pain relief cream

This is a product that many of our current MendMeShop customers asked us to develop. So we focused our time and resources over the past few years and came up, with we believe, will be one of more effective, fast acting, topical pain relief creams on the market.

You are likely familiar with some of the standard topical agents on the market as most of our customers use them. The are mass marketed and even found in most department stores now.

Well, we are here to say that Arnica Infusion goes many steps beyond what they offer.

Made in the USA at an FDA registered manufacturing facility, you can be assured that Arnica Infusion is both safe and effective. We only source top grade ingredients while implementing strict quality control checks during every step of the production process. Expect the same high quality that MendMeShop customers have been accustomed to since we started the company in 2005.

The "Cool Blue" formula is the perfect balance between the smooth application of a cream and the effective absorbing factor of a gel. It is not too thick and not too thin - just the right texture. Best of all, it feels very nice on the skin!

Each application of Arnica Infusion feels so comforting and soothing, we are certain it will become an item you will not want to live without.


Arnica Infusion Ingredients

The Arnica Infusion formula is based on a combination of scientific research and the use of high quality ingredients. The properties within the formula were chosen for their pain relief, anti-inflammatory, and soothing qualities.

The acting ingredients within the formula include ones many of us are familiar with; along with ones that have not received a lot of publicity (only in research circles). Extensive testing resulted in a blending of ingredients that provides the most synergistic of benefits.

The notable ingredients in the Arnica Infusion formula include:

  • Arnica - powerful anti-inflammatory, speeds recovery, enhances circulation
  • Menthol - provides deep penetrating pain relief with a nice cooling sensation
  • Vitamin B6 - promotes normal nerve function
  • MSM - supports healthy connective tissues, anti-inflammatory
  • Ilex Leaf Extract - increases circulation, skin conditioner
  • Vitamin E - anti-inflammatory, enhances circulation, hydrates the skin
  • Aloe - anti-inflammatory properties, soothes the skin
  • Tea Tree - enhances penetration of ingredients

Extensive quality control procedures during the manufacturing process ensure the ingredients and final product are both safe and effective. We would not stake our reputation on anything but the best.

When Do I Apply the Arnica Infusion?

While At Work

Apply Arnica Infusion at work to help reduce acute discomfort associated with overuse of muscles and joints. No matter if you are in a physical demanding job or work within an office environment, you will be placing stress on different parts of the body and aches and pains will result.

Before Or After Work, Sports, & Activity

If you suffer from a sprained ligament, pulled muscle, strained tendon, or even bruising - apply Arnica Infusion for quick relief of the pain.

Chronic Pain Suffering

Application of Arnica Infusion can be done up to a maximum of 4 times per day on a consistent basis to help bring about relief from various pains and aches.

In-between Treatments With the TShellz Wraps®

Follow up your TShellz and Cold treatments with an application of Arnica Infusion. Combine the pain relieving benefits of Arnica Infusion along with the therapeutic benefits of the wraps to make your recovery go much more smoothly.

Do not apply Arnica Infusion within a 2 hour timespan before a TShellz Wrap® treatment.

Whether you decide to use the Arnica Infusion in conjunction with the T-Shell and other treatments - or if you decide to use the cream as a stand-alone product - you will not be disappointed with the results. We guarantee it.


A Note On OverCompensation

Since you are reading this, you probably know that serious tendonitis or tendinosis injuries do not just disappear. Over time, they usually wreak havoc on other joints in the body due to lack of movement and over-compensation. Recovery takes a longer time for such chronic (long term) injuries, but proper healing is essential to regain strength and get you back to the activities you enjoy.

When you are experiencing pain if you move your right shoulder, for example, your body will automatically overcompensate this problem and you will start using your left shoulder more often. Typically, overuse injuries occur on the dominant shoulder/arm - and this means when you overcompensate, you are using your weaker shoulder for tasks normally reserved for your dominant arm. You will find that the weaker shoulder is not prepared for the level of activity and use and quickly begins to undergo strain. This means that now you will be experiencing pain and probably inflammation on BOTH shoulders due to overcompensation - this is why we highly advise that you take care of your original shoulder injury fast! If you don't, there is a strong likelihood that you will start experiencing significant problems in the other shoulder soon after.

The longer your injury endures, the greater the risk of running into serious overcompensation injuries.

To Stop Re-Injury & Reduce the Risk of a More Serious Overcompensation Injury, You Need to Heal Quickly & Completely!

Anyone in need of rapid recovery and complete healing must consider a comprehensive treatment plan that includes an effective means to minimize swelling and inflammation yet also stimulate healing and tissue elasticity. We have found no better set of tools that can be used at home than this:

Conservative Treatment Tools Our Clients Have Used to Help
Limit Damage & Boost The Body's Soft Tissue Repair Process to the Shoulder at Home:

  • A Cold Compress or Ice Pack to reduce inflammation wherever there is pain and/or swelling (as soon as possible).
  • A Shoulder TShellz Wrap to increase blood-flow to the treatment area (Circulatory Boost).
  • MendMeShop Arnica Pain Cream for temporary relief of pain due to sore muscles and joints.
  • An Exercise & Stretching Plan to prevent muscle atrophy and shortened tendons in the shoulder joint. A proper plan will increase elasticity and strengthen the muscles and tendons in the wrist, forearm, elbow, upper arm and shoulder.

Conservative treatment tools just like these have been used successfully by thousands of shoulder injury sufferers - just like you.

TShellz Wrap® = Enhanced Blood Flow in the Treatment Area

We believe the use of TShellz Wraps® for boosting blood flow to soft tissue in the area of application is one of the most under-utilized home treatment options available on the market today. We have client after client that have tried many options out there and have been amazed at how effective and fast the TShellz Wrap treatment can relieve pain and increase blood flow in the shoulder.

With regular use of the Shoulder TShellz Wrap:

  • Your pain will be reduced*.
  • Due to increased blood flow, soft tissue in the treatment area on the shoulder will be expected to recover at an accelerated rate with reduced potential for re-injury*.
  • Tissue in the treated area should experience a larger range of motion and increased extensibility of collagen tissue* due to the heat effect on soft tissue. This should translate into a reduced rate of re-injury occurrence as soft tissue is known to lengthen and become more flexible when exposed to warm temperature. (*Chapter 9 of "Therapeutic Heat and Cold", 4th edition. (amazon.com link - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin)

*Know that every personal soft tissue injury is unique and the TShellz Wrap may not work for everyone. This is why we offer a 60-day money back return on all our TShellz Wrap devices.


Shoulder Post Surgery

Doctors and Surgeons are always improving the techniques used in surgery, and results from surgery now are much more positive than they were in the past. However, all surgeries introduce scar tissue, and recovery from surgery can be less than ideal and take longer than anticipated.

If you do wind up getting surgery, know that rehabilitation at-home while attending regular PT or doctor appointments is vital for your overall recovery.

shoulder TShellz Wrap<sup>®</sup>

Consistent exercise and conservative treatment on a daily basis during your rehabilitation while working with your doctor or other medical professional is key. This is why you should seriously consider maximizing your recovery time spent at home by using the TShellz Wrap® at home once you are approved for PT.

The more consistent you work at enhancing blood flow to surgically repaired soft tissue, the more consistent the healing process will be. Nourishing the tissues will more oxygen and nutrients (which are carried through the blood stream) will give the body a better ability to produce new, healthy collagen. In effect, you will help the body produce stronger tissues while potentially reducing the number of setbacks that can occur following surgical procedures.


Use TShellz Wraps To Help Reduce The Effects of Atrophy

Shortened muscles and tendons due to lack of use is a real problem during recovery. When you start to feel better and use the joint, shortened muscles and tendons get over-strained, introducing small microtears. These microtears start the formation of scar tissue, which unlike muscle or tendon, is completely inflexible. Once there is scar tissue in there, tears will generally increase with movement; eventually you've got a serious problem with a joint that does not flex as much as it did before and this becomes a chronic condition. You'll know you have scar tissue when you get shooting pain if you stretch your joint too far... it is something that physical therapist's deal with quite often.

To help prevent this, use a TShellz Wrap before undertaking significant activity, as deep heat is known to increase the length & flexibility of muscles, tendons and ligaments. This is actually why we advise plantar fasciitis sufferers to treat themselves with a Plantar TShellz Wrap first thing in the morning before walking (walking stresses the plantar ligament on the bottom of the foot). After treatment, the plantar ligament is more flexible and can handle higher walking stresses before it starts to micro-tear. The ability for soft tissue to stretch further before micro-tearing will allow you to gently stretch your recovering joint without re-injuring it yet again. This is a huge boon for recovery.

shoulder TShellz Wrap<sup>®</sup>

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Increased Blood Circulation = Increased Healing Capability


TShellz Wraps® contain a unique Carbon Fiber Energy Pad which is flexible and will shape to conform to your body. This Energy Pad emits a uniform wave of perfectly safe energy over its entire surface. This energy is absorbed by soft tissue in the treatment area, opening blood vessels, resulting in an increase in blood flow. Increased blood circulation is what your body needs to maximize its cabability of healing soft tissue and this is why we recommend the TShellz Wrap®.

The Shoulder TShellz Wrap® is an FDA Registered Medical Device and is suitable for use in therapeutic clinics and FROM HOME. It is completely safe for people and patients to use for themselves.

The technology found in a TShellz Wrap® has been used for decades in the worlds of professional and amateur sports - a contributing factor as to why athletes seem to recover from injuries so quickly.

Have you ever wondered by an athlete can return to activity after 4 or 5 weeks following a shoulder injury - while your average person takes much longer to return back to normal? The secret isn't really that much of a secret - it involves consistent treatments (meaning multiple times a day) using a treatment like the TShellz Wrap® to stimulate blood flow to the injured tissues. Most athletes have the luxury of using in-house facilities many times per day.

How many us can afford the time and money to visit a clinic multiple times a day? Very few indeed. This is how you can gain some of the advantages that athletes enjoy in their injury recovery - by using a device like the Shoulder TShellz Wrap® two or three times a day on a consistent basis.


tshellz coverage front shoulder

Consistent Treatments = Consistent And Long Term Improvement


What Else Makes the Shoulder TShellz Wrap® So Special?

We believe the TShellz Wrap® to be one of the most effective home treatments to increase localized blood flow in and around the treatment area.

We can promise that you will receive a product that is designed to be safe and does what it is supposed to do... reduce pain (as stated in "Therapeutic Heat and Cold", 4th edition. - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin) temporarily increase length & flexibility of soft tissue (as stated in "Therapeutic Heat and Cold", 4th edition. - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin) and aid your body in recovering from tendon, muscle and other soft tissue injuries via enhanced blood flow.

The unit plugs into a standard wall outlet to get its power. The nice thing about the power supply is that the same unit can be used in North America and overseas as well. It has the capability to operate between 110v and 230v.

The TShellz Wrap® has a special signal controller that can be set for 3 different power levels of application (3=High, 2=Medium, 1=Low). The cord is long enough that you can sit or lie comfortably and watch TV, read or surf the net while you're using it.

Treatments are max 30 minutes in duration and the device can be worn over clothing. This allows you to use the device at work, at home, or really anywhere you have access to an electrical outlet.

common areas for shoulder bursitis

Who Should Use the Shoulder TShellz Wrap®

We recommend the use of a Shoulder TShellz Wrap®:

  • If you have bursitis, tendinitis or other soft tissue damage in your shoulder, then the Shoulder TShellz Wrap® will provide the all-important function of boosting blood circulation where it is needed most.
  • If you are dealing with soft tissue conditions affecting your range of motion.
  • If you have a chronic soft tissue shoulder condition that has lasted for years- this device is intended to kick start the recovery process and help strengthen the surrounding and supporting tissues.
  • If you are still working with a shoulder strain or mild tear, the TShellz Wrap® will help relax tissue in the shoulder prior to work and after a day at the job.
  • If you are still trying to enjoy your favorite activities such as gardening, tennis, golf, etc - use the TShellz Wrap® prior to activity to help reduce risk of re-injuring or re-aggravating those targeted tissues.
  • If you are suffering from bursitis and want to treat a major source of it (inflammation and damage to tissue surrounding the bursa sac). Through trauma, overuse or degenerative changes, muscle and tendons surrounding the bursa sacs will tighten and constrict. When they do, they place pressure on the bursa, causing it to become irritated. Applying a TShellz Wrap® to the area will help relax tissue in the treatment area, taking pressure off the bursa.
  • If you are experiencing atrophy in your shoulder and want to reduce the chance of re-injury while stretching - this is a perfect treatment to use every time before you stretch.
  • If you have been to a clinic for some form of massage or stretching and your PT or physician has recommended conservative treatments for home.
  • If you are experiencing atrophy in your shoulder and want to reduce the chance of re-injury (or further injury) while stretching - this is a perfect treatment to use on a regular basis, by enhancing blood flow and elongating soft tissue.
  • If you are experiencing tightness in your muscle(s) and want to reduce the chance of re-injury while stretching - we recommend the use of a TShellz Wrap® before you stretch.

...A Quick Recap of Benefits of the Shoulder TShellz Wrap®..

  • Can be used on either the Left or Right Shoulder - very versatile
  • It can be used before exercise to warm up the shoulder, helping reduce the risk of injury (heat elongates soft tissue and makes it more flexible)
  • FDA Registered medical device for use in home or clinics - high quality, 1 year warranty, 60 day trial period (100% refund guaranteed)
  • Increases temporary flexibility and length of tissues (reducing the re-injury factor)
  • It soothes pain and whisks away toxins
  • Carbon fiber Energy Pad is strong, lightweight, and flexible - contours very easily
  • A boost in blood flow helps maximize the body's ability to recover from soft tissue damage. This can be beneficial in saving time and money when associated with doctor or physical therapist visits
  • A boost in blood flow will maximize the body's ability to recover quickly. This can be beneficial in post-surgery rehabilitation, getting you back to work faster. Do not use until at least 6 weeks after surgery, and only after approval from your doctor.


When Should I Use My TShellz Wrap During the Day?

The most common question we receive from individuals prior to purchasing is - how many times a day should I be using my shoulder wraps and when should I be using them? While treatment plans will differ for each individual and their specific injury, there are general guidelines that should be adhered to.

  • Use a Cold Compress or Ice Pack when you are experiencing inflammation (usually after exertion or movement of the injury area).

The Shoulder TShellz Wrap® would then be used:

  • Right after rising from bed in the morning (as this is when it is most stiff)
  • Prior to going to bed at night (to relax the shoulder, allowing for better sleep)
  • Before you know you will be using your injured joint (going to work, driving, typing, etc).

We believe the use of TShellz Wraps® for effective treatment of soft tissue shoulder injuries is one of the most under-utilized home treatment options available on the market today. We have thousands of customers that have tried many options out there and have been amazed at how effective and fast the TShellz Wrap treatment can heal soft tissue injuries.

We believe the use of TShellz Wraps® for boosting blood flow to in the area of application is one of the most under-utilized home treatment options available on the market today. We have client after client that have tried many options out there and have been amazed at how effective and fast the TShellz Wrap treatment can relieve pain and increase blood flow in the treatment area.

With regular use of the TShellz Wrap:

  • Your pain will be reduced.
  • With increased blood flow, soft tissue in the area will most likely recover at an accelerated rate*.
  • Due to increased warmth in soft tissue, the corresponding joint will have a larger range of motion and increased extensibility of collagen tissue*. This should translate into a reduced rate of injury occurrance as soft tissue becomes more flexible.
    (*Chapter 9 of "Therapeutic Heat and Cold", 4th edition. (amazon.com link - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin)

Attach the TShellz Wrap®, plug it in and let the Energy Pad do the work!

*Know that every personal soft tissue injury is unique and the TShellz Wrap may not work for everyone. This is why we offer a 60-day money back return on all our TShellz Wrap devices.

Not only does the incorporation of conservative treatments (such as the use of a Cold Compress or Ice Pack and the Shoulder TShellz Wrap®) greatly benefit you during your home recovery, it also helps to prevent long term complications. Pain, lack of mobility, tendinosis, or a complete tendon rupture are some of the more common long term complications that can occur when rotator cuff tendinitis, tendon tears, and other injuries go untreated. By treating your rotator cuff with these treatments, scar tissue becomes softer and the tendons, ligaments and other soft tissue become stronger reducing the risk of chronic problems in the future.

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The Next Step Is Up To You!

Living with pain is never easy as it affects your entire lifestyle. Nothing is more important than making the proper decision when it comes to treating your muscle injury. Most methods only mask the problems or provide temporary relief; they do not treat the pain at its source.

AidYourTendon stands out in this regard as our goal is to help you heal for the longer-term.

The bottom line is, you are welcome to try our products for a full 2 months. If you do not receive the benefits that others have experienced, call us to let us know you will return your purchase back to us and we will issue a prompt & full refund. There will be no hard feelings.

The fastest option you have to get our product into your hands as soon as possible is by placing your order online - at this very moment..

Place your order on-line through our ultra-secure
website by clicking the image below:


order our pain products securely on-line

Or, Call Our Office. We are open Monday to Friday to allow you place an order over the phone. Simply call toll free 1-866-237-9608 to place an order with one of our knowledgeable Product Advisors. They have the ability to answer all your questions...ensuring you only receive the products you need.

North America Toll Free 1-866-237-9608
Outside North America +1-705-532-1671

guaranteed customer satisfaction

If you choose to order through our online shop, know that we keep no credit card data on file. Once the transaction is completed, the credit information disappears from our internal systems.

As you can see, ordering from us is a very easy and safe process, no matter if choosing to order on-line or over the phone.

Are you still unsure about placing an order? let me address some questions that may causing some hesitation...

What is the success rate of the Achilles TShellz Wraps®? Do they really work?

We try and keep in touch with a large percentage of our customers, and we encourage them to do the same. In doing so, we have received a lot of feedback as we have been in the business since 2008.

We can say that the return rate on our products is only around 5 to 10% any given month. That is exceptional by anyone's standards. Therefore, we can safely indicate that the overwhelming majority of people who purchase from us do achieve benefits with our products.


TShellz Wrap Elbow for tennis elbow, epicondylitis, elbow strains and elbow sprain
MendMeShop Arnica Pain Relief Cream
TShellz Wrap Shoulder - an advanced treatment for shoulder injury and rotator cuff injury
TShellz Wrap Knee for meniscus injury acl injury mcl injury or hyperextended knee
Advanced relief from intermetatarsal bursitis, sesamoiditis, metatarsalpholangeal bursitis
Blood Circulation Boost TShellz Back wrap for the ultimate in sore back healing
soft tissue therapy for torn or damaged achilles tendon
Advanced relief from sprained wrist and carpal tunnel syndrome injuries
An effective treatment alternative to plantar fasciitis surgery
Pain Relief Power Pack


How much time do I need to dedicate for treatments? Are the products easy to use?

The TShellz Wraps® are very easy devices to use. After one or two uses, you will engage in the treatments with ease. Very detailed instructions are included and you are always welcome to contact us by phone or email if the need for help arises.

In regards to the TShellz Wrap®, it is ideal to use the device two or three times a day on average. Each treatment session is a maximum of 20 minutes in duration and the device will turn off automatically at that time. Typically, people use the TShellz Wrap® before bed, upon awakening (or not long after) and one other time during the day when the opportunity presents itself. For people in an office setting, many will use the device at work (as it can be worn over clothing). For others, they will use the device an our or two after work.

A Cold Compress or Ice Pack is primarily used following activity that stresses the injured tissues (following work, after a sports activity, or just suffering a general re-injury). This is done to reduce inflammation and to minimize tissue damage. Treatments are 15 to 20 minutes in duration.

How long has MendMeShop been in business

We established our firm in December of 2005. Our track record in this field continues to grow and we plan on being around for many decades to come.

What is your return policy? Is it the standard 30 days?

We go above and beyond what other companies offer - we offer a full 60 day money back guarantee with no restocking fees.

AidYourTendon advisors do not work on commission, so be assured you will only receive fair and objective information.

Remember: We recommend that you consult your doctor or a medical professional before using any of our outstanding products, to make sure they're right for you and your condition.

Click HERE to Go To Our Online Store We take all major credit cards and Paypal.
If you have questions, call our office at 1-866-237-9608 (toll free continental US).
We are currently offering FREE SHIPPING and a 60 day trial period on all our Wraps.




service@mendmeshop.com

North America Toll Free 1-866-237-9608
Outside North America +1-705-532-1671


Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.

Learn More About Tendon Injuries & Treatments

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During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!


Please be aware that this information is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider before using any of our outstanding products to make sure they are right for you and your condition or if you have any questions regarding a medical condition. Always see your doctor for a proper diagnosis as there are often many injuries and conditions (some very serious) that could be the cause of your pain.

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