Do you feel pain in your shoulder when moving it or performing certain activities? Shoulder tendinitis is a common condition that affects people of all ages, from athletes to those who carry out repetitive activities on a daily basis.
At the Instituto de Traumatología Gastaldi Orquin (ITGO), we treat this pathology with a personalised approach, helping our patients to relieve pain and regain mobility.
Join us to discover more about this injury and the best traumatology solutions in Valencia that we can offer you.
What is shoulder tendonitis?
Shoulder tendinitis occurs when the tendons surrounding the shoulder joint become inflamed. This problem usually affects the tendons of the rotator cuff, a group of muscles and tendons that stabilise and allow movement of the shoulder.
This inflammation can be caused by:
- Repetitive movements, such as those performed in sports like tennis or swimming.
- Overloading, through heavy lifting or overexertion.
- Ageing, as tendons lose elasticity over time, making them more prone to injury.
When not treated properly, tendonitis can progress to complications such as a tendon rupture or frozen shoulder.
Symptoms of shoulder tendinitis
Recognising the symptoms of shoulder tendonitis is essential to seek help in time, especially in cases of sports medicine in Valencia. Some of the most common signs include:
- Pain on the outside of the shoulder: May be mild at first and increase with movement.
- Difficulty moving the arm: Especially when raising it above the head or making turns.
- Muscle weakness: Feeling of loss of strength when carrying objects.
- Swelling and tenderness: The area may be swollen or tender to the touch.
- Nocturnal discomfort: The pain is often intensified when sleeping on the affected shoulder.
Treatments for shoulder tendonitis
At ITGO, we know that each patient is unique. That is why we design a treatment plan adapted to the needs and lifestyle of each person. Here we explain the options available, from the most conservative to surgical.
Conservative treatments
In most cases, shoulder tendinitis can be resolved without surgery. Options include:
Rest and activity modification.
Reducing activities that overload the shoulder is essential to relieve inflammation. This does not mean completely immobilising the arm, but avoiding repetitive and forced movements.
Physiotherapy
At Gastaldi Valencia, physiotherapy is a cornerstone of treatment. Our specialists work on:
- Strengthening exercises: To improve shoulder stability and prevent future injuries.
- Stretching: To increase flexibility and reduce stiffness.
- Manual therapies: To relieve tension in muscles and tendons.
Application of cold or heat
Cold helps to reduce inflammation in the early stages, while heat can be useful to relax muscles and improve circulation in later stages.
Injections
In cases of severe pain, infiltrations of corticosteroids or growth factors (PRP) can relieve inflammation and speed recovery. At ITGO, we are pioneers in the use of biological therapies such as PRP, which stimulate natural tissue regeneration.
Surgical treatments
If conservative treatments fail to achieve results after a reasonable time, or if the tendinitis is associated with a partial or total rupture of the tendons, surgical intervention may be necessary.
At ITGO, we have specialists in minimally invasive techniques, such as:
Shoulder arthroscopy
This procedure repairs damaged tendons through small incisions, minimising post-operative pain and speeding recovery.
Subacromial decompression
In some cases, the space between the acromion and the rotator cuff narrows, causing friction on the tendons. This procedure removes the structures that create this pressure, relieving symptoms.
Tendon repair
In cases of severe ruptures, tendons are sutured to restore functionality and prevent long-term complications.
Recovery and prevention
Recovery from shoulder tendinitis depends on the treatment followed and the patient’s commitment to rehabilitation.
At ITGO, we offer personalised rehabilitation plans that include physiotherapy, exercises and medical follow-up to ensure a full recovery.
How to prevent shoulder tendinitis?
Although it cannot always be avoided, there are measures that help to reduce the risk:
- Adequate warm-up: Before intense sporting or physical activities.
- Strengthening exercises: To keep the shoulder muscles strong and stable.
- Correct technique: Both in sports and in work activities involving repetitive movements.
- Regular breaks: If you perform repetitive movements, take breaks to avoid overloading.
At the ITGO we are with you
At the Gastaldi Traumatology Institute, we know how important it is to relieve pain and restore shoulder mobility.
Our multidisciplinary team is prepared to offer you the most advanced and personalised treatments.
If you feel discomfort in your shoulder or suspect tendinitis, contact us now. We are here to help you improve your quality of life.
We invite you to visit other articles on our blog, where you will find tips and treatments to take care of your joints and prevent injuries.
Frequently asked questions about treatments for shoulder tendinitis
Which shoulder tendinitis types do you treat most (rotator cuff, biceps, calcific)?
We commonly see rotator cuff tendinopathy (mainly supraspinatus), long head of biceps tendinitis and calcific tendinopathy—often linked to overload, poor technique or subacromial compression.
At our traumatology clinic we combine clinical exam and ultrasound to frame diagnosis and treatment within Valencia traumatology.
Ultrasound or MRI—what imaging do I need for tendinitis?
Ultrasound is dynamic, detects thickening/calcifications and guides precise injections. We reserve MRI for diagnostic doubts, tears or associated pathology.
At Gastaldi in Valencia we choose the test that truly changes decisions and avoids delays in your recovery.
Which exercises form the core of conservative care?
We start with pain-free isometrics, scapular control (retractions), scaption mobility and gradual progression to banded external rotations and light guided pressing.
Our sports medicine in Valencia unit sets loads, reps and progression criteria so you improve without setbacks.
When do you recommend injections and which one (steroid, hyaluronic acid, PRP)?
For limiting pain or persistent inflammation we consider ultrasound-guided injections. Steroid helps in flares; hyaluronic acid improves gliding; PRP and other orthobiologic therapies modulate subacute/chronic tendon changes.
We select the right option for your case at our traumatology clinic and pair it with exercise to sustain gains.
Calcific tendinitis: lavage/barbotage, shockwave or surgery?
Depending on size and phase, ultrasound-guided lavage fragments/aspirates deposits; shockwave therapy supports resorption and pain relief. We consider surgery only after a comprehensive plan fails.
At Gastaldi in Valencia we discuss benefits and timelines to pick the most effective, least disruptive option.
Total rest or modified activity? Cold or heat?
We avoid full rest except during severe flares. We prefer modified activity and graded exposure, avoiding painful overhead work early on.
Use cold during inflammatory spikes; use heat to ease stiffness before exercises. We’ll give you a clear plan at our traumatology clinic.
When can I return to gym work, swimming or racquet sports?
We reintroduce sport once you tolerate basics without next-day flare and meet strength/scapular control thresholds. Swimmers and racquet players progress technique and volume first, then intensity.
Our sports medicine in Valencia team structures phased return to prevent recurrences.
When do you consider surgery for shoulder tendinitis?
If pain remains limiting after full conservative care (exercise, technique, guided injection) or if there are associated lesions (tears, refractory impingement), we discuss arthroscopy (acromioplasty, repair, biceps tenodesis).
Within Valencia traumatology we decide together, explaining risks, timelines and expectations for potential surgery.
Do you work with insurers and how do I start?
Yes—we coordinate appointments, imaging and ultrasound-guided injections where indicated, plus your strength and sport readaptation plan.
Contact Gastaldi in Valencia: ITGO guides you step by step from assessment to functional discharge at our traumatology clinic.