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Shock Wave Therapy for Calcific Tendinitis

Calcific tendinitis (CT) shoulder is a self-limiting disorder characterized by deposition of calcium salts in rotator cuff muscles.
Symptoms: pain, activity restriction
Conventional Treatment protocols include: physio modalities, deep friction massage, iontophoresis, local and systemic non- inflammatory, needle irrigation-aspiration of calcium deposit and subacromial steroid injection
Recent research supports and documents effect of Extracorporeal Shock Wave Therapy as a minimally invasive effective treatment of calcific tendinitis prior to deciding on surgery.
A 6 month follow up study proved SWT increases shoulder function, reduces pain, and is effective in dissolving calcifications and these results were maintained over the following 6 months.
  • If you have been experiencing shoulder pain, and your type of job involvesrepetitive use of hand or desk job using the keyboard, you may be suffering from tendonitis. Call us to talk to one of our Physiotherapist to discuss the suitability of Shockwave Therapy.
References:

1. J Orthop. 2018 May 20;15(3):776-782. doi: 10.1016/j.jor.2018.05.040. eCollection 2018 Sep.Calcifying Tendinitis of Shoulder: A Concise Review.Umamahesvaran B 1, Sambandam SN2, Mounasamy V3, Gokulakrishnan PP1, Ashraf M1.

2. Ann Intern Med. 2014 Apr 15;160(8):542-9. doi: 10.7326/M13-1982.High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: a systematic review.Bannuru RR, Flavin NE, Vaysbrot E,Harvey W, T.


3. Mater Sociomed. 2018 Jun;30(2):131-146. doi: 10.5455/msm.2018.30.141-146.Effectiveness and Safety of Shockwave Therapy in Tendinopathies.Dedes V1, Stergioulas A2, Kipreos G2, Dede AM 3 Mitseas A4 Panoutsopoulos GI1.


4. Arch Phys Med Rehabil. 2013 Sep;94(9):1699-706. doi: 10.1016/j.apmr.2013.01.030. Epub 2013 Mar 13.Clinical improvement and resorption of calcifications in calcific tendinitis of the shoulder after shock wave therapy at 6 months’ follow-up: a systematic review and meta-analysis.Ioppolo F1, Tattoli M, Di Sante L, Venditto T, Tognolo L, Delicata M, Rizzo RS, Di Tanna G, Santilli V.



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