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 restrictionConventional Treatment protocols include: physio modalities, deep friction massage, iontophoresis, local and systemic non- inflammatory, needle irrigation-aspiration of calcium deposit and subacromial steroid injectionRecent 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.

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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