Treatment for Symptomatic Calcific Tendinopathy of the Shoulder: Ultrasound-Guided Needling Lavage and Extracorporeal Shock Wave Therapy vs Extracorporeal Shock Wave Therapy. A prospective observational study
MLTJ-MUSCLES LIGAMENTS AND TENDONS JOURNAL(2023)
Abstract
Objective. To compare combined treatment ultrasound guided needling (UGL) and extracorporeal shockwave therapy (ESWT) versus ESWT alone in symptomatic calcific tendinopathy of supraspinatus.Methods. It is a prospective observational study. The participants were 50 consecutive patients with painful (NRS > 5) calcific tendinitis of the shoulder. Clinical and radio-logical data were collected before treatment (T0) at one (T1) and three months (T2) follow-up. Eligible patients were assigned to the Intervention Group (IG) with combined treatment and 3 sessions of focused ESWT (23 patients). Patients not willing to undergo UGL were considered as the Control Group (CG) and treated with 3 sessions of ESWT alone (27 patients). 36 patients reached T2.Results. Combined treatment was more effective in NRS reduction at one (T1) month follow up (p < 0.001). Moreover, in IG, it was observed a statistically significant difference in NRS (p < 0.001) and in the CMS (p < 0.001) at three months follow-up (T2). Calcific deposit was eradicated more effectively by combined treatment, with total resorption in 79 % at T2 (p < 0.001).Conclusions. Combined treatment ultrasound-guided needling lavage and shockwave therapy is a rapid, safe and effective treatment in patients with painful calcific tendinopathy, in pain reduction at one month follow-up.
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Key words
Barbotage, calcific deposit, calcific tendinopathy, eccentric exercise therapy ESWT, rotator cuff, shock wave therapy, shoulder pain, ultrasound-guided needling lavage, ultrasound-guided percutaneous irrigation
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