High-Energy Extracorporeal Shock-Wave Therapy for Treating Chronic Calcific Tendinitis of the Shoulder

  title={High-Energy Extracorporeal Shock-Wave Therapy for Treating Chronic Calcific Tendinitis of the Shoulder},
  author={Raveendhara R. Bannuru and Nina E Flavin and Elizaveta E. Vaysbrot and William Harvey and Timothy E. McAlindon},
  journal={Annals of Internal Medicine},
Rotator cuff tendinitis is one of the most common causes of shoulder pain. The term noncalcific tendinitis refers to rotator cuff tendinitis without calcium deposits. The term calcific tendinitis indicates the presence of calcium deposits in the rotator cuff tendons, most commonly in the supraspinatus tendon near its insertion site (1). The prevalence of calcium deposits has been reported as 2% to 20% of asymptomatic shoulders, 6.8% of patients with shoulder pain, and up to 17% of patients with… 
The Effectiveness of High-Energy Extracorporeal Shockwave Therapy Versus Ultrasound-Guided Needling Versus Arthroscopic Surgery in the Management of Chronic Calcific Rotator Cuff Tendinopathy: A Systematic Review.
Ultrasound imaging-guided percutaneous treatment of rotator cuff calcific tendinitis: success in short-term outcome.
The success of the procedure with quick improvement in function and symptoms is warranted in soft and middle-sized calcifications, in young adults.
Long-term evolution of calcific tendinitis of the rotator cuff: clinical and radiological evaluation 10 years after diagnosis
Calcific tendinitis is a self-resolving disease without rotator cuff tears at long-term follow-up or degenerative glenohumeral progression in patients affected by calcific Tendinitis at a minimum following-up of 10 years after diagnosis.
Effect of extracorporeal shock-wave therapy for treating patients with chronic rotator cuff tendonitis
ESWT showed greater efficacy in shoulder pain relief with regard to NRS score and shoulder function as measured by using CMS and SST score at 4 weeks and 8 weeks after treatment, however, no adverse events occurred in both groups.
Effects of High-Energy Extracorporeal Shockwave Therapy on Pain, Functional Disability, Quality of Life, and Ultrasonographic Changes in Patients with Calcified Rotator Cuff Tendinopathy
High-energy shockwave therapy has been proved to be effective and thus strongly recommended for the management of calcified rotator cuff tendinopathy, improving the pain, functionality, and quality of life of these participants and decreasing the size of calcification deposits.
A Relationship between Calcium Deposit Size with the Pain Intensity on The Patients with Calcified Tendinitis in The Rotator Cuff
The size of the calcium deposit has not correlated with the pain intensity in rotator cuff calcified tendinitis patients, and further research is needed to determine whether the location and form of calcium deposits affect the painintensity in patients with calcification of multifocal cells.
Prognostic factors of extracorporeal shock wave therapy for tendinopathies
It is discovered that laterality different to the dominant limb and repeated shock wave treatments are prognostic factors in an unsuccessful therapy, while being male and a high body mass index are factors for success.
Extracorporeal Shockwave Therapy Treatment in Upper Limb Diseases: A Systematic Review
ESWT is a safe and effective treatment of soft tissue diseases of the upper limbs and even in the minority cases when unsatisfied results were recorded, high energy shockwaves were nevertheless suggested in prevision of surgical treatment.
Efficacy of ultrasound-guided percutaneous lavage for rotator cuff calcific tendinopathy
A meta-analysis indicates that UGPL has certain clinical effect for calcifying tendinitis of rotator cuff, and may be superior in clinical pain relief and calcification clearance.


Extracorporeal shock wave therapy for calcific and noncalcific tendonitis of the rotator cuff: a systematic review.
There is moderate evidence that high-energy ESWT is effective in treating chronic calcific rotator cuff tendonitis when the shock waves are focused at the calcified deposit, but high-quality randomized, controlled trials are needed with larger sample sizes, better randomization and blinding, and better outcome measures.
Extracorporeal shock wave therapy in calcific tendinitis of the shoulder
ESWT in calcific tendinitis of the shoulder is very effective and does not have significant side effects at an energy level of E=0.44 mJ/mm2, which can therefore be recommended.
[Extracorporeal shockwave therapy (ESWT) in tendinosis calcarea of the rotator cuff. Long-term results and efficacy].
Extracorporeal shock wave therapy was successful for about 70% of the treated patients with no long-term complications seen and the Constant score increased from 45 before treatment to 88 in group A and 85 in group B after treatment.
Radial extracorporeal shock wave therapy in the treatment of shoulder calcific tendinitis.
Radial ESWT applied to patients with shoulder calcific lesions of the rotator cuff resulted in pain relief increase in the range of motion and increase inThe muscular strength as shown by X-ray, these results were followed by the decrease in the size of the Rotator cuff calcifications.
Extracorporeal shock wave therapy for the treatment of chronic calcifying tendonitis of the rotator cuff: a randomized controlled trial.
Both high-energy and low-energy ESWT appeared to provide a beneficial effect on shoulder function, as well as on self-rated pain and diminished size of calcifications, compared with placebo.
High-energy extracorporeal shock-wave therapy for calcifying tendinitis of the rotator cuff: a randomised trial.
High-energy shock-wave therapy significantly improves symptoms in refractory calcifying tendinitis of the shoulder after three months of follow-up, but the calcific deposit remains unchanged in size in the majority of patients.
Shoulder function after extracorporal shock wave therapy for calcific tendinitis.