Comparison of Focused Shock Waves or Ultrasound-Guided Needling and Lavage in Patients With Calcifying Tendinopathy of the Shoulder
Calcific Tendinopathy of Shoulders, Extracorporeal Shockwave Therapy, Ultrasound Guided Barbotage Therapy
About this trial
This is an interventional treatment trial for Calcific Tendinopathy of Shoulders
Eligibility Criteria
Inclusion criteria. Patients over 18 years of age Patients who agree to participate in the study and provide written Informed Consent Complete shoulder mobility. No associated cervicobrachialgia or associated shoulder injuries. No previous shoulder interventions. Calcification stage I-II according to the Gartner scale (diagnosed by AP X-ray of the shoulder and ultrasound that will be performed by two radiologists who are experts in musculoskeletal) Calcium greater than 0.5 cm Pain clinic (VAS > 5) of more than three months of evolution • Exclusion criteria Pacemakers Coagulation disorders Pregnancy Active neoplastic process. Infiltration with corticosteroids less than 6 weeks ago. Contraindication to corticosteroid treatment Previous treatment with shock waves and / or puncture-aspiration Cuff pathology (tear) No tolerance to SW Previous surgeries on the same shoulder. Absolute contraindications for focal shock waves
Sites / Locations
- Fundacion Jimenez Díaz HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
shockwave therapy
Ultrasound-Guided Barbotage
us guided subacromial injections
The calcification will be located by ultrasound and the energy will be applied in the precise place. 3 sessions will be carried out as follows: 1, 2, 3 weeks This procedure will be carried out by a single experienced Physical and Rehabilitation medical doctor
The calcification will be located by ultrasound. By injecting serum at high pressure, it is intended to wash away the calcification. A subacromial inyection will be associated with this procedure. A maximum of 3 Ultrasound-Guided Barbotage will be performed with an interval of 6 weeks between each puncture. This procedure will be performed by two experienced radiologists
An US guided subacromial injection (1 cc of corticostheroid ) and anesthetic (2 cc of mepivacaine) will be performed. The periodicity will be one infiltration every 8-10 weeks, being able to carry out a maximum of 3 per year.