Calcific Tendinopathy: Focused Shockwave Therapy is the most efficient and cost effective treatment

There are 4 alternatives to managing calcific tendinopathy in the shoulder: corticosteroid injections, surgical repair, focused shockwave (FSW) and living with it. Circled in blue on the left side of the image below is an example of a calcific deposit in the rotator cuff muscles. This condition is a common cause of serious chronic shoulder pain. On the right is the same shoulder after being treated with FSW. BOOM, no calcification, no risk of infection, no downtime.

Corticosteroid injections are commonly prescribed in Australia but they are painful with poor long-term outcomes because they do not get rid of the calcification. The strong anti-inflammatory injection simply masks the symptoms for a short period. Many sufferers of this condition are offered 2-4 injections, at a cost of a few hundred per injection over a year with minimal relief. When the pain recurs they are told that they can’t have any more injections due to adverse health risks.

The surgical correction can remove the calcification but it is way more expensive, costing thousands of dollars, with a risk of infection, requiring time off work and a lengthy rehab program.

The easiest, safest, most efficient and cost-effective procedure to eliminate tendon calcification is with FSW. The before and after photo at the top of the page shows what FSW can do after three treatments. The calcification was gone and the damaged tissue was repaired, allowing the individual to get on with life. On average, the calcium is reabsorbed 1-3 months after 1-3 weekly treatments delivering 2000 shocks at 6Hz. Each treatment takes 10-15 minutes.

Mild to moderate pain, 5/10, is experienced during treatment and most patients experience decreased pain and an improvement in their shoulder’s range of motion immediately after the treatment. In a study of 23 patients, at follow-up, 82.6% of cases show complete resorption and 8.7% show partial resorption. The remaining 8.7% showed no significant change in radiographic imaging.

The final alternative, living with it. Living with it means sleepless nights, having painfully reduced shoulder ranges of motion, reduced strength, having to reduce daily activities of living and a possible reliance on drugs. Since I have been trained in the use of FSW and have experienced it on my shoulders I can apply the therapy to your shoulders and prescribe the required exercises to rehabilitate the damaged tissues. There is no need to delay getting better.

To make an appointment for FSW please call us on 3823 2282 or 0409878180. If we are unable to answer your call, please leave a voice message. Alternatively, send us an SMS on 0409878180 and we will get back to you as soon as possible. For the computer savvy, you can book online at  The Book Now icon is at the top right of the webpage.