Shockwave therapy for calcific shoulder tendonitis

Shockwave therapy for calcific shoulder tendonitis Blog

How Extracorporeal Shockwave Therapy Can Decrease the Symptoms of a Calcific Condition That Affects a Patient’s Shoulder

If a patient is suffering from calcific shoulder tendonitis, the condition may cause severe pain, limit the individual’s range of motion, increase the production of inflammatory enzymes and augment the level of pressure within the rotator cuff. Extracorporeal shockwave therapy is a noninvasive treatment that can prompt the cells to regenerate, enhance blood flow, eliminate deposits of calcium and reduce pain. The procedure may also modify the levels of proteins and enzymes that are related to the production of new tissue.

Improving Blood Flow

Numerous studies have suggested that extracorporeal shockwave therapy can increase the amount of blood that will reach the bones and the connective tissue, and the treatment may boost the level of oxygen that positively affects the tendons and increase the amount of vitamins that the joint absorbs. Furthermore, the treatments may cause the body to produce additional capillaries, which are small blood vessels that may accelerate recovery and hinder the formation of additional deposits of calcium.

Preventing Complications

When specialists perform the procedures, the patient will not experience pain or discomfort, and unlike many alternative therapies, the cutting-edge technology will never cause side effects. Moreover, the treatments will not require the patient to undergo a recovery period.

Promoting the Production of Healthy Cells

The therapy may improve the thickness of the connective tissue by prompting the cells to rapidly regenerate. The treatment can also increase metabolism, and consequently, the tissue may absorb especially high levels of amino acids. Several reports showed that the procedures could also boost a patient’s level of a vascular cell adhesion molecule, which is a protein that can cause the cells to stick to one another and may slightly extend the lifespans of some cells.

Multiple analyses have shown that the newly regenerated cells are able to improve the strength of the shoulder. Likewise, the cells can swiftly reduce tenderness that calcific shoulder tendonitis may cause.
Decreasing Pain

Decreasing Pain

The condition is commonly precipitated by repetitive movements that slowly wear down the rotator cuff’s tissue, and eventually, the deposits of calcium will cause pain and inflammation by rubbing against the tendons when the shoulder moves. The treatment can decrease the production of cyclooxygenase, which may precipitate oxidation, augment the body’s levels of prostaglandins and reduce the density of the tissue.

Decreasing the Sizes of Calcific Deposits

According to several reports, the therapy can break down the deposits of calcium phosphate and cause the body to absorb the calcium, so the treatments may improve the patient’s range of motion, reduce soreness and decrease inflammation. A detailed study showed that the procedures can eliminate 30 percent to 82 percent of calcific deposits.

Analyzing the Treatments and the Duration of the Positive Effects.

During each appointment, the specialists will utilize a device with a cutting-edge coil that generates controlled bursts of energy. If an injured athlete chooses extracorporeal shockwave therapy, the patient will generally have to undergo at least three sessions, and a clinic may provide one treatment per week. Sometimes, each session will have a duration of less than 20 minutes.

Various analyses have indicated that an individual will notice a decrease in pain within three weeks of the first treatment. Additionally, multiple studies showed that the therapy’s effects are typically evident for more than one year.

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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