Rotator cuff offer immediate relief tendonitis treatment

A minimally invasive treatment for procedures tendinitis of the rotator cuff of the shoulder offers immediate relief of symptoms of the patient who, after a study published in the July edition of Radiology. The study found that ultrasound guided nonsurgical therapies significantly reduced the pain of calcific tendinitis of the rotator cuff and mobility after the treatment. "With this treatment, we were able to adopt an economical and effective treatment for calcific tendonitis of the rotator cuff. He has never seen before, "says co-author Sconfienza Luca, MD, Department of Radiology, IRCCS Policlinico San Donato, University of Milan, School of Medicine in Milan, Italy." The improvement of symptoms in patients with our procedures in relation to non-patients. "

Calcificante tendinitis is a condition that makes the formation of small calcium deposits in the muscles of the rotator cuff of the shoulder. It is very common among adults in their 40s. In most cases, deposits and painful mobility of the shoulder. In those cases, physical therapy or anti-inflammatory medications may be sufficient to solve the problem, calcific break spontaneously. In severe cases, patients may require shockwave treatment or open operation for calcium. Job involves hospitalization and rehabilitation, and in rare cases it can be more complications, such as rupture of tendons.

"This treatment totally replace other treatments, due to several constraints and complications," said Dr. Sconfienza.

Ultrasound guided percutaneous (through the skin) therapy is an effective and economical in operation is less burdensome for the patient. For the 20-minute procedure, the shoulder and knocked ultrasound guidance, a radiologist, an injection of saline in the Rotatorenmanschette washed and break the calcium. A second needle is used to evacuate or residues of calcium. Recovery time is approximately one hour.

"Tendonitis calcificante people should know that a simple, once the procedure carried out by ultrasound, they could once again full of terrible pain, the permanence of their shoulders," said Dr Sconfienza.

For the study, Dr. Sconfienza, Senior Author Giovanni Serafini, MD, of the unity of Radiology at the Hospital of Santa Corona in Pietra Ligure, Italy, and colleagues are guided by ultrasound percutaneous therapy for the treatment of 235 133 to the shoulders of women and 86 men (average age: 42) with calcific tendinitis. Another 68 patients (31 men and 37 women) are not treated and control. All patients had shoulder pain, was not the oldest medical treatment. It was after 1 month, 3 months, 1 year, 5 years and 10 years.

The results showed that patients treated showed a significant reduction of pain and improve mobility of the extremities after 1 month, 3 months and 1 year compared to untreated patients. Five and 10 years after the procedure, the status of non-treated patients improved to such an extent that the results have been reported with which the treated group.

While some institutions currently offer this treatment, Dr. Sconfienza said, it is theoretically possible, the procedure could, in every hospital or clinic, the ultrasound probe with a surface.

"There are millions of people around the world, tendinitis calcificante," said Dr Sconfienza. "This treatment may be a quick and inexpensive help for each of them."