The rotator cuff are a group of tendons and muscles that surround the shoulder joint. Calcific tendinitis is a condition where these tendons develop calcium deposits inside and on the surface of them.
It can be exquisitely painful with many patients brought to tears with the sheer intensity of the pain.
Calcific tendinitis requires focussed physiotherapy rehabilitation.
This maybe assisted with a steroid injection into the bursa, which reduces the pain to help with physiotherapy.
Dry Needling (Barbotage)
If the calcium deposit is large enough you will be referred for Dry Needling (Barbotage) of the calcium deposit. This is performed by a Consultant Musculoskeletal Radiologist. It involves the injection of local anaesthetic into the skin and insertion of a needle into the calcium deposit. The radiologist can either break up the calcium and sometimes suck the calcium into a syringe.
In most cases of calcific tendinitis this is enough to settle the pain, however on occasion the pain many continue and you will require
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Following the operation, you will normally have a bulky dressing covering your wound. This is then removed to reveal the sticky dressing at 48 hours until 14 days following your operation. The stitches will dissolve and do not require removal. You will require a wound check either at the hospital or your GP practice at 14 days.
Surgery for calcium excision is quite painful and many patients report and increase in pain for a few weeks after surgery. After 6 weeks the pain starts to settle. It can take from 6 weeks to 12 months to recover from the surgery. Every patient is different hence the large variation of rehabilitation time.
Due to pain after surgery, patient may be reluctant to perform their exercises. If you do not gently rehabilitate your shoulder it can become stiff and you can develop a frozen shoulder.
Anaesthetic in the modern era are extremely safe however there are still minor risks associated with the different techniques which the anaesthetist will discuss with you before your surgery.
(1%) is a risk with all surgery. In the majority of cases these are infections around the wound and can be treated with a course of antibiotics. The more unusual deep-seated infections however can require admission to hospital and surgery to clean the wound out if necessary.
Is a potential but very rare risk with this surgery. Often the nerves at greatest risk are the tiny nerves supplying skin in the area of the wound and cutting through these may result in an area of numbness that is not often troublesome.
Is a rare complication.