|
Kaden -> RE: Do you treat shoulder impingement diff. with evidence of calcific tendonitis (May 7, 2008 6:07:13 PM)
|
Good posts everyone.
I don't think there would be a very effective way to differentiate between calcific tendonitis or "regular" tendonitis.
SJ brings up a good point that just b/c there is a study to show something works does not always mean it is the most effective intervention.
I don't typically see any "impingment" type patient for more than 8-10 visits, and have good results overall. Given how common calcium deposits seem to be in the supraspinatus I have surely treated one that was not confirmed on radiograph and gotten good results without US. And I have yet to have a patient respond poorly to return to MD and have x-ray show evidence of calcific tendonitis.
With that said I think shill makes a good point that it is reason to not toss the US away and I would probably go there in a patient who was not responding to my typical treatment.
|
|
|
|