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RE: Do you treat shoulder impingement diff. with evidence of calcific tendonitis

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RE: Do you treat shoulder impingement diff. with evide... - May 7, 2008 6:07:13 PM   
Kaden

 

Posts: 243
Joined: June 17, 2007
Status: offline 		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. 

< Message edited by Kaden -- May 7, 2008 6:12:40 PM >

(in reply to bonez)
Post #: 21
RE: Do you treat shoulder impingement diff. with evide... - May 9, 2008 6:38:51 AM   
Boaco

 

Posts: 4
Joined: May 9, 2008
Status: offline 		Kaden
i believe there is some evidece in the use of U/S  to assist in the breakdown of calcificatio  of the shoulder.
The article is few years old Check Cinalh  and Medline good luck.
Thnakns 

(in reply to Kaden)
Post #: 22
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