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Original Article

Clinical Pain 2012; 11(1): 1-4

Published online June 30, 2012

Copyright © Korean Association of Pain Medicine.

Conservative Management for Rotator Cuff Tears and Calcific Tendinitis

회전근개파열과 석회성 건염의 보존적 치료

Sun Gun Chung, M.D., Ph.D.

정선근

DepartmentofRehabilitationMedicine,SeoulNational University Hospital, Seoul, Korea

서울대학교병원 재활의학과

Abstract

Rotator cuff tendon tears and calcific tendinitis are common problems affecting middle aged shoulders, resulting in pain and limitation of motion. The afflictions caused by the problems fall in wider ranges - from asymptomatic to sleep disturbing agony. Most of the two problems can be successfully managed conservatively by aiming at minimizing pain and limitation of motion and improving underlying biomechanics. Pain relief and increase of motion can be effectively achieved by steroid injection under accurate image guidance. For a significantly big calcium nodule that causes strenuous pain, calcium barbotage, which is washing out calcium material using a large diameter needle (mostly larger than 18 gauge) and saline loaded syringe. After successful pain relief and increase of range of motion, passive stretch can further help to improve in range of motion. Restoration of healthy biomechanics should be done focusing on scapular range of motion and stabilization, which is the most important part in conservative treatment to ameliorate pain and disability and to maximize functional capacity in long-term perspectives. It is important to note that failure of a type of conservative treatment is usually resulted from a wrong diagnosis. Integrating history and physical examination findings with image diagnosis is crucial to make a right decision whether and how a lesion should be treated. (Clinical Pain 2012;11: 1-4)

KeywordsRotator cuff tendon tears, Calcific tendinitis, Shoulder, Treatment, Barbotage

Korean Association of Pain Medicine

Vol.23 No.2
December 2024

eISSN: 2765-5156

Frequency: Semi Annual

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