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Calcific Barbotage

Calcific Barbotage is an advanced procedure offered at RAD Clinics, designed to help manage pain and restore function in patients suffering from calcific tendonitis. This minimally invasive technique targets calcium deposits that can form within tendons, most commonly in the shoulder’s rotator cuff. The procedure is carried out under ultrasound guidance to ensure precision and comfort, making it an effective option for individuals whose symptoms have not improved with more conservative treatments.

Fees

  • £400
    (Includes consultation, ultrasound scan, injection, and report).
    Duration

  • 45 mins
Hydrodilatation

Mode of Action of Calcific Barbotage

Calcific barbotage works by physically breaking down and removing calcium deposits that form within tendons. These calcium deposits can cause significant pain and discomfort, limiting movement and causing inflammation. During the procedure, a fine needle is introduced into the calcified area under ultrasound guidance. The calcium deposit is then disrupted by a mechanical action known as “barbotage” (which refers to the repeated movement of the needle within the deposit), followed by aspiration, where the loosened calcium fragments are drawn out of the tendon.

The body then absorbs any remaining small calcium fragments over time, gradually reducing inflammation and pain, allowing the tendon to heal and restoring function.

Procedure of Calcific Barbotage

At RAD Clinics, calcific barbotage is performed by experienced clinicians under local anaesthetic. The process involves several key steps:

  1. Ultrasound Guidance: The affected area is first scanned using ultrasound to accurately locate the calcium deposits within the tendon.
  2. Local Anaesthesia: A local anaesthetic is administered to numb the area, ensuring that the procedure is as comfortable as possible.
  3. Needle Insertion: A fine needle is inserted into the calcium deposit using real-time ultrasound guidance for precision.
  4. Barbotage: The clinician performs barbotage by repeatedly moving the needle through the deposit, breaking it into smaller fragments.
  5. Aspiration: Once the deposit is broken down, the calcium fragments are aspirated (drawn out) using the same needle.
  6. Post-Procedure Care: After the procedure, the area is cleaned, and a small dressing is applied. Patients are typically advised to rest and avoid strenuous activity for a short period.

The procedure is minimally invasive and is usually performed on an outpatient basis, allowing patients to return home on the same day.

Ultrasound-Guided Calcific Barbotage

The use of ultrasound guidance at RAD Clinics enhances the safety and precision of calcific barbotage. Ultrasound provides real-time imaging of the calcified area, allowing clinicians to accurately target the calcium deposits and avoid surrounding structures like nerves and blood vessels. This approach minimizes the risk of complications and ensures that the treatment is as effective as possible.

Ultrasound guidance also allows the clinician to monitor the progress of the procedure, ensuring that the calcium deposit is adequately broken down and aspirated.

Conditions Treated with Calcific Barbotage

Calcific tendonitis

Calcific tendonitis is a condition in which calcium deposits form within a tendon, causing pain, inflammation, and stiffness. The calcium deposits can irritate the surrounding tissues, leading to inflammation and discomfort. Symptoms typically include sharp pain, particularly with movement or at night, limited range of motion, and tenderness around the affected joint. In severe cases, the pain can become chronic, significantly impacting daily activities.

Benefits of Calcific Barbotage

Calcific barbotage offers several benefits for patients suffering from calcific tendonitis:

  • Minimally Invasive: The procedure is performed using a fine needle, reducing the need for open surgery and minimizing recovery time.
  • Precision: Ultrasound guidance ensures that the calcium deposit is accurately targeted, improving the effectiveness of the procedure.
  • Pain Relief: By removing the source of irritation, calcific barbotage can help alleviate pain and discomfort associated with calcific tendonitis.
  • Improved Function: Removing calcium deposits allows the tendon to heal, leading to improved joint function and mobility over time.

Calcific barbotage is often recommended when conservative treatments such as physiotherapy, anti-inflammatory medications, or corticosteroid injections have not provided sufficient relief.

Common Questions We Hear From Patients

Recovery from the ultrasound-guided barbotage procedure is typically quick, with most patients experiencing only mild discomfort for a few days. You can generally return to light activities after 24-48 hours, but full recovery may take a few weeks depending on the individual.

You can find the barbotage procedure at RAD Clinics in our three convenient locations: Milton Keynes, Northampton, and Aylesbury. Visit our website or contact us directly to schedule a consultation with one of our specialists at a location near you.

After a barbotage procedure, it’s important to follow our aftercare instructions, which may include gentle stretching, avoiding strenuous activities, and applying ice to reduce swelling. Your healthcare provider will guide you on the best course of action for your recovery.

Most patients experience minimal discomfort during the barbotage procedure due to the use of local anesthesia. Any post-procedure soreness is usually temporary and can be managed with pain relief strategies.

Calcific tendonitis in the shoulder typically causes shoulder pain, stiffness, and difficulty lifting or moving the arm. Some people experience severe pain at night or during the acute inflammatory phase when calcium deposits trigger significant inflammation.

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DISCLAIMER

PHYSIOTHERAPY

We accept some private insurance to cover our physiotherapy services. Please check with us prior to booking your appointment.

ULTRASOUND SCANS & MSK INJECTIONS

We do not accept insurance coverage for scans and injections. If you wish to reimburse your fees, then please kindly check with your insurance provider prior to booking as we cannot be held responsible for any non-payments.

ACCREDITATIONS AND PARTNERS

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