Calcium treatment shows no advantageRotator Cuff Calcific Tendinopathy: Randomized Comparison of US-guided Percutaneous Treatments by Using One or Two Needles.
Combined treatment limits clarity.
We explored the effectiveness of calcium treatment through ultrasonography-guided procedures for calcific tendinopathy and its relationship with bursitis. Our study involved 211 patients who were randomly assigned to either a single-needle or a double-needle irrigation procedure to address painful calcifications. We closely monitored various factors, including the duration of the procedure and the occurrence of post-procedural bursitis.
Overall, we did not find any significant differences between the two approaches when it came to clinical outcomes like pain relief or movement improvement over the course of a year. Interestingly, while we noted that procedure duration varied depending on the type of calcification being treated, neither approach led to a notable difference in the rate of bursitis after the treatments.
Specifically, the incidence of bursitis was observed in 9% of patients who received the single-needle treatment, compared to 3.6% in those who underwent the double-needle method. However, this difference was not statistically significant either, indicating that both techniques seem to perform similarly in terms of side effects.
In conclusion, our findings suggest that calcium treatment, regardless of whether it is performed using one or two needles, does not significantly impact the likelihood of developing bursitis. The effectiveness of the treatment itself appeared comparable, with clinical improvements seen in both groups.
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