Algorithm of management based on treatment goals for calcifying tendonitis of the shoulder: rigidity, pain and size of calcification

Purpose: The objective of the present manuscript is to propose a step-by-step algorithm for management calcifying tendonitis (CT) shoulder based on treatment goals, from conservative surgical approaches. Method: A clinical note main treatments pain, rigidity and size calcification experience previous publications authors has been performed. Arguments: Treatment although there controversy most adequate treatment. Kinesiotherapy recommended therapy rigidity. For pain after NSAIDs; microwaves, short waves, TENS, ultrasounds Interferentials are effective. calcification, Iontophoresis, Electroshock wave therapy, Ultrasound needle guided aspiration arthroscopic surgeries alternatives, in that order. Conclusions: CT must be treated specific mainly or calcification. proposed suggested effectiveness available techniques. If present, kinesiotherapy technique. management, physical such as effective iontophoresis common, safe inexpensive all techniques failed, advanced ESWT, US arthroscopy recommended, they not exempt risk factors complications.