Barbotage for Calcific Tendinopathy

Calcific tendinopathy occurs when calcium deposits form within a tendon, causing pain, inflammation, and limited mobility. While cortisone injections can help reduce inflammation, they may not always be sufficient for treating large or globular calcium deposits. In these cases, Barbotage may be an effective option.

What is Barbotage?

Barbotage is a minimally invasive procedure designed to break up and remove calcium deposits from tendons, especially in cases of calcific tendinopathy. During the procedure, the physician injects a local anesthetic to numb the area, followed by a saline solution into the tendon, creating gentle pressure that helps to disrupt and fragment the calcium deposits. This process aids in the resorption of the calcium and alleviates pain and stiffness associated with the condition.

How the Process Works

The procedure is typically performed under ultrasound guidance to ensure precise targeting of the calcium deposit. Once the deposit is fragmented, the saline solution may be aspirated, and the area is often treated with a cortisone injection to help manage inflammation and promote healing.

Indications

Barbotage is particularly beneficial for patients with large, globular calcium deposits that are causing significant discomfort or restricting function. It is often recommended when other treatments, like injections alone, have not provided sufficient relief.

What to Expect During Recovery

After a Barbotage procedure, patients may experience some discomfort or bruising around the treated area. The procedure is followed by a rehabilitation period, where light stretching or physiotherapy may be recommended to help restore mobility and strength. Full recovery typically occurs within several weeks, depending on the size and location of the calcification.