Interventional procedure overview of extracorporeal shockwave therapy for calcific tendinopathy in the shoulder
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Existing assessments of this procedure
A clinical practice guideline on the non-invasive management of soft tissue disorders of the shoulder from the Ontario Protocol for Traffic Injury Management collaboration was published in 2021 (Yu et al. 2021). This was based on 7 systematic reviews examining the effectiveness and safety of non-invasive interventions for the management of soft tissue disorders of the shoulder. The recommendations state that shockwave therapy should not be offered for shoulder pain with duration more than 3 months, but clinicians may consider it for shoulder pain with calcific tendonitis.
The Canadian Agency for Drugs and Technologies in Health published a bulletin on extracorporeal shock wave treatment for chronic rotator cuff tendonitis in 2007 (Ho 2007). This stated that the evidence 'supports the use of high-energy ESWT for chronic calcific rotator cuff tendonitis, but not for non-calcific rotator cuff tendonitis. High-quality RCTs with larger sample sizes are needed to provide stronger evidence.'
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