{"id":66479,"date":"2026-04-27T08:00:40","date_gmt":"2026-04-27T06:00:40","guid":{"rendered":"https:\/\/mivisalud.com\/blog\/calcification-flushing-bubbling-and-advanced-physical-therapy-for-calcific-tendinitis\/"},"modified":"2026-04-27T08:00:40","modified_gmt":"2026-04-27T06:00:40","slug":"calcification-flushing-bubbling-and-advanced-physical-therapy-for-calcific-tendinitis","status":"publish","type":"post","link":"https:\/\/mivisalud.com\/en\/blog\/calcification-flushing-bubbling-and-advanced-physical-therapy-for-calcific-tendinitis\/","title":{"rendered":"Calcification Flushing (Bubbling) and Advanced Physical Therapy for Calcific Tendinitis"},"content":{"rendered":"<h2><strong>What Is Shoulder Calcification?<\/strong><\/h2>\n<p>Calcifications in the shoulder are calcium deposits that form in the tendons, particularly in the supraspinatus tendon of the rotator cuff.<\/p>\n<p>These calcifications can cause:<\/p>\n<p>\u00b7 severe shoulder pain<\/p>\n<p>\u00b7 restricted movement<\/p>\n<p>\u00b7 difficulty sleeping on that side<\/p>\n<p>\u00b7 inflammation of the subacromial bursa (bursitis)<\/p>\n<p>When calcifications are large or cause significant pain, one of the most effective treatments is calcification flushing, or ultrasound-guided flushing.<\/p>\n<p>&nbsp;<\/p>\n<h3><strong>What Is Barbotage or the Removal of Calcifications?<\/strong><\/h3>\n<p>Barbotage is a minimally invasive technique that involves aspirating or fragmenting calcifications using ultrasound-guided needles.<\/p>\n<p>&nbsp;<\/p>\n<p>During the procedure, the following is performed:<\/p>\n<p>1. Exact location of the calcification using ultrasound<\/p>\n<p>2. Insertion of a needle into the calcified area<\/p>\n<p>3. Fragmentation and Cleaning of the Calcium Reservoir<\/p>\n<p>The goal is to reduce the pressure and inflammation caused by calcification.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>The Role of Physical Therapy After a Drowning Incident<\/strong><\/p>\n<p>After the removal of calcifications, physical therapy is essential for:<\/p>\n<p>\u00b7 reduce residual inflammation<\/p>\n<p>\u00b7 Restore shoulder mobility<\/p>\n<p>\u00b7 Strengthen the rotator cuff<\/p>\n<p>\u00b7 Avoid putting additional strain on the tendon<\/p>\n<p>&nbsp;<\/p>\n<p><strong>At MIVI <a href=\"https:\/\/mivisalud.com\/en\/treatment\/advanced-physiotherapy\/\">Advanced Physical Therapy<\/a>, we combine:<\/strong><\/p>\n<p>&#8211; manual therapy<\/p>\n<p>&#8211; therapeutic exercise<\/p>\n<p>\u00b7 shock waves<\/p>\n<p>\u00b7 invasive techniques, if necessary<\/p>\n<p>This approach helps speed up recovery and prevent relapses.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Frequently asked questions:  <\/strong><\/p>\n<p>Does a splat hurt?<\/p>\n<p>It is performed under local anesthesia and is generally well tolerated.<\/p>\n<p>&nbsp;<\/p>\n<p>How long does recovery take?<\/p>\n<p>Usually between 3 and 6 weeks with physical therapy.<\/p>\n<p>&nbsp;<\/p>\n<p>Do calcifications always require surgery?<\/p>\n<p>No. In many cases, wading and physical therapy are sufficient. <\/p>\n<p><strong>Author:<\/strong> <a href=\"https:\/\/www.linkedin.com\/in\/hugo-quintana-lavado-76a3a0175\/\">Hugo Quintana<\/a><\/p>\n<p>Director of MIVI Advanced Physical Therapy<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What Is Shoulder Calcification? Calcifications in the shoulder are calcium deposits that form in the tendons, particularly in&hellip;<\/p>\n","protected":false},"author":15,"featured_media":65696,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[982],"tags":[],"ppma_author":[],"class_list":["post-66479","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-shoulder-pain"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u25b7 Calcification Removal and Advanced Physical Therapy | Mivi<\/title>\n<meta name=\"description\" content=\"What Is Shoulder Calcification and Calcification Flushing? 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