Barbotage

 

Complaints Barbotage

The shoulder is a complex joint. The shoulder capsule and the muscle / tendon cuff around the joint to ensure the strength, function and stability of your shoulder. If the tendon (cuff) calcification (calcium deposits) occurs, then a barbotage treatment (also called needling) encourages the healing process of the tendon.

The most common complaints of calcium deposits in the shoulder are:

• Shoulder pain and loss of function of the shoulder
• Pain in the upper arm
• Pain occurs at night and increases when lying on the shoulder
• Use of the arm above shoulder level causes pain and a feeling of fatigue
• Decrease of strength

Treatment

If an inflammatory corticosteroid injection does not improve, then a barbotage treatment is useful.  A barbotage treatment is a minor surgical procedure and is as follows:

• The treatment is done under anesthesia
• You lie on the massage table, the treatment area will located with ultrasound and/or Rontgen  
• The calcification area is punctured, without even painful
• The area is flushed to remove calcium deposits
• A wound dressing is placed and a shoulder sling positioned to create a restriction of movement

Preparation

• The day of treatment is scheduled. You will stay several hours at the clinic.
• You receive a recommendation for analgesia after surgery
• To restore and practice at home after the procedure of barbotage.

On the day of admission you wear comfortable clothing and shoes.

Day of surgery

• You appear sober in our clinic at least half hour before the scheduled surgery time. Sober means you should not eat after midnight the night before surgery
• After preparation by the anesthesiologist will place the shoulder surgery in the operating room.
• After surgery you will be moved to the recovery room to recover from your anesthesia
• The physical therapist will explain you what exercises you can do at home.

When you are restored sufficiently, the anesthesiologist will agree with your dismissal. 

Recovery

• You can leave the clinic the same day of treatment. Do not drive a bicycle  or car
• You get painkillers after treatment as tablets
• After 24 hours the bandage may be removed. Wearing the sling you build off in a few days
• Pain and swelling of the shoulder indicates possible overload. The shoulder needs several weeks for recovery.

Complications

With each surgery complications can arise, for example with anesthesia.
However, complications after a barbotage treatment are rarely seen.

Consult your surgeon with the following complications:

• The wound remain sensitive sometimes long after surgery
• Regain of a calcification in the shoulder
• Infection of the shoulder

Expectations

The results of this treatment are generally good. Usually an improvement is achieved and nearly 70 - 80% of the patients are satisfied or very satisfied.

Your orthopedic surgeon will discuss with you the expected outcome of the surgery.

Frequent asked questions (FAQ)
  

Is the treatment covered by insurer?
Yes, this treatment is reimbursed by the insurer.

Prepare yourself by reading all the information given. For any questions please telephone or email contact with Orthopedium.