When a calcium deposit ruptures, acute pain often sets in. The calcium enters the bursa and causes severe inflammation, known as calcific bursitis.
The often large calcium deposits usually have a pasty consistency, similar to toothpaste. Shock wave treatment makes absolutely no sense at this highly acute stage. There's no "crushing" of the plaque, nor does the highly acute dissolution process need to be further fueled by massive inflammation to break down the calcium deposits.
A recent study published in the British Journal of Radiology in 2016 confirms the effectiveness of needle lavage in treating calcific tendonitis.
The study showed that patients treated with needle lavage experienced rapid symptom improvement in 70% of cases. The functional results were even more impressive. A test was conducted before treatment and one month after treatment using a modified shoulder test (CSS). The results showed that in over 90% of cases, function improved by almost 70%. An impressive result.
"In 70% of shoulders, the treatment resulted in a quick and significant reduction of symptoms (successful). On the whole, CSS increase at 1 month was estimated at 91.5 ± 69.1%."
The link to the study >>> Br J Radiol, 2016 vol. 89(1057)
As several patients reported to us today, the download area of our new website is inaccessible. Instead, patients are seeing a horrible error message. To resolve the issue, I uploaded a new software module to our servers this evening and integrated it into the website. Now I need to gradually add the content to the new module. I've started, of course, with our popular shoulder exercise instructions. The other content will follow in the next few days. Please be patient, as such tasks can, of course, only be completed after our normal office hours.
In six months of work, I completely updated our website with the help of our web agency. In addition to a customized design, the technology running in the background was also completely updated.
And how could it be otherwise? - everything worked during the tests, but now I've noticed a lot of small errors that need to be corrected. I hope you, as a patient and user of our site, understand this problem.
Since I do almost everything myself, only the evenings and weekends remain for this maintenance and repair work. Nevertheless, I hope that all users enjoy our site. If you find an error, I would be grateful if you could let us know. This is the only way the site will improve, and hopefully, eventually, everything will work as planned. If you would like to report an error, here is the appropriate link>>>
Our website is getting on in years. Our most recent complete overhaul was in 2013. Since then, countless pieces of content have been added and minor updates made. When support for our CMS (content management system), in our case Joomla, was discontinued a little over a year ago, things came to a standstill.
In particular, the new technological developments, particularly those moving towards responsive design, necessitated a complete rebuild of our website. I have been working intensively on this rebuild over the past six months. My thanks also go to our Indian web design company isquare, which has supported me in many ways and has been available day and night with advice and assistance.
The design and text content are already largely consistent. However, the many video sequences embedded in our old site still pose many problems. The many different formats such as WMV, AVI, Mov, and mp4 are not infinitely compatible. However, to ensure access to the material for as many of our users as possible, all video sequences have been and are being re-encoded in mp4 and HTM5. This means they should be widely accessible.
Unfortunately, this involves hours of work, which of course runs in addition to our office hours. However, I see the potential for a good website to provide a lot of background information that might otherwise be neglected. I hope our patients like the new site and that it allows them to find information and exercise instructions. The ability to book an appointment directly in our office hours or request x-rays has also been improved.
