Barbotage for Shoulder Calcium Deposits
Ultrasound-guided barbotage is a minimally invasive procedure used to treat painful calcium deposits within shoulder tendons. These deposits can cause sharp pain, limit movement, and interfere with daily activities. Barbotage is particularly helpful when rest, physiotherapy, or simple injections have not provided lasting relief.
At The London Ultrasound Clinic, we carefully select this treatment for patients where removing or breaking down the calcium deposit offers the best outcome. The procedure is performed with local anaesthetic to minimise discomfort, and in some cases, a steroid injection may be added to help reduce inflammation and support recovery.
- A detailed discussion about your symptoms, activity level, and goals.
- Hands-on assessment of the shoulder.
- Real-time ultrasound to locate and assess the calcium deposit.
- Ultrasound-guided barbotage with local anaesthetic, and steroid if indicated, to break down and wash out the deposit.
- Clear explanation of the procedure throughout the appointment.
- A written report including aftercare advice and next steps.
What to expect
The procedure is carried out under real-time ultrasound guidance to ensure accurate and safe treatment. During barbotage, a fine needle is used to break up the calcium deposit and wash it out. Most patients tolerate the procedure well, with the local anaesthetic helping to minimise discomfort.
After the procedure, your clinician will provide guidance on safe movement, exercises, and rehabilitation to support recovery. Many patients notice gradual improvement in pain and shoulder function in the days and weeks following treatment.
How it helps
Barbotage can significantly reduce pain and improve shoulder movement by removing the source of irritation within the tendon. Breaking down the calcium deposit allows the tendon and surrounding structures to heal more effectively. The optional steroid injection helps settle inflammation, supporting a faster return to normal activities and improved comfort.
Learn more
For a detailed guide on how ultrasound-guided barbotage works, what to expect, and how it can help with calcific tendinosis, read our article: Ultrasound-Guided Barbotage for Calcific Tendinosis: What to Expect and How It Helps.
Our goal is to provide clear answers, carefully selected treatment, and a calm, supportive experience, helping you regain comfort and movement in your shoulder.
