Shockwave Therapy for Calcific Tendinitis: Breaking Down Calcium Deposits

Can shockwave therapy treat calcific tendinitis?

Yes — shockwave is one of the most effective treatments for calcific tendinitis. It directly targets calcium deposits in tendons, breaking them down through acoustic wave energy so the body can reabsorb them naturally. For shoulder calcific tendinitis, shockwave has demonstrated calcium reabsorption rates comparable to surgical procedures.

What is calcific tendinitis?

Calcium deposits form within a tendon — most commonly the rotator cuff, but also in the Achilles, patellar, and hip tendons. Deposits cause inflammation, pain, and restricted movement. Severe cases cause acute episodes of extreme pain.

How does shockwave break down calcium deposits?

Acoustic waves create mechanical pressure changes within the deposit, causing fragmentation. This triggers an inflammatory response allowing the body to reabsorb the calcium fragments over the following weeks. Most patients see deposit reduction confirmed by imaging within 3–6 months.

How many sessions are needed?

3–5 sessions for most patients. Larger or denser deposits may need additional treatment. Significant pain reduction typically begins within 2–4 weeks.

Is surgery still needed after shockwave?

For the majority of calcific tendinitis cases — no. Shockwave is the first-line intervention before any surgical option.