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The Daily Insight

Is Barbotage procedure painful?

Author

Lily Fisher

Updated on February 23, 2026

Is Barbotage procedure painful?

Does it hurt? It can be a painful procedure, although with local anaesthetic most people tolerate the procedure.

What happens after shoulder Barbotage?

After the procedure You will feel some soreness when the anesthetic wears off. Some people feel discomfort for the first few days. This is normal and is caused by the body’s process of absorbing the calcium. You may take acetaminophen (Tylenol) for the pain.

How long does it take to recover from Barbotage?

Patients may present with chronic pain and impingement type symptoms or with an acute exacerbation of pain due to deposition of calcium in the tendon or extrusion of calcium into the subacromial bursa. In most cases the calcification and symptoms will resolve with time, although this may take 2 to 3 years.

What is shoulder Barbotage?

What is a shoulder barbotage procedure? Barbotage, or lavage, is a way to wash out or irrigate the calcification and remove it. The procedure uses ultrasound to guide a needle into the deposit and the calcification loosened and removed through the needle.

What does Barbotage mean?

Barbotage is the aspiration of the injected volume back into the syringe followed by reinjection twice, with 0.5 ml increases in each aspirated volume.

How do you break up a calcified shoulder?

Treating Calcific Tendonitis of the Shoulder

  1. Nonsteroidal antiinflammatory drugs (NSAIDs)
  2. Rest.
  3. Heat and/or ice.
  4. Physical therapy to strengthen muscles.
  5. A steroid (such as cortisone) shot directly into your shoulder—might be used to decrease inflammation and pain.

What is ultrasound guided needle lavage?

2) Ultrasound-guided needle lavage (or Calcific Tendonitis Lavage)– Lavage means to irrigate or “wash out” with fluid, in this case the calcium deposit. Using ultrasound, the calcium deposits are visualized and a needle can be placed precisely into the tendon to flush or “wash out” the calcium with fluid.

What kind of doctor removes calcium deposits?

Your surgeon will insert an instrument called an arthroscope through a small cut. Then they’ll remove the calcium deposit and rinse the area. In rare cases, you may need open surgery to remove the calcium deposit. Your surgeon will make a large cut to get to the calcium deposit.

Can ultrasound break up calcium deposits?

This procedure is referred to as ultrasonic tenotomy and calcium deposit removal. The procedure uses ultrasound guidance to insert the device through a 3-millimeter incision in the skin down to the tendon. The device acts like a small jackhammer to precisely target and remove the calcium deposits.

How do you break up calcium deposits in your shoulder?

If your doctor suggests removing the calcium deposit, you have a few options:

  • A specialist can numb the area and use ultrasound imaging to guide needles to the deposit.
  • Shock wave therapy can be done.
  • The calcium deposits can be removed with an arthroscopic surgery called debridement (say “dih-BREED-munt”).

Does shoulder lavage hurt?

Percutaneous needle aspiration and lavage is effective in the short term and in the long term in calcific tendinitis of the shoulder, with results similar to or better than those published for other techniques, and it is only slightly invasive and painful.

What is calcific tendinitis of the shoulder?

Hard calcium deposit can form on soft tissue, in this case tendons of the rotator cuff in the shoulder. Once the calcium deposits are formed, the tendons may become inflamed and cause pain. This inflammation and pain is called shoulder calcific tendonitis.