Therapies for calcific tendinitis are often invasive. This report describes a case of calcific tendinitis treated with noninvasive magnetic resonance (MR) therapy. Ten-minute MR treatments were administered once daily, 5 days a week for 2 weeks. The transmission area was approximately 1 cm × 1 cm. Exercises included passive range of motion twice daily and Codman’s exercises 3 times daily. Ibuprofen 800 mg was administered t.i.d. for 4 days with tapering doses thereafter. After 1 week, the patient showed a marked improvement in all symptoms. The lesion was reduced, the shoulder had full range of motion, with only mild tenderness demonstrable on palpation. The patient was not taking any analgesics. After 2 weeks, the calcification was no longer evident. The patient reported no pain and returned to his normal activities. MR treatment proved effective in reducing the size of calcification and alleviating the pain associated with calcific tendinitis.
References
1.
Aaron, R. K., Lennox, D., Bunce, G. E., & Ebert, T. (1989). The conservative treatment of osteonecrosis of the femoral head: A comparison of core decompression and pulsing electromagnetic fields. Clinical Orthopaedics and Related Research, 249, 209-216.
2.
Baker, L. L., Chambers, R., DeMuth, S. K., & Villar, F. (1997). Effects of electrical stimulation on wound healing in patients with diabetic ulcers. Diabetes Care, 20(3), 405-412.
3.
Barclay, V., Collier, R. J., & Jones, A. (1983). Treatment of various hand injuries by pulsed electromagnetic energy (diapulse). Physiotherapy, 69(6), 186-188.
4.
Bassett, C. A. L., Mitchell, S. N., & Schink, M. M. (1982). Treatment of therapeutically resistant non-unions with bone grafts and pulsing electromagnetic fields. Journal of Bone and Joint Surgery, 64-A(8), 1214-1220.
5.
Bosworth, B. M. (1941). Calcium deposits in the shoulder and subacromial bursitis: A survey of 12,122 shoulders. Journal of the American Medical Association, 116, 2477-2482.
6.
Breite, M. J. (1993). Pressure ulcers: The benefits and costs of new therapies. Journal of the American Medical Association, 269(21), 27-35.
7.
Cosentino, R., De Stefano, R., Selvi, E., Frati, E., Manca, S., Frediani, B., et al. (2003). Extracorporeal shock wave therapy for chronic calcific tendinitis of the shoulder: Single blind study. Annals of the Rheumatic Disease, 62(3), 248-250.
8.
Cossarizza, A., Angioni, A., & Petraglia, F. (1993). Exposure to low frequency pulsed electromagnetic fields increases interleukin-1 and interleukin-6 production by human peripheral blood mononuclear cells. Experimental Cell Research, 204, 385-387.
9.
DePalma, A. F., Cooke, A. J., & Prabhakar, M. (1967). The role of the subscapularis in recurrent anterior dislocations of the shoulder. Clinical Orthopaedics and Related Research, 54, 35.
10.
Ebenbichler, G. R., Erdogmus, C., Resch, K., Funovics, M. A., Kainberger, F., Barisani, G., et al. (1999). Ultrasound therapy for calcific tendinitis of the shoulder. The New England Journal of Medicine, 340, 1533-1538.
11.
Feedar, J. C., Kloth, L. C., & Gentzkow, G. D. (1991). Chronic dermal ulcer healing enhanced with monophasic pulsed electrical stimulation. Physical Therapy, 71(9), 639-649.
12.
Fenn, J. E. (1969). Effect of pulsed electromagnetic energy (diapulse) of experimental hematomas. Canadian Medical Association Journal, 100, 251-254.
13.
Folly-Nolan, D., Moore, K., Cod, M., Barry, C., O’Connor, P., & Coughlan, R. J. (1992). Lowenergy high frequency pulsed electromagnetic therapy for acute whiplash injuries: A double blind randomized controlled study. Scandinavian Journal of Rehabilitation Medicine, 24, 51-59.
14.
Goldin, J. H., Broadbent, N. R. G., Nancarrow, J. D., & Marshall, T. (1981). The effects of diapulse on the healing of wounds. A double blind, randomized, controlled trial in man. British Journal of Plastic Surgery, 34, 267-270.
15.
Ieran, M., Zaffuto, S., Bagnacani, M., Annovi, M., Moratti, A., & Cadossi, R. (1990). Effect of low frequency pulsing electromagnetic fields on skin ulcers of venous origin in human: a double blind study. Journal of Orthopaedic Research, 8(2), 276-282.
16.
Kloth, L. C., & Feedar, J. C. (1988). Acceleration of wound healing with high voltage, monophasic, pulsed current. Physical Therapy, 68(4), 503-508.
17.
Louis, P., Jr., & Karzel, R. P. (1993). Management of rotator cuff calcifications. Orthopedic Clinics of North America, 24(1), 196-204.
18.
Mooney, V. (1990). A randomized double blind prospective study of the efficacy of pulsed electromagnetic fields of interbody lumbar fusion. Spine, 15, 708-711.
19.
Moseley, H. F., & Goldie, I. (1963). The arterial pattern of the rotator cuff of the shoulder. Journal of Bone and Joint Surgery, 45(B), 780.
20.
Neer, C. S., II. (1990). Shoulder reconstruction (pp. 427-433). Philadelphia: W. B. Saunders.
21.
Pennington, G. M., Danley, D. L., Sumko, M. H., Bucknell, A., & Nelson, J. H. (1993). Pulsed, non-thermal, high frequency electromagnetic energy (diapulse) in the treatment of grade I and grade II ankle sprains. Military Medicine, 158(2), 101-104.
22.
Perron, M., & Malouin, F. (1997). Acetic acid iontophoresis and ultrasound for the treatment of calcific tendinitis of the shoulder: A randomized control trial. Archives of Physical Medicine and Rehabilitation, 78(4), 379-384.
23.
Pop, L., Muresan, M., Comorosan, S., & Paslaru, L. (1989). The effects of pulsed high frequency radio waves on rat liver (Ultrastructural and Biomedical Observations). Physiological Chemistry and Physics and Medical NMR, 21(1), 45-56.
24.
Raji, A. R. M. (1984). An experimental study of the effects of a pulsed electromagnetic fields (diapulse) on nerve repair. Journal of Hand Surgery. British Volume, 9(2), 105-112.
25.
Raji, A. R. M., & Bowden, R. E. M. (1983). Effects of high peak pulsed electromagnetic field on the degeneration and regeneration of the common peroneal nerve in rats. Journal of Bone and Joint Surgery. British Volume, 65-B, 478-492.
26.
Sharrard, W. J., Sutcliffe, M. L., Robson, M. J., & MacEachern, A. G. (1982). The treatment of fibrous non union of fractures by pulsing electromagnetic stimulation. Journal of Bone and Joint Surgery. British Volume, 64(3), 189-193.
27.
Sharrard, W. J. (1990). A double blind trial of pulsed electromagnetic fields for delayed union of tibial fractures. Journal of Bone and Joint Surgery. British Volume, 72(3), 347-355.
28.
Stiller, M. J., Perk, G. H., Shuck, J. L., Whaler, S., Kenny, C., & Jondreau, L. (1992). A portable pulsed electromagnetic field (PEMF) device to enhance healing of recalcitrant venous ulcers. A double blind, placebo controlled clinical trial. British Journal of Dermatology, 127(2), 147-154.
29.
Trock, D., Bollet, A. J., & Markoll, R. (1994). Pulsed electromagnetic field effect on knee and cervical spine osteoarthritis. Journal of Rheumatology, 21, 1903-1911.
30.
Weinstock, R. J. (1997). The magnetic resonance analyzer MRA: Using physics for pain relief. Los Angeles: Physical Therapy Products.
31.
Wilson, D. H., & Jagadeesh, P. (1974). The effects of pulsed electromagnetic energy on peripheral nerve regeneration. Annals of the New York Academy of Sciences, 238, 575-580.
32.
Wilson, D. H., & Jagadeesh, P. (1976). Experimental regeneration in peripheral nerves and the spinal cord in laboratory animals exposed to a pulsed electromagnetic field. Paraplegia, 14(4), 12-20.
33.
Wolf, W., III. (1999). Calcific tendinitis of the shoulder: Diagnosis and simple, effective treatment. The Physician and Sportsmedicine, 27, 9.
34.
Wood, J. M., Evens, P. E., III, Schallreuter, K. U., Jacobson, W. E., Sufit, R., Newman, J., et al. (1993). A multicenter study on the use of pulsed low intensity direct current for healing chronic stage II and stage III decubitis ulcers. Archives of Dermatology, 129(8), 999-1009.
