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Capsular calcification MTPJ

I have a 79 year old patient with a painful 2nd metatarsophalangeal joint. Diagnostic ultrasound reports a post traumatic or capsular calcification linear area lateral and plantar to the 2nd MTPJ. We have a chatanooga radial pressure wave machine, Could anyone advise if radial pressure wave may be helpful, and if so, the mechanism by which the treatment could help? Advice on transmitter and dosage would be appreciated. Many thanks.

jaqueline parsons

1 year ago

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Hi yes all I could find was info on tendon calcification. Patient does not have any recollection of injury so assume long standing chronic.


Hi Jaqueline. There is some evidence about RSwT on tendon calcification. However I'm not sure that form this studies can be translated to capsular calcifications. "Comparative Effectiveness of Nonoperative Treatments for Chronic Calcific Tendinitis of the Shoulder: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials." - and "A systematic review of shockwave therapies in soft tissue conditions: focusing on the evidence." - . However in my practice of a dozen of years of RSWT, results in tendon calssifications are not as good as on tendon pathology without calssification. Any way for good results with RSWT condition must be chronic. Regards

Last updated 1 year ago


How old is the injury?

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