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Related Experiment Video

Updated: Dec 27, 2025

Treatment Protocol for Rotator Cuff Calcific Tendinitis Using a Single-Crystal Piezoelectric Focused Shock Wave Source

Treatment Protocol for Rotator Cuff Calcific Tendinitis Using a Single-Crystal Piezoelectric Focused Shock Wave Source

Published on: December 23, 2022

Shock wave therapy for rotator cuff disease with or without calcification.

Stephen J Surace¹, Jessica Deitch¹, Renea V Johnston¹

¹Monash University, Monash Department of Clinical Epidemiology, Cabrini Institute and Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Melbourne, Australia.

The Cochrane Database of Systematic Reviews

|March 5, 2020

Summary

Shock wave therapy (SWT) shows limited clinical benefits for rotator cuff disease, with moderate evidence for pain and function improvements. Safety remains uncertain due to low-quality evidence and potential underestimation of benefits.

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Last Updated: Dec 27, 2025

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Published on: December 23, 2022

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Published on: June 6, 2025

Area of Science:

Orthopedics
Physical Medicine & Rehabilitation

Background:

Shock wave therapy (SWT) is widely used for musculoskeletal disorders like rotator cuff disease.
Evidence for SWT efficacy in rotator cuff disease remains equivocal.

Purpose of the Study:

To evaluate the benefits and harms of SWT for rotator cuff disease.
To compare SWT with other available treatment options.

Main Methods:

Systematic review and meta-analysis of randomized controlled trials (RCTs) and controlled clinical trials (CCTs).
Searched multiple databases up to November 2019.
Assessed risk of bias and certainty of evidence using GRADE.

Main Results:

Moderate-quality evidence suggests SWT may improve pain and function at 3 months compared to placebo.
Low-quality evidence indicates potential increased risk of adverse events with SWT.
No significant differences in outcomes were found between participants with or without calcific deposits.

Conclusions:

Current low- to moderate-certainty evidence shows minimal clinically important benefits of SWT for rotator cuff disease.
Uncertainty exists regarding the safety of SWT.
Further high-quality trials with standardized protocols are needed.