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Calcific Tendinopathy of the Rotator Cuff (CTRC): The Combined Effects of Extracorporeal Shock Wave Therapy (ESWT) and the Frequency Rhythmic Electrical Modulation System (FREMS) - A Case Report

Nicolo Fortis, Gianluca Bernabei, Michele Gallamini

Purpose of the article: To demonstrate the application of synergistic treatments by means of extracor-poreal shockwave therapy (ESWT) and the Frequency Rhythmic Electrical Modulation System (FREMS) in the treatment of a calcific tendinopathy of the rotator cuff monitored through ultrasound imaging.

Materials and Methods: The patient was a 52-year-old female PC operator with a sedentary lifestyle. She complained of intermittent left shoulder pain which had begun two years previously, with episodes of pain becoming more frequent in recent months. Pain was present in abduction and elevation of the left arm, and ultrasound imaging supported a diagnosis of a calcific tendinopathy of the supraspinatus. The combined application of extracorporeal shockwave therapy and Frequency Rhythmic Electrical Modulation System was monitored from diagnosis to resolution by functional evidence and ultrasound imaging.

Results and conclusions: Recovery was completed in 4 weeks shortening the originally planned program by at least one week. Based on our professional experience the application of a combined treatment under clinical and instrumental evaluation could justifiably be considered a “fast track rehabilitation” of this clinical condition.