Protocol framework
Calcific Shoulder Tendinopathy
Focused and radiating ESWT framework for calcific deposits in the rotator cuff
Moderate evidenceDevice-dependentEducational protocol framework
Protocol framework
Parameter ranges by ESWT modality. Adapt to device, patient and clinical context.
fESWT
Focused ESWT
- Energy / dose
- 0.20–0.45 mJ/mm²
- Pulses
- 1500–2500 impulses
- Frequency (Hz)
- 2-4
- Sessions
- 3-4
- Interval
- 1/w
rESWT
Radial ESWT
- Energy / dose
- 0.10 mJ/mm² (≈ 2.5–4.0 bar handpiece pressure on pneumatic devices
- Pulses
- 2000–2500 impulses
- Frequency (Hz)
- 8–15 Hz
- Sessions
- 3-4
- Interval
- 1/w
ImportantThis is an educational protocol framework. Adapt all parameters to the device, the patient, and your clinical reasoning. Follow manufacturer instructions and local regulations.