Barbotage, also known as needling or lavage, is a minimally invasive procedure used to treat calcific tendinopathy, a condition characterised by the buildup of calcium deposits in tendons, most commonly in the shoulder.

Here's an overview:
Procedure: During a barbotage procedure, a radiologist or orthopaedic surgeon uses ultrasound guidance to insert a needle into the calcium deposit within the tendon. A combination of saline solution and/or local anaesthetic is then injected into the deposit to break it up. The needle may be moved around within the deposit to help break it up further.

Conditions Treated: Barbotage is used to treat calcific tendinopathy, which can cause pain, stiffness, and limited range of motion in the affected joint.

Effectiveness: Barbotage can provide relief for some patients with calcific tendinopathy, although the effectiveness can vary. It is often used when conservative treatments, such as rest, physical therapy, or medication, have not been effective.

Risks and Side Effects: While barbotage is generally considered safe, there are risks associated with the procedure, including infection, bleeding, and damage to surrounding tissues. Temporary side effects such as increased pain or swelling in the shoulder may also occur.

If you are experiencing symptoms of calcific tendinopathy that have not responded to conservative treatments, talk to your doctor to see if barbotage may be an option for you. Dr. Tushar can provide expert guidance and help you understand the potential benefits and risks of barbotage for your specific situation.