À propos de nous
Barbotage Procedure at our clinic
We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as Barbotage for calcific tendonitis. We perform all procedures as part of a comprehensive and global management of your condition.
We offer our services at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case.
Booking is quick and easy, please see our book appointment page for more details.
What is a barbotage procedure?
We use this procedure to treat resistant calcific tendinopathy, especially on the shoulder's tendons (rotator cuff). Calcific tendinopathy refers to the deposition of calcium into tendons leading to pain, inflammation, and reduced joint mobility. The goal of barbotage is to disrupt the calcific deposit, promote the absorption of calcium by the body, and alleviate symptoms such as pain and stiffness. Medical research suggests that this is the treatment of choice for calcific tendonitis with up to 70% success rate. More information are available here.
What our patients say
How is an ultrasound guided barbotage performed ?
Tendon barbotage typically involves the following steps: First, ultrasound is used to locate assess the extent of calcium deposits in the affected tendon. A needle is then carefully inserted into the calcium deposit area, ensuring precision in reaching the targeted site. Once positioned, a combination of solution and local anesthetic is injected into the tendon, which serves to numb the area, break up the calcium deposits, and create space within the tendon. After this injection, the same needle is to aspirate the dislodged calcium deposits and fluid, helping to clear debris from the tendon. Following the procedure, patients are recommended to rest before undergoing further treatments such as physiotherapy or anti-inflammatory medications, to support the healing process.
MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist.
Why should I book my US guided barbotage at Insight MSK?
All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine.
Your clinician
All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year.
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For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly.
Is an ultrasound guided barbotage procedure painful ?
The level of pain experienced during an ultrasound guided barbotage can vary from person to person. Some individuals may find the procedure uncomfortable, while others may experience more significant pain. We use local anaesthesia to numb the area before performing the procedure, which can help minimize pain during the actual injection. After the procedure, patients may experience some soreness, but this is typically temporary.
We encourage you to communicate any concerns with us to ensure a comfortable and informative experience.
​Pilates Studio in Lambeth
88 Atlantic Road,
London, SW9 8PX,
England
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2 min from Brixton Underground Station
8 min from Pimlico via Victoria Line
15 min from Oxford Circus
27 min from King's Cross St Pancras ​