I very often see that, when shock wave therapy is applied to the shoulder, that people really "shoot" all over the place. They seem to hit the entire shoulder.
Would'nt it be more efficient to establish a more relevant diagnosis first, and then give a more specific treatment?
(Of course, exercise therapy in which we load the tendons, is a important element in the treatment of tendinosis).
So, we can increase the efficiency of the RSWT by optimizing our diagnostic strategy.
And...just shooting on a calcification, without really knowing if this calcification is also symptomatic, is perhaps not the best strategy.
Make sure, at all times, that you interpret your clinical image in a correct way.