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.
>>> Have a look here at all the palpation techniques in the extremities
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.