Ultrasound-Guided Percutaneous Irrigation of Rotator Cuff Calcific Tendinopathy (US-PICT): Patient Experience

Purpose. To assess patients’experience of ultrasound-guided percutaneous irrigation of rotator cuffcalcific tendinopathy(US-PICT).Methods. Ninety-one patients (58 females; mean age:50:5±8:3years) treated by US-PICT (local anesthesia,single-needle lavage, and intrabursal steroid injection) answered to a list of questions regarding their experience of theprocedure before treatment, immediately after treatment, and three months later. The Borg CR10 scale was used toevaluate perceived pain, discomfort during anesthetic injection, and anxiety. The Wilcoxon, Spearman’s rho, linearregression, and chi-square statistics were used.Results. 81/91 patients complained mild discomfort during the injection ofanesthetics (2, 1-2). Pain scores during US-PICT were very low (0, 0-1), with 70% patients having not experienced pain. Aftertreatment, we found a significant reduction of pain (before: 8, 7-8; 3-month: 3, 1-6;p<:001) and anxiety (before: 5, 2-7; duringtreatment: 2, 1-7;p=0:010), with high overall satisfaction (immediately after: 10, 9-10; 3-month: 9, 7-10) and confidence in thepossibility of recovery (immediately after: 9, 8-10; 3-month: 10, 8-10), respectively. Treatments performed before US-PICT werenot statistically associated with pain relief (p=0:389) and clinical improvement (p=0:937). We found a correlation betweensatisfaction immediately postprocedure and confidence in the possibility of recovery (p=0:002) and between satisfaction threemonths after treatment and clinical improvement (p<0:001) and patients’reminds about the description of the procedure(p=0:005) and of the potential complications (p=0:035).Conclusions. US-PICT is a mildly painful, comfortable, andwell-tolerated procedure, regardless of any previous treatments. Patients’satisfaction is correlated with clinical benefit andfull explanation of the procedure and its complications.