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Barbotage for Calcific Tendonitis in Fort Lauderdale

In-office, ultrasound-guided treatment of shoulder calcium deposits with Dr. Jorge A. Gonzalez, MD, triple board-certified

Calcific tendonitis happens when calcium deposits build up inside a tendon, most often in the rotator cuff of the shoulder. It can cause sudden, severe shoulder pain and trouble lifting the arm. When rest, therapy and medicine have not helped, barbotage is an in-office option.

At the Institute of Regenerative Orthopedics & Sports Medicine (IROSM), Dr. Jorge Gonzalez, MD at IROSM in Fort Lauderdale performs ultrasound-guided barbotage to break up and rinse out calcium deposits for appropriate candidates.

Book Your Appointment Now: (954) 751-6990 Make an Inquiry Online
Non-Surgical Calcific Tendonitis Treatment | Fort Lauderdale | Dr. Jorge Gonzalez, IROSM
Important Notice from IROSM: Barbotage is a customized medical treatment performed by Dr. Jorge Gonzalez. A thorough clinical evaluation at IROSM in Fort Lauderdale determines whether barbotage, another non-surgical option, or a surgical referral best fits your calcific tendonitis.

What Is Barbotage?

Barbotage, also called ultrasound-guided needling and lavage, is an in-office procedure for calcific tendonitis. Using live ultrasound, the doctor guides a needle into the calcium deposit, breaks it up, and rinses (lavages) as much of the calcium out as possible with sterile fluid. A corticosteroid injection is often given into the nearby bursa at the end to calm inflammation.

Barbotage is used most often for calcium deposits in the rotator cuff of the shoulder. To learn about the condition itself, see calcific tendonitis treatment in Fort Lauderdale.

Who May Be a Candidate for Barbotage in Fort Lauderdale?

Barbotage at IROSM in Fort Lauderdale may be an option for people who:

  • Have a calcium deposit confirmed on X-ray or ultrasound
  • Have shoulder pain that has lasted despite rest and therapy
  • Have pain with lifting the arm or at night
  • Want an in-office option before considering surgery

Not every calcium deposit needs treatment. Some shrink or break down on their own, and some are found on X-rays without causing pain. Dr. Gonzalez at IROSM in Fort Lauderdale checks the deposit’s size and type on ultrasound to decide whether barbotage fits.

What to Expect During Ultrasound-Guided Barbotage at IROSM

1. Ultrasound check and numbing

Dr. Gonzalez finds the calcium deposit on ultrasound and numbs the skin and the area around the tendon.

2. Needling and rinsing

Under live ultrasound, the needle is guided into the deposit to break it up, and sterile fluid is used to rinse out loosened calcium.

3. Anti-inflammatory injection and aftercare

A corticosteroid injection is often placed into the nearby bursa. Most people go home the same day with a plan for rest, gentle movement and therapy. Soreness for a few days afterward is common, and how quickly each person improves varies.

In the video at the top of this page, Dr. Gonzalez explains non-surgical calcific tendonitis treatment. Learn more about how image-guided injections improve accuracy.

Barbotage vs. Other Calcific Tendonitis Treatments

OptionWhat it involvesWhere it is done
Rest, therapy and medicineActivity changes, exercises, anti-inflammatory medicineHome and therapy clinic
Corticosteroid injectionAnti-inflammatory injection near the tendonOffice
Shockwave therapySound waves aimed at the deposit over several sessionsOffice
Ultrasound-guided barbotageNeedle breaks up and rinses out the depositOffice
Arthroscopic surgeryDeposit removed through small incisionsSurgery center

Dr. Gonzalez at IROSM in Fort Lauderdale explains which of these options fit your shoulder. If surgery is the better fit, he will explain why and help with a referral.

Shoulder Pain Treatment in Fort Lauderdale

Calcific tendonitis can look like other shoulder problems. At IROSM in Fort Lauderdale, Dr. Gonzalez also evaluates rotator cuff tears, shoulder tendonitis, shoulder bursitis and impingement, and frozen shoulder. In-office ultrasound helps find which problem is causing your pain.

What the Research Says About Barbotage

  • Barbotage vs. steroid injection alone: In a randomized trial of people with calcific tendinitis of the rotator cuff, those treated with ultrasound-guided barbotage plus a steroid injection had better shoulder scores and more calcium clearance at one year than those who had a steroid injection alone. de Witte PB, et al. Calcific tendinitis of the rotator cuff: a randomized controlled trial of ultrasound-guided needling and lavage versus subacromial corticosteroids. Am J Sports Med. 2013;41(7):1665-1673. View the study.
  • Five-year follow-up: At five years, the same study found no significant difference between the two groups, although fewer patients in the barbotage group needed additional treatment during follow-up. Many calcium deposits improve over time with either approach. de Witte PB, et al. Rotator Cuff Calcific Tendinitis: Ultrasound-Guided Needling and Lavage Versus Subacromial Corticosteroids: Five-Year Outcomes of a Randomized Controlled Trial. Am J Sports Med. 2017;45(14):3305-3314. View the study.

Barbotage for Calcific Tendonitis in Fort Lauderdale

Providing ultrasound-guided barbotage and shoulder pain care to residents in Fort Lauderdale, Oakland Park, Tamarac, Lauderdale Lakes, Plantation, Pompano Beach, and Broward County. For our Hialeah office, se habla español.

Institute of Regenerative Orthopedics & Sports Medicine (IROSM)
3333 West Commercial Blvd, Suite 101
Fort Lauderdale, FL 33309
Phone: (954) 751-6990

Frequently Asked Questions About Barbotage at IROSM

What is barbotage for calcific tendonitis?

What is barbotage for calcific tendonitis?
Barbotage is an in-office procedure for calcific tendonitis. Under ultrasound guidance and local numbing, a needle breaks up the calcium deposit in the tendon and sterile fluid rinses out loosened calcium. A corticosteroid injection is often given at the end.

Is barbotage the same as needle barbotage or lavage?

Is barbotage the same as needle barbotage or lavage?
Yes. Barbotage, needle barbotage, ultrasound-guided needling and lavage, and calcific lavage all describe the same procedure: breaking up and rinsing out calcium deposits with a needle under ultrasound.

Does barbotage hurt?

Does barbotage hurt?
The skin and the area around the tendon are numbed first, and most patients tolerate barbotage well. Soreness for a few days afterward is common and is usually managed with rest, ice and over-the-counter medicine.

Who is a candidate for barbotage?

Who is a candidate for barbotage?
Barbotage may be an option for people with a calcium deposit confirmed on imaging and shoulder pain that has lasted despite rest and therapy. Dr. Gonzalez at IROSM in Fort Lauderdale checks the deposit on ultrasound to decide whether barbotage fits.

What is the difference between this page and calcific tendonitis treatment?

What is the difference between this page and calcific tendonitis treatment?
This page explains the barbotage procedure. For the causes, symptoms and full range of calcific tendonitis treatments at IROSM in Fort Lauderdale, see the calcific tendonitis treatment page.

Is barbotage covered by insurance?

Is barbotage covered by insurance?
Coverage depends on your plan. Barbotage and related imaging are often covered as a standard procedure. Our team checks your benefits and explains any costs before treatment begins.

Do I need a referral to be seen at IROSM?

Do I need a referral to be seen at IROSM?
It depends on your insurance. Many HMO, Medicare Advantage and Medicaid plans need a referral from your primary care doctor before you see a specialist. Please check with your plan, or call us at (954) 751-6990 before your visit to confirm.

Find Out If Barbotage Fits Your Shoulder

Triple board-certified · Fellowship-trained at the Andrews Institute · Fort Lauderdale & Hialeah

Schedule a consultation with Dr. Jorge Gonzalez at IROSM in Fort Lauderdale for an in-office ultrasound of your shoulder and a clear plan for your calcific tendonitis.

Book Your Appointment Now: (954) 751-6990 Make an Inquiry Online
Dr. Jorge A. Gonzalez, MD
Medically reviewed by: Dr. Jorge A. Gonzalez, MD
Institute: Institute of Regenerative Orthopedics & Sports Medicine (IROSM)
Last reviewed: September 2026

Disclaimer: This content is for general educational purposes and does not constitute formal medical advice. Individual patient outcomes will vary. Barbotage for calcific tendonitis at IROSM in Fort Lauderdale requires a clinical examination by Dr. Jorge Gonzalez to establish candidacy. Serving Fort Lauderdale, Pompano Beach, Plantation, and surrounding Broward County communities.