Barbotage injections at The Cooden Medical Group

Barbotage can be extremely effective for reducing pain in calcific tendinopathy. At The Cooden Medical Group we use a specialised technique known as Barbotage – a technique which involves the use of both local anaesthetic and corticosteroid. During the procedure the calcium deposit will be broken up and aspirated (drawn up in the syringe) where possible.

How does Barbotage treatment work?

Calcific tendonitis (or tendinopathy) refers to calcium deposits found within the tendon, usually the rotator cuff tendon of the shoulder, which can vary significantly in size. The calcific deposits, if large enough, will usually be seen on x-ray. They are often not visible on MRI scan and so can get missed on this imaging. Ultrasound scan is usually the best modality for identifying calcific tendinopathy and also allows much more detailed analysis of the size and exact positioning and nature of the deposits which may affect the best approach to treatment.

Generally this treatment allows the patients pain to be reduced enough in order to carry out enough physiotherapy to regain movement and eliminate discomfort.

Treatment Summary

Recommended Age Range From 18
Treatments Required One
Anaesthetic Local
Discomfort A small amount of discomfort during the procedure although local anaesthetic can be used on the area to help with any pain.
Downtime You should expect some discomfort for between 3-7 days


  • "True excellence, would not hesitate to recommend. Thank you team, you are all wonderful."
  • "Always felt welcomed, always felt well informed, always felt taken care of. Thank you Dr Faris & Shannen!"
  • “I received a very high standard of care from initial consultation to after treatment. All staff were unfailingly polite and courteous and I would recommend the clinic unreservedly.”
  • “I was very satisfied with the treatment and Dr. Mo Faris carried out the procedure in a very efficient and professional way. I wouldn't hesitate to have any further problem carried out at your clinic.”
  • “Excellent reception welcome and procedure on my legs was very quick and painless. Thank you all. I would definitely recommend The Cooden Medical Group.”
  • "The clinic made my whole procedure as comfortable and relaxing as possible. Would certainly recommend Dr Faris and his team to my friends and family."
  • "Very professional, friendly staff with a good range of treatments on offer to make me look and feel better."