1, the first recommended conservative treatment for 3 months. Pay attention to move less (especially do not bladder raised too high, such as combing hair, drying clothes or something), rather than moving more, you can eat some meloxicam (no gastric ulcer) anti-inflammatory analgesic, Diosmin tablets to eliminate tendon edema, eat some blood circulation and pain relief of Chinese medicine also has an auxiliary therapeutic effect. 2. Some patients just have obvious pain at night, and taking medicine does not work. If you can not adhere to conservative treatment or conservative treatment is not effective, you need surgery. Now the technology has developed, before the need to cut a large mouth, to remove the calcified lesions inside, tendon damage to repair, otherwise the bladder will not lift; now the technology has developed, the entire Jiangsu Province, there are several hospitals can be completely minimally invasive with arthroscopy to complete such an operation. Only three small incisions of about 1cm are needed to solve the problem, with little trauma and quick recovery, but general anesthesia is required. Treatment with arthroscopy has undoubtedly a greater advantage over incisional surgery and is easily accepted by patients. 3, Finally, the point is that our hospital is one of the few hospitals that can be treated with arthroscopic technology, but there is also a simpler way to treat. That is, localized puncture decompression for pain caused by calcified lesions. (See my article “Ultrasound localization of calcified lesions on the supraspinatus muscle for comparison of preoperative and postoperative X-rays” for details). The reason why the calcified lesions are so painful is that the pressure of the calcified foci in the tendon is high, and they are on the envelope of the tendon, which is rich in nerves, so the pain is very obvious. With accurate localization and successful decompression of the opening above the calcification, the painful symptoms can be greatly relieved, and at the same time, relevant drugs can be injected into the lesion to provide local treatment again. Such treatment is less expensive and more effective. An incision requires half anesthesia, an arthroscopic procedure requires general anesthesia, and a puncture requires only a small local anesthetic. Of course, not all rotator cuff calcification lesions are necessarily effective with this method. The literature reports that less than 5% of patients need arthroscopic surgery three months later to completely remove the lesion, so most patients are still willing to take this treatment first compared to arthroscopic surgery. Before the holiday (April 28), the acupuncture and rehabilitation department sent a consultation to a patient with calcification of the supraspinatus muscle of the right shoulder. x-rays showed a large calcified lesion in the shoulder, and the patient had severe pain in the right shoulder before the surgery, which prevented him from moving around and affected his rest at night despite taking anti-inflammatory and analgesic drugs. In the afternoon, I performed a puncture decompression aspiration of the calcified lesion under ultrasound and extracted a number of toothpaste-like calcified lesions. The patient was followed up in the morning after the holiday (May 2) and was satisfied with the outcome of the treatment. A repeat X-ray suggested that the concentration of the lesions had been significantly reduced. Yuan Bin, Department of Orthopedic Injuries, Jiangsu Provincial Hospital of Traditional Chinese Medicine This treatment avoids arthroscopic cleanup under general anesthesia. Of course, three months after taking the puncture decompression aspiration method, some patients who are not satisfied with the treatment result still need arthroscopic cleanup.