Ultrasound-guided pulsed radiofrequency for chronic shoulder pain: a prospective study

Pinto, Rita Diogo Torgal; Pinto, João Odilo Gonçalves; Loureiro, Maria Céu; Cardoso, Cristina; Assunção, José Pedro

doi:10.1016/j.bjane.2021.08.006

Cited by 6 publications

(4 citation statements)

References 26 publications

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“…Although the local anesthetic lasts for a few hours, it can promote a reduction in sensitization, with a lasting effect. The authors of one study observed a gain in the range of motion over 24 weeks 19 . In this study, few patients used supplementary tramadol, but after 8 weeks the pain intensity started to increase.…”

Section: Discussionmentioning

confidence: 59%

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Comparative Randomized Study Between Pulsed Radiofrequency and Suprascapular Nerve Block for the Treatment of Chronic Shoulder Pain

Bergamaschi,

Sakata,

Giraldes

et al. 2023

The Clinical Journal of Pain

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Objectives: The primary objective of this study was to compare pain intensity after pulsed radiofrequence (RF) or suprascapular nerve block for the treatment of chronic shoulder pain. The secondary objectives were to compare the shoulder range of motion and supplementary analgesic requirement. Methods: This randomized, and prospective study included 40 patients, with chronic shoulder pain allocated into two groups. One group underwent pulsed RF, and other group was submitted to block (B) of suprascapular nerve, guided by ultrasound. There were assessed for 12 weeks regarding pain intensity, need for analgesia supplementation, and shoulder range of motion. Side effects were recorded. Results: Pain intensity on movement was lower in the RF group after 2, 4, and 8 weeks. At rest, pain intensity was lower in group RF than in group B after 12 weeks. Pain intensity was lower than before the procedure at all times evaluated, in both groups. There was no difference between groups in the range of motion. There was a need for tramadol supplementation in 1 patient in group RF and 2 in group B. Adverse effects observed were: local pain (RF: 1), hematoma (RF: 1; B: 1), and lipothymia (B: 2). Discussion: Pulsed RF on the suprascapular nerve promoted an analgesic effect for 12 weeks. Regarding the intensity of pain on movement and at rest, there was a trend towards a better effect with RF than with nerve blockage treatment. In both groups, there was a reduction in pain intensity without serious adverse effects.

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Section: Discussionmentioning

confidence: 59%

“…The authors of one study observed a gain in the range of motion over 24 weeks. 19 In this study, few patients used supplementary tramadol, but after 8 weeks the pain intensity started to increase.…”

Section: Discussionmentioning

confidence: 66%

Comparative Randomized Study Between Pulsed Radiofrequency and Suprascapular Nerve Block for the Treatment of Chronic Shoulder Pain

Bergamaschi,

Sakata,

Giraldes

et al. 2023

The Clinical Journal of Pain

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show abstract

“…With these indices, it is possible to obtain the quality index of the upper limb muscle of the patients ( 8 ). Finally, in case of shoulder pain that limits the correct rehabilitation process, the patient is followed by the pain therapist, using peripheral nerve neuromodulation techniques, mainly of the suprascapular nerve ( 9 ), trying as much as possible to limit the use of drugs, such as opioids. The instruments used, as well as their aims, are reported in the following Figure 2 .…”

Section: The Rehabilitation Tailor Program In Breast Cancermentioning

confidence: 99%

The Rehabilitation Tailor: Applying Personalized Medicine to Cancer Recovery

Bongiorno

Biancuzzi

Mas

et al. 2022

Front. Glob. Womens Health

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“…Как лечебные опции могут рассматриваться методы интервенционного лечения боли -блокады с глюкокортикостероидами или радиочастотная абляция надлопаточного нерва в импульсном режиме. В большинстве случаев клиническая картина регрессирует на фоне консервативной терапии [4]. Стандартным хирургическим вмешательством при посттравматической нейропатии надлопаточного нерва являются невролиз и декомпрессия в области вырезки лопатки.…”

Section: обоснованиеunclassified

Eхperience of endoscopic decompression of the suprascapular nerve

Belyak

2022

Journal of Clinical Practice

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Relevance. Suprascapular nerve neuropathy is a commonly spread pathology, caused by traction force trauma or compression in scapular notch area. In case of failure of conservative treatment standard surgical procedure is neurolysis (decompression) of suprascapular nerve in scapular notch. This procedure can be done open or endoscopically. Goal. Evaluate the results of endoscopic decompression of suprascapular nerve in scapular notch area. Material and methods. We operated 10 patients for the period from 2015 to 2021 year with the clinical situation of posttraumatic suprascapular nerve neuropathy. The mean age of patients was 52,311.8. To all the patients was performed shoulder joint and subacromial space arthroscopy, decompression of suprascapular nerve in scapular notch area. Statistics was made according to Mann-Whitney U-test. Results. According to VAS-scale the severity of pain syndrome before the surgery was 61,5 cm., 6 months after the surgery decreased to 2 0.5 cm (p0.05). According to DASH scale the dysfunction of the of shoulder joint before the surgery was 70,2 5,8 points, 6 months after the surgery decreased to 10 4,8 points (p0.05). Range of motion in a shoulder joint before the surgery was: flexion 155 14,4, abduction 140 42, external rotation 12 5,6; 6 months after the surgery: flexion 174 15,6, abduction 175 14,4, external rotation 48 9. Conclusion. The results do let us characterize the method of endoscopic decompression of suprascapular nerve as a low-traumatic and effective technique, which promotes restoration of function of suprascapular nerve and shoulder joint, elimination of pain syndrome from shoulder area.

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Ultrasound-guided pulsed radiofrequency for chronic shoulder pain: a prospective study

Cited by 6 publications

References 26 publications

Comparative Randomized Study Between Pulsed Radiofrequency and Suprascapular Nerve Block for the Treatment of Chronic Shoulder Pain

Comparative Randomized Study Between Pulsed Radiofrequency and Suprascapular Nerve Block for the Treatment of Chronic Shoulder Pain

The Rehabilitation Tailor: Applying Personalized Medicine to Cancer Recovery

Eхperience of endoscopic decompression of the suprascapular nerve

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