Intra-articular Corticosteroid Injections Versus Pulsed Radiofrequency in Painful Shoulder

Eyigör, Can; Eyigör, Sibel; Korkmaz, Onur Kıvılcım; Uyar, Meltem

doi:10.1097/ajp.0b013e3181cf5981

Cited by 56 publications

(50 citation statements)

References 26 publications

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“…Suprascapular nerve blockade achieved with RF or cryolesion provides a long-lasting effect that can endure for up to 18 months. 20,43,53 Furthermore, one of these studies demon-strated a significant reduction in pain, improvement in function, and a reduction in analgesic medication (81% of study patients) after pulsed RF of the SSN. 20 The use of chemical neurolysis for SSNB has mainly been in the form of case reports.…”

Section: Substances Used For Blockade Of the Ssnmentioning

confidence: 99%

“…A number of trials, which examined chronic shoulder pain in a heterogeneous group without looking at individual pathologic diseases, have been performed. 18,20,46,53,72 Of these trials, three were randomized. 18,53,72 Two of these randomized studies compared SSNB to intra-articular steroid for shoulder pain and function.…”

Section: Chronic Shoulder Pain: General Considerationsmentioning

confidence: 99%

“…18,53,72 Two of these randomized studies compared SSNB to intra-articular steroid for shoulder pain and function. 53 The other study compared SSNB under US to SSNB via surface anatomy. 18 In these trials, SSNB resulted in significant improvements in pain scores and shoulder function.…”

Section: Chronic Shoulder Pain: General Considerationsmentioning

confidence: 99%

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Suprascapular Nerve Block

Chan

Peng

2011

Regional Anesthesia and Pain Medicine

130

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Suprascapular nerve blockade (SSNB) is a simple and safe technique for providing relief from various types of shoulder pain, including rheumatologic disorders, cancer, and trauma pain, and postoperative pain due to shoulder arthroscopy. Posterior, superior, and anterior approaches may be used, the most common being the posterior. Recently, an ultrasound-guided approach has been described. In this review, the basic anatomy of the suprascapular nerve will be described. The different techniques of SSNB and indications for SSNB will be discussed. The complications of SSNB and outcomes of SSNB on the management of acute and chronic shoulder pain will be reviewed.

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Section: Substances Used For Blockade Of the Ssnmentioning

confidence: 99%

Section: Chronic Shoulder Pain: General Considerationsmentioning

confidence: 99%

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Suprascapular Nerve Block

Chan

Peng

2011

Regional Anesthesia and Pain Medicine

130

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“…Eyigor et al [20], in a recent trial, compared intra-articular corticosteroid injection versus suprascapular nerve PRF in several aspects, including pain, shoulder disability, health-related quality of life (HRQoL), and depression scores, as well as range of motion (ROM). Both groups demonstrated significant improvements up to 3 months in terms of pain scores, ROM, and HRQoL.…”

Section: Available Evidencementioning

confidence: 99%

Pulsed radiofrequency treatment in interventional pain management: mechanisms and potential indications—a review

2010

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BackgroundThe objective of this review is to evaluate the efficacy of Pulsed Radiofrequency (PRF) treatment in chronic pain management in randomized clinical trials (RCTs) and well-designed observational studies. The physics, mechanisms of action, and biological effects are discussed to provide the scientific basis for this promising modality.MethodsWe systematically searched for clinical studies on PRF. We searched the MEDLINE (PubMed) and EMBASE database, using the free text terms: pulsed radiofrequency, radio frequency, radiation, isothermal radiofrequency, and combination of these. We classified the information in two tables, one focusing only on RCTs, and another, containing prospective studies. Date of last electronic search was 30 May 2010. The methodological quality of the presented reports was scored using the original criteria proposed by Jadad et al.FindingsWe found six RCTs that evaluated the efficacy of PRF, one against corticosteroid injection, one against sham intervention, and the rest against conventional RF thermocoagulation. Two trials were conducted in patients with lower back pain due to lumbar zygapophyseal joint pain, one in cervical radicular pain, one in lumbosacral radicular pain, one in trigeminal neuralgia, and another in chronic shoulder pain.ConclusionFrom the available evidence, the use of PRF to the dorsal root ganglion in cervical radicular pain is compelling. With regards to its lumbosacral counterpart, the use of PRF cannot be similarly advocated in view of the methodological quality of the included study. PRF application to the supracapular nerve was found to be as efficacious as intra-articular corticosteroid in patients with chronic shoulder pain. The use of PRF in lumbar facet arthropathy and trigeminal neuralgia was found to be less effective than conventional RF thermocoagulation techniques.

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“…In addition, PRF has been reported to be a useful treatment option in patients who are unresponsive to conservative therapies or not suitable for surgical therapy or those who are willing to undergo non-surgical treatments for chronic shoulder pain [12]. Although there are numerous studies in the literature reporting good outcomes with PRF application to the suprascapular nerve in the management of chronic shoulder pain [13,14], no study using PRF to the subacromial area and ACJ is available. In this study, we aimed to compare the effectiveness of CS injections and PRF therapies applied to the ACJ and the subacromial area in the long-term.…”

Section: Introductionmentioning

confidence: 99%

Comparison the effectiveness of corticosteroid and pulsed radiofrequency in chronic shoulder pain

Ökmen¹

2018

Ann Clin Anal Med

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Aim: Acromioclavicular joint (ACJ) disorders are particularly common in patients with impingement syndrome. We aim to evaluate the effectiveness of corticosteroid (CS) injections and pulsed radiofrequency (PRF) therapies applied to the Acromioclavicular joint (ACJ) and the subacromial area in the long-term in patients with impingement syndrome. Material and Method: 40 patients were analyzed in 2 different groups; CS(n=20) and PRF(n=20). Pre-treatment (W0) and post-treatment follow-ups at one (W1), four (W4), 12 (W12) and 24 weeks (W24) were carried out using Visual Analogue Scale (VAS), Shoulder Pain And Disability Index (SPADI) scores and Beck Depression Inventory (BDI) Scale tests. Results: There was a statistically significant improvement in all the evaluation parameters at W1, W4, W12, and W24 compared to W0 in both groups (p<0.05). The comparison of the groups with each other there was no statistically significant difference between the VAS, SPADI and BDI values at W1, W4, W12, W24 (p>0.05). Discussion: Our study results showed that CS injections and PRF therapy applied to the ACJ and subacromial area were effective during six-month follow-up in patients with chronic shoulder pain due to impingement syndrome. But statistical significance superiority to each other was not determined.

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Intra-articular Corticosteroid Injections Versus Pulsed Radiofrequency in Painful Shoulder

Cited by 56 publications

References 26 publications

Suprascapular Nerve Block

Suprascapular Nerve Block

Pulsed radiofrequency treatment in interventional pain management: mechanisms and potential indications—a review

Comparison the effectiveness of corticosteroid and pulsed radiofrequency in chronic shoulder pain

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