scholarly journals Effects of ultrasound-guided suprascapular nerve pulsed radiofrequency on chronic shoulder pain

2018 ◽  
Vol 20 (4) ◽  
pp. 461 ◽  
Author(s):  
Tolga Ergonenc ◽  
Serbulent Gokhan Beyaz
Keyword(s):  
Shoulder Pain ◽  
External Rotation ◽  
Adhesive Capsulitis ◽  
Suprascapular Nerve ◽  
Pulsed Radiofrequency ◽  
Ultrasound Guided ◽  
Duration Of Action ◽  
Vas Score ◽  
Long Duration ◽  
Chronic Shoulder Pain

Aim: Pulsed radiofrequency (PRF) therapy has become increasingly popular in the treatment of chronic shoulder pain due to its long duration of action and non-destructive method. The aim of the study was to reveal the effects of PRF therapy of the suprascapular nerve (SSN) under ultrasound guidance (UG) in patients with chronic shoulder pain on both shoulder pain and function.Material and methods: This study included 74 patients diagnosed with at least one of the following: adhesive capsulitis, rotator cuff syndrome and impingement syndrome of shoulder. The PRF therapy of the SSN under UG was performed in those patients with a reduction of 50% or more Visual Analog Scale (VAS) score and those that reported healing in the active range of motion (AROM) in the diagnostic SSN block. The resting, motion and sleeping shoulder pain assessments of the patients were done with VAS score. The shoulder joint function was assessed with the Shoulder Pain and Disability Index (SPADI) questionnaire and the AROM of the joint was measured using a goniometer.Results: In 70 of the 74 patients a 50% or more reduction was found in the VAS score with diagnostic SSN block. After the PRF therapy of the SSN, the 15thday, 1st month, 3rd month, and 6th month follow-up VAS averages, SPADI averages and the flexion, internal rotation, external rotation, and abduction values were statistically significantly lower than the baseline values (p<0.05).Conclusion: This study is the largest series in the literature evaluating the efficacy of PRF therapy of the SSN under UG and has shown that pain canbe controlled quickly, for a long period of time, using ultrasound guided PRF therapy of the SSN in chronic shoulder pain.

Efficacy and safety of ultrasound-guided suprascapular nerve block in patients with chronic shoulder pain☆

2013 ◽  
Vol 41 (2) ◽  
pp. 104-108
Author(s):  
Mario Andrés Arcila Lotero ◽  
Roberto Carlo Rivera Díaz ◽  
Daniel Campuzano Escobar ◽  
María Adelaida Mejía Aguilar ◽  
Sandra Milena Martínez Ramírez
Keyword(s):  
Shoulder Pain ◽  
Nerve Block ◽  
Suprascapular Nerve ◽  
Efficacy And Safety ◽  
Ultrasound Guided ◽  
Suprascapular Nerve Block ◽  
Chronic Shoulder Pain

scholarly journals Pulsed Radiofrequency Lesioning of the Suprascapular Nerve for Chronic Shoulder Pain: A Preliminary Report

Pain Medicine ◽  
2009 ◽  
Vol 10 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Po-Chou Liliang ◽  
Kang Lu ◽  
Cheng-Loong Liang ◽  
Yu-Duan Tsai ◽  
Ching-Hua Hsieh ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Preliminary Report ◽  
Suprascapular Nerve ◽  
Pulsed Radiofrequency ◽  
Chronic Shoulder Pain

scholarly journals Neuromodulation of the Suprascapular Nerve

2014 ◽  
Vol 6;17 (6;12) ◽  
pp. E769-E773
Author(s):  
Foad Elahi
Keyword(s):  
Peripheral Nerve ◽  
Range Of Motion ◽  
Shoulder Pain ◽  
Nerve Stimulation ◽  
Shoulder Joint ◽  
Adhesive Capsulitis ◽  
Suprascapular Nerve ◽  
Shoulder Range Of Motion ◽  
Shoulder Range ◽  
Chronic Shoulder Pain

The shoulder joint is an enarthrodial or ball-and-socket joint. A complex network of anatomic structures endows the human shoulder with tremendous mobility, greater than any other joint in the body. Many pathologies can been found in those patients with chronic shoulder pain. The painful limitation of shoulder motion affects hand and arm motion as well; therefore, it significantly influences work performance and everyday activities as well as the quality of life. Therefore, the treatment of patients with chronic shoulder pain has major social and health economic implications. In this article we present a patient with a complex history of shoulder pathology including 7 surgeries that left the patient with chronic debilitating shoulder pain. She was suffering from chronic pain and limited mobility of the shoulder joint due to adhesive shoulder capsulitis. She was treated with a multimodality approach with the goals of increasing shoulder range of motion and decreasing her pain. This did not provide significant improvement. The suprascapular nerve supplies motor and sensory innervation to the shoulder, and can be easily accessible in the supraspinatus fossa. A suprascapular nerve block dramatically decreased her pain. This clinical observation along with confirmatory nerve block play an important role during the decision-making process for a trial period of electrical neuromodulation. She was followed for 3 months after the permanent implantation of a suprascapular nerve stimulator. Her pain and shoulder range of motion in all planes improved dramatically. Peripheral nerve stimulation (PNS) of the suprascapular nerve, in addition to multimodality pain management, is one approach to the difficult task of treating adhesive capsulitis with accompanying pain and the inability to move the shoulder. We conducted a literature review on PubMed and found no case describing a similar patient to our knowledge. Key words: Suprascapular nerve, neuromodulation, peripheral nerve stimulation, adhesive capsulitis, chronic shoulder pain

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