Comparison of the Effectiveness of Pulse Radiofrequency in the Treatment of Suprascapular Nerve in Chronic Shoulder Pain

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chronic shoulder pain, pulsed radiofrequency, suprascapular nerve


Objectives: To investigate the effects of various durations of pulsed radiofrequency (PRF) application on pain and functional limitation in the short term in patients suffering from chronic shoulder pain.

Methods: Eighty three patients, 50 women (60.2%) and 33 men (39.8%) were included in the study. Ultrasound-guided PRF treatment of the suprascapular nerve was performed for 8 min in 44 (53.1%) and 10 min in 39 (46.9%) patients. The pain intensity of the patients was evaluated using the visual analog scale (VAS). The Shoulder Pain and Disability Index (SPADI) was utilized to define shoulder function and pain. VAS and SPADI measurements before and four weeks after treatment were recorded.

Results: The VAS and SPADI scores showed a significant improvement in both treatment groups (P < 0.05); however, no significant difference was observed between the groups.

Conclusion: Therefore, PRF of the suprascapular nerve is a beneficial treatment method in patients suffering from chronic shoulder pain; furthermore, the duration of PRF treatment of 8 or 10 minutes does not affect the effectiveness of the treatment.


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Urwin M, Symmons D, Allison T, Brammah T, Busby H, Roxby M, Simmons A, Williams G (1998) Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis 57:649-655.

Lucas J, van Doorn P, Hegedus E, Lewis J, van der Windt D (2022) A systematic review of the global prevalence and incidence of shoulder pain. BMC Musculoskelet Disord 23:1073.

Hodgetts CJ, Leboeuf-Yde C, Beynon A, Walker BF (2021) Shoulder pain prevalence by age and within occupational groups: a systematic review. Arch Physiother 11:24.

Prato G, Terranova G, Grossi P (2022) SP27 Pulsed radiofrequency in chronic shoulder pain: a state of the art review. Regional Anesthesia & Pain Medicine 47:A29-A31

Burbank KM, Stevenson JH, Czarnecki GR, Dorfman J (2008) Chronic Shoulder pain part I: evaluation and diagnosis. American family physician 77:453-460

Andrews JR (2005) Diagnosis and treatment of chronic painful shoulder: review of nonsurgical interventions. Arthroscopy 21:333-347.

Burbank KM, Stevenson JH, Czarnecki GR, Dorfman J (2008) Chronic shoulder pain: part II. Treatment. Am Fam Physician 77:493-497

Miniato MA, Anand P, Varacallo M (2021) Anatomy, shoulder and upper limb, shoulder. StatPearls [Internet]. StatPearls Publishing

Vecchio PC, Adebajo AO, Hazleman BL (1993) Suprascapular nerve block for persistent rotator cuff lesions. J Rheumatol 20:453-455

Jump CM, Waghmare A, Mati W, Malik RA, Charalambous CP (2021) The Impact of Suprascapular Nerve Interventions in Patients with Frozen Shoulder: A Systematic Review and Meta-Analysis. JBJS Rev 9:e21.

Wu YT, Ho CW, Chen YL, Li TY, Lee KC, Chen LC (2014) Ultrasound-guided pulsed radiofrequency stimulation of the suprascapular nerve for adhesive capsulitis: a prospective, randomized, controlled trial. Anesth Analg 119:686-692.

Schoenherr JW, Flynn DN, Doyal A (2023) Suprascapular Nerve Block. StatPearls. StatPearls Publishing Copyright © 2023, StatPearls Publishing LLC., Treasure Island (FL)

Liliang PC, Lu K, Liang CL, Tsai YD, Hsieh CH, Chen HJ (2009) Pulsed radiofrequency lesioning of the suprascapular nerve for chronic shoulder pain: a preliminary report. Pain Med 10:70-75.

Abdelrahman AS, Bassiouny AM (2019) Ultrasound Guided Radiofrequency Ablation of the Suprascapular Nerve Versus Injection Block Technique: A Comparative Study in Patients with Chronic Shoulder Pain. The Medical Journal of Cairo University 87:3859-3864.

Byrd D, Mackey S (2008) Pulsed radiofrequency for chronic pain. Curr Pain Headache Rep 12:37-41.

Erdine S, Yucel A, Cimen A, Aydin S, Sav A, Bilir A (2005) Effects of pulsed versus conventional radiofrequency current on rabbit dorsal root ganglion morphology. Eur J Pain 9:251-256.

Erdine S, Bilir A, Cosman ER, Cosman ER, Jr. (2009) Ultrastructural changes in axons following exposure to pulsed radiofrequency fields. Pain Pract 9:407-417.

Chua NH, Vissers KC, Sluijter ME (2011) Pulsed radiofrequency treatment in interventional pain management: mechanisms and potential indications-a review. Acta Neurochir (Wien) 153:763-771.

Pushparaj H, Hoydonckx Y, Mittal N, Peng P, Cohen SP, Cao X, Bhatia A (2021) A systematic review and meta-analysis of radiofrequency procedures on innervation to the shoulder joint for relieving chronic pain. Eur J Pain 25:986-1011.

Tanaka N, Yamaga M, Tateyama S, Uno T, Tsuneyoshi I, Takasaki M (2010) The effect of pulsed radiofrequency current on mechanical allodynia induced with resiniferatoxin in rats. Anesth Analg 111:784-790.

Ajmani ML (1994) The cutaneous branch of the human suprascapular nerve. J Anat 185 ( Pt 2):439-442

Laumonerie P, Dalmas Y, Tibbo ME, Robert S, Faruch M, Chaynes P, Bonnevialle N, Mansat P (2020) Sensory innervation of the human shoulder joint: the three bridges to break. J Shoulder Elbow Surg 29:e499-e507.

Kane TP, Rogers P, Hazelgrove J, Wimsey S, Harper GD (2008) Pulsed radiofrequency applied to the suprascapular nerve in painful cuff tear arthropathy. J Shoulder Elbow Surg 17:436-440.

Gado K, Emery P (1993) Modified suprascapular nerve block with bupivacaine alone effectively controls chronic shoulder pain in patients with rheumatoid arthritis. Ann Rheum Dis 52:215-218.

Eyigor C, Eyigor S, Korkmaz OK, Uyar M (2010) Intra-articular corticosteroid injections versus pulsed radiofrequency in painful shoulder: a prospective, randomized, single-blinded study. Clin J Pain 26:386-392.

Albishi W, AbuDujain NM, Dakhil AB, Alzeer M (2023) The Utilization of Radiofrequency Techniques for Upper Extremity Pain Management. Pain Physician 26:125-135

Ergonenc T, Beyaz SG (2018) Effects of ultrasound-guided suprascapular nerve pulsed radiofrequency on chronic shoulder pain. Med Ultrason 20:461-466.

Esparza-Minana JM, Mazzinari G (2019) Adaptation of an Ultrasound-Guided Technique for Pulsed Radiofrequency on Axillary and Suprascapular Nerves in the Treatment of Shoulder Pain. Pain Med 20:1547-1550.

Higuchi Y, Nashold BS, Jr., Sluijter M, Cosman E, Pearlstein RD (2002) Exposure of the dorsal root ganglion in rats to pulsed radiofrequency currents activates dorsal horn lamina I and II neurons. Neurosurgery 50:850-855; discussion 856.

Van Zundert J, de Louw AJ, Joosten EA, Kessels AG, Honig W, Dederen PJ, Veening JG, Vles JS, van Kleef M (2005) Pulsed and continuous radiofrequency current adjacent to the cervical dorsal root ganglion of the rat induces late cellular activity in the dorsal horn. Anesthesiology 102:125-131.

Luleci N, Ozdemir U, Dere K, Toman H, Luleci E, Irban A (2011) Evaluation of patients' response to pulsed radiofrequency treatment applied to the suprascapular nerve in patients with chronic shoulder pain. J Back Musculoskelet Rehabil 24:189-194.

Orhurhu V, Akinola O, Grandhi R, Urits I, Abd-Elsayed A (2019) Radiofrequency Ablation for Management of Shoulder Pain. Curr Pain Headache Rep 23:56.

Gurbet A, Turker G, Bozkurt M, Keskin E, Uckunkaya N, Sahin S (2005) [Efficacy of pulsed mode radiofrequency lesioning of the suprascapular nerve in chronic shoulder pain secondary to rotator cuff rupture]. Agri 17:48-52

Keskinbora K, Aydinli I (2009) [Long-term results of suprascapular pulsed radiofrequency in chronic shoulder pain]. Agri 21:16-21

Jang JS, Choi HJ, Kang SH, Yang JS, Lee JJ, Hwang SM (2013) Effect of pulsed radiofrequency neuromodulation on clinical improvements in the patients of chronic intractable shoulder pain. J Korean Neurosurg Soc 54:507-510.

Arakawa K, Kaku R, Kurita M, Matsuoka Y, Morimatsu H (2018) Prolonged-duration pulsed radiofrequency is associated with increased neuronal damage without further antiallodynic effects in neuropathic pain model rats. J Pain Res 11:2645-2651.

Liu A, Zhang W, Sun M, Ma C, Yan S (2016) Evidence-based Status of Pulsed Radiofrequency Treatment for Patients with Shoulder Pain: A Systematic Review of Randomized Controlled Trials. Pain Pract 16:518-525.

Sinha P, Sarkar B, Goswami S, Ray Karmakar P, Dasgupta SR, Basu S (2020) Effectiveness of Combination of Ultrasonography-Guided Pulsed Radiofrequency Neuromodulation With Steroid at the Suprascapular Nerve in Chronic Shoulder Pain. Pain Pract 20:16-23.

Shah RV, Racz GB (2003) Pulsed mode radiofrequency lesioning of the suprascapular nerve for the treatment of chronic shoulder pain. Pain Physician 6:503-506.

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How to Cite

Küçükbingöz, Çağatay, Bahşi, A., Bayram, T., Marufoglu , F., & Özbek, H. T. (2023). Comparison of the Effectiveness of Pulse Radiofrequency in the Treatment of Suprascapular Nerve in Chronic Shoulder Pain. European Journal of Therapeutics, 29(3), 334–340.



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