Skip to main content
Log in

Effect of pulsed radiofrequency therapy on the suprascapular nerve in shoulder pain of various aetiology

  • Original Article
  • Published:
Irish Journal of Medical Science Aims and scope Submit manuscript

Abstract

Background

Pulsed radiofrequency treatment (PRF) applied to the suprascapular nerve may provide pain relief for patients suffering from shoulder pain as described in three case series.

Aims

The effect of PRF to the suprascapular nerve was retrospectively analysed on 28 patients with shoulder pain lasting longer than 1 month, with a 6-month follow-up. Group A was treated with PRF and local anaesthetics only while group B was treated with PRF, local anaesthetic and steroid. Pain scores were evaluated before and after the procedure and at 1, 3 and 6 months.

Results

More than 50% of patients in both groups had significant pain relief after 3 months. No major, but only one minor complication occurred.

Conclusions

Our results suggest that the analgesic effects of PRF last more than 3 months in the majority of patients. The addition of steroid to the PRF treatment appears to have no benefit.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Pope D, Croft P, Pritchard C, Silman A (1997) Prevalence of shoulder pain in the community: the influence of case definition. Ann Rheum Dis 56:308–312

    Article  CAS  PubMed  Google Scholar 

  2. de Winter A, Jans MP, Scholten RJ, Devillé W, van Schaardenburg D, Bouter LM (1999) Diagnostic classification of shoulder disorders: interobserver agreement and determinants of disagreement. Ann Rheum Dis 58:272–277

    Article  PubMed  Google Scholar 

  3. Emery P, Bowman S, Wedderburn L, Grahame R (1989) Suprascapular nerve block in rheumatoid arthritis. Br Med J 199:1079–1080

    Article  Google Scholar 

  4. 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

    Article  CAS  PubMed  Google Scholar 

  5. Wassef MR (1992) Suprascapular nerve block: a new approach for the management of frozen shoulder. Anaesthesia 47:120–124

    Article  CAS  PubMed  Google Scholar 

  6. Jones DS, Chattopadhyay C (1999) Suprascapular nerve block for the treatment of frozen shoulder in primary care: a randomized trial. Br J Gen Practice 49:39–41

    CAS  Google Scholar 

  7. Shanahan EM, Ahern M, Smith M, Wetherall M, Bresnihan B, FitzGerald O (2003) Suprascapular nerve block (using bupivacaine and methylprednisolone acetate) in chronic shoulder pain. Ann Rheum Dis 62:400–406

    Article  CAS  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  9. Rohof OJ (2002) Radiofrequency treatment of peripheral nerves. Pain Pract 2:257–260

    Article  CAS  PubMed  Google Scholar 

  10. 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

    PubMed  Google Scholar 

  11. Higuchi Y, Nashold BS, Sluiter ME, Cosman E, Pearlsein RD (2002) Exposure of the dorsal root ganglion in rats to pulsed radiofrequency currents acctivates dorsal horn lamina I and II neurons. Neurosurgery 50:850–856

    Article  PubMed  Google Scholar 

  12. Cahana A, Van Zundert J, Macrea L, Van Kleef M, Sluijter M (2006) Pulsed radiofrequency: current clinical and biological literature available. Pain Med 7:411–423

    Article  PubMed  Google Scholar 

  13. van Zundert J, Raj P, Erdine S, van Kleef N (2002) Application of radiofrequency treatment in practical pain management: state of the art. Pain Pract 2:267–278

    Google Scholar 

  14. Polliti JC, Goroso G, Valentinuzzi ME, Bravo O (1998) Codman’s paradox of the arm rotations is not a paradox: mathematical validation. Med Eng Phys 20:257–260

    Article  Google Scholar 

  15. Nikolaeva SS, Dubinskaya VA, Khoroshkov YU, Omelyanenko NP (1985) Rheological properties of connective tissue. Mech Comp Mat 21:365–369

    Article  Google Scholar 

  16. Warner J, Krushell RJ, Masquelet A, Gerber C (1992) Anatomy and relationship of the suprascapular nerve: anatomical constraints to mobilization of the supraspinatus and infraspinatus muscles in the management of massive rotator-cuff tears. J Bone Joint Surg 74A:36–45

    Google Scholar 

  17. Gallagher RM (2006) Pulsed radiofrequency treatment: what is the evidence of its effectiveness and should it be used in clinical practice? Pain Med 7:408–410

    Article  PubMed  Google Scholar 

  18. Cosman ER Jr, Cosman ER Sr (2005) Electric and thermal field effects in tissue around radiofrequency electrodes. Pain Med 6:405–424

    Article  PubMed  Google Scholar 

  19. Cahana A, Vutskis L, Muller D (2003) Acute differential modulation of synaptic transmission and cell survival during exposure to pulsed and continuous radiofrequency energy. J Pain 4:197–202

    Article  PubMed  Google Scholar 

  20. Bogduk N (2006) Pulsed radiofrequency. Pain Med 7:396–407

    Article  PubMed  Google Scholar 

  21. 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

    Article  PubMed  Google Scholar 

  22. Turner JA, Deyo RA, Loeser JD, von Korff M, Fordyce WE (1994) The importance of placebo effects in pain treatment and research. J Am Med Assoc 271:1609–1614

    Article  CAS  Google Scholar 

Download references

Acknowledgments

Many thanks to Oldrich Marek, M.D., Head of Department of Anaesthesia and Intensive Care, Teaching Hospital Olomouc, for valuable suggestions and Dr Francis McAleavey from Department of Anaesthetics, Antrim Area Hospital for correction of English language.

Conflict of interest statement

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to T. Gabrhelik.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gabrhelik, T., Michalek, P., Adamus, M. et al. Effect of pulsed radiofrequency therapy on the suprascapular nerve in shoulder pain of various aetiology. Ir J Med Sci 179, 369–373 (2010). https://doi.org/10.1007/s11845-010-0490-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11845-010-0490-6

Keywords

Navigation