Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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Comparing neuromodulation modalities involving the suprascapular nerve in chronic refractory shoulder pain: retrospective case series and literature review

  • Dey, Saugat (Center for Pain and Spine, Dartmouth-Hitchcock Medical Center)
  • 투고 : 2021.01.19
  • 심사 : 2021.02.13
  • 발행 : 2021.03.01
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초록

Chronic shoulder pain not relieved by either conservative or surgical management is referred to as chronic refractory shoulder pain. This is a retrospective case series where chronic refractory shoulder pain patients were treated either with peripheral nerve stimulation (PNS) or with pulsed radiofrequency (p-RF) therapy to the suprascapular nerve. Both patients receiving PNS reported 100% pain relief for the first month. At the 3- and 6-month follow-ups, one patient continued to experience 100% relief while the other reported 90% relief. One patient undergoing p-RF experienced about 90% pain relief at both 1- and 3-month intervals and 0% relief at the 6-month interval. The other patient with p-RF experienced 33% relief at 1-month and 0% relief thereafter. No patient reported any complications. The results of previous randomized controlled trials evaluating the efficacy of p-RF administered to the suprascapular nerve were mixed, and there is a lack of published studies on PNS effects. Neuromodulation of the suprascapular nerve can be effective for chronic refractory shoulder pain patients. Larger scale randomized controlled trials comparing PNS and p-RF are needed to better understand their respective therapeutic capacity.

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참고문헌

  1. Burbank KM, Stevenson JH, Czarnecki GR, Dorfman J. Chronic shoulder pain: part I. Evaluation and diagnosis. Am Fam Physician 2008;77:453-60.
  2. Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ 2005;331:1124-8. https://doi.org/10.1136/bmj.331.7525.1124
  3. Eyigor C, Eyigor S, Korkmaz OK, Uyar M. Intra-articular corticosteroid injections versus pulsed radiofrequency in painful shoulder: a prospective, randomized, single-blinded study. Clin J Pain 2010;26:386-92. https://doi.org/10.1097/AJP.0b013e3181cf5981
  4. Korkmaz OK, Capaci K, Eyigor C, Eyigor S. Pulsed radiofrequency versus conventional transcutaneous electrical nerve stimulation in painful shoulder: a prospective, randomized study. Clin Rehabil 2010;24:1000-8. https://doi.org/10.1177/0269215510371417
  5. Gofeld M, Restrepo-Garces CE, Theodore BR, Faclier G. Pulsed radiofrequency of suprascapular nerve for chronic shoulder pain: a randomized double-blind active placebo-controlled study. Pain Pract 2013;13:96-103. https://doi.org/10.1111/j.1533-2500.2012.00560.x
  6. Wu YT, Ho CW, Chen YL, Li TY, Lee KC, Chen LC. Ultrasound-guided pulsed radiofrequency stimulation of the suprascapular nerve for adhesive capsulitis: a prospective, randomized, controlled trial. Anesth Analg 2014;119:686-92. https://doi.org/10.1213/ANE.0000000000000354
  7. Okmen BM, Okmen K. Comparison of photobiomodulation therapy and suprascapular nerve-pulsed radiofrequency in chronic shoulder pain: a randomized controlled, single-blind, clinical trial. Lasers Med Sci 2017;32:1719-26. https://doi.org/10.1007/s10103-017-2237-3
  8. Alanbay E, Aras B, Kesikburun S, Kizilirmak S, Yasar E, Tan AK. Effectiveness of suprascapular nerve pulsed radiofrequency treatment for hemiplegic shoulder pain: a randomized-controlled trial. Pain Physician 2020;23:245-52.
  9. Elahi F, Reddy CG. Neuromodulation of the suprascapular nerve. Pain Physician 2014;17:E769-73. https://doi.org/10.36076/ppj.2014/17/E769
  10. Bouche B, Manfiotto M, Rigoard P, et al. Peripheral nerve stimulation of brachial plexus nerve roots and supra-scapular nerve for chronic refractory europathic pain of the upper limb. Neuromodulation 2017;20:684-9. https://doi.org/10.1111/ner.12573
  11. Kurt E, van Eijk T, Henssen D, Arnts I, Steegers M. Neuromodulation of the suprascapular nerve. Pain Physician 2016;19:E235-9.
  12. Oswald J, Shahi V, Chakravarthy KV. Prospective case series on the use of peripheral nerve stimulation for focal mononeuropathy treatment. Pain Manag 2019;9:551-8. https://doi.org/10.2217/pmt-2019-0028
  13. Tran J, Peng PW, Agur AM. Anatomical study of the innervation of glenohumeral and acromioclavicular joint capsules: implications for image-guided intervention. Reg Anesth Pain Med 2019;44:452-8. https://doi.org/10.1136/rapm-2018-100152
  14. Lin T, Gargya A, Singh H, Sivanesan E, Gulati A. Mechanism of peripheral nerve stimulation in chronic pain. Pain Med 2020; 21(Suppl 1):S6-12. https://doi.org/10.1093/pm/pnaa164
  15. Hagiwara S, Iwasaka H, Takeshima N, Noguchi T. Mechanisms of analgesic action of pulsed radiofrequency on adjuvant-induced pain in the rat: roles of descending adrenergic and serotonergic systems. Eur J Pain 2009;13:249-52. https://doi.org/10.1016/j.ejpain.2008.04.013
  16. Sites BD, Brull R. Ultrasound guidance in peripheral regional anesthesia: philosophy, evidence-based medicine, and techniques. Curr Opin Anaesthesiol 2006;19:630-9. https://doi.org/10.1097/ACO.0b013e3280101423