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http://dx.doi.org/10.3344/kjp.2007.20.2.230

Pulsed Radiofrequency Lesioning of the Suprascapular Nerve for Referred Shoulder Pain due to Metastatic Liver Cancer - A case report -  

Kim, Hyung Tae (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center)
Jang, In Su (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center)
Han, Sang Ji (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center)
Lee, Jun Hak (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center)
Kwon, Young Eun (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center)
Publication Information
The Korean Journal of Pain / v.20, no.2, 2007 , pp. 230-234 More about this Journal
Abstract
A diagnosis of shoulder pain is varied and difficult to make. The initial onset of liver cancer is difficult to detect and patients typically do not complain of symptoms as most tumors are asymptomatic. If the symptoms of the patients develop, the first symptom is usually pain that extends from the abdomen to the back and shoulder. A suprascapular nerve block is used in the treatment of the referred shoulder pain due to a metastatic hepatoma, but the effectiveness of the treatment has been limited because of its short duration. Recently, the advent of pulsed radiofrequency (PRF) lesioning has proved a successful treatment for chronic refractory pain involving the peripheral nerves. We experienced a case of a 66-year-old male patient complaining of referred right shoulder pain due to metastatic liver cancer, which was relieved after PRF lesioning of the suprascapular nerve.
Keywords
pulsed radiofrequency; referred shoulder pain; suprascapular nerve block;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Chuo JM: Diagnosis and treatment of shoulder pain. Korean J Pain 1996; 9: 1-7
2 Navarro O, Babyn PS, Pearl RH: The value of routine follow-up imaging in pediatric blunt liver trauma. Pediatr Radiol 2000; 30: 546-50   DOI
3 Garber MW, Renzi AM: Persistent shoulder pain following a motor vehicle accident. Am J Emerg Med 1988; 6: 24-6   DOI   ScienceOn
4 Kawaguchi M, Hashizume K, Iwata T, Furuya H: Percutaneous radiofrequency lesioning of sensory branches of the obturator and femoral nerves for the treatment of hip joint pain. Reg Anesth Pain Med 2001; 26: 576-81   DOI
5 Park SH, Lee PB, Seo MS, Lim YH, Oh YS: Referred shoulder pain due to liver abscess: a case report. Korean J Pain 2005; 18: 267-70   DOI   ScienceOn
6 Sluijter ME, van Kleef M: Characteristics and mode of action of radiofrequency lesions. Curr Rev Pain 1998; 2: 143-50   DOI
7 The Korean Pain Society: Pain medicine. 2nd ed. Seoul, Koonja Publishing Inc. 2000, pp 262-3
8 John DM: Neoplasms of the lung. In: Harrison's principles of internal medicine. 16th ed. Edited by Dennis LK, Eugene B, Anthony SF, Stephen LH, Dan LL, Jameson JL: New York, McGraw-Hill Companies Inc. 2004, p 508
9 Petchkrua W, Harris SA: Shoulder pain as an unusual presentation of pneumonia in a stroke patient: a case report. Arch Phys Med Rehabil 2000; 81: 827-9   DOI
10 Campbell SM: Referred shoulder pain. An elusive diagnosis. Postgrad Med 1983; 73: 193-203
11 Graham DD, Bonica JJ: Painful diseases of the Liver, Biliary System, and Pancreas. In: Bonica's management of pain. 3rd ed. Edited by Loerser JD: Philadelphia, Lippincott Williams & Wilkins. 2001, pp 1293-5
12 Kim KS: Nerve blocks in shoulder and upper limbs. In: Pain medicine. 3rd ed. Edited by The Korean Pain Society: Seoul. Koonja Publishing Inc. 2007. p 602
13 Rohof OJ: Radiofrequency treatment of peripheral nerves. Pain Pract 2002; 2: 257-60   DOI   ScienceOn
14 Cooper MJ, Russell P, Gallagher PJ: Diaphragmatic endometriosis. Med J Aust 1999; 171: 142-3
15 Kirschner M: Zur elektrochirurgie. Arch Klin Chir 1931; 167: 761
16 Min BW: Low back pain. In: Pain medicine. 3rd ed. Edited by The Korean Pain Society: Seoul, Koonja Publishing Inc. 2007, p 250