Evaluation of internally cooled radiofrequency ablation targeting multiple shoulder nerves for chronic shoulder pain relief and function restoration: a prospective study - Summary - MDSpire

Evaluation of internally cooled radiofrequency ablation targeting multiple shoulder nerves for chronic shoulder pain relief and function restoration: a prospective study

  • By

  • Mitsukuni Yoshida

  • Peter K Park

  • Loc V Thang

  • February 27, 2025

  • 0 min

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Objective:

To evaluate the efficacy of internally cooled radiofrequency ablation (icRFA) in alleviating shoulder pain and improving shoulder function.

Key Findings:
  • NRS pain levels significantly decreased at 1 month (Adj. P < .0001), 3 months (Adj. P < .0001), and 6 months (Adj. P = .0002) after icRFA.
  • ASES score improved at 1 month (Adj. P < .0001), 3 months (Adj. P < .0001), and 6 months (Adj. P < .0001) after icRFA.
  • Flexion AROM improved at 1 month (Adj. P < .0001), 3 months (Adj. P < .0001), and 6 months (Adj. P = .0139) after icRFA.
  • Abduction AROM improved at 1 month (Adj. P < .0001), 3 months (Adj. P < .0001), and 6 months (Adj. P < .0001) after icRFA.
Interpretation:

icRFA targeting the SSN, AN, and LPN is a safe and effective intervention that provides significant improvements in pain and functional activities for at least 6 months.

Limitations:
  • Small sample size (n = 35) may limit generalizability.
  • Single-center study may introduce bias.
  • Lack of a control group for comparison.
Conclusion:

icRFA is a promising treatment for chronic shoulder pain, showing sustained improvements in pain and function over a 6-month period.

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