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In patients with glenohumeral arthritis/shoulder osteoarthritis, cooled radiofrequency nerve ablation reduces shoulder pain and stiffness.
A prospective pilot study depicted that cooled radiofrequency nerve ablation (C-RFA) therapy has minimal complications and is a good substitute to alleviate stiffness and chronic shoulder pain from symptomatic glenohumeral osteoarthritis. Investigators aimed to explore the effect of image-guided axillary, lateral pectoral, and suprascapular nerve C-RFA as a substitute to manage shoulder osteoarthritis.
For determining candidacy for C-RFA, the subjects underwent anesthetic blocks of axillary, lateral pectoral, and suprascapular nerves. The adequate response following anesthetic block was over 50% prompt pain alleviation. A total of 12 people (experiencing shoulder pain from moderate to severe glenohumeral arthritis) underwent the C-RFA procedure.
Utilizing visual analog scale (VAS) and American Shoulder and Elbow Surgeons (ASES) score, evaluation of functional activities of everyday living, pain, and stiffness was done. Following C-RFA, the follow-up outcome scores were collected for up to six months. After C-RFA therapy, a remarkable improvement in VAS and total ASES scores were reported, as illustrated in Table 1:
There were no major complications. None of the participants underwent shoulder arthroplasty or received re-treatment. Thus, the novel technique C-RFA is valuable to mitigate pain and stiffness in in shoulder osteoarthritis people who have failed other conservative therapies and who are not surgical candidates or deny operation.
Skeletal Radiology
Pilot study for treatment of symptomatic shoulder arthritis utilizing cooled radiofrequency ablation: a novel technique
Andrew Tran et al.
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