March 15, 2013Pain MedicineOpen Access

Use of Intra-Articular and Intrabursal Pulsed Radiofrequency for the Treatment of Persistent Arthrogenic Shoulder Pain

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Why the study?

Does intrabursal pulsed radiofrequency improve pain and range of motion in patients with persistent arthrogenic shoulder pain?

Population

3 adult patients with persistent arthrogenic shoulder pain who failed conservative treatments.

Design

Case_series

Follow-up

6 months to 2 years

Authors

ELEugene LipovUniversity of Illinois Chicago CRCourtney RothfeldPain Management Centers Of America BKBriana KelzenbergPain Management Centers Of America

Discussion

Member takes

Implication

Intrabursal PRF may ease refractory shoulder pain in select cases; leaves open efficacy and safety pending controlled trials.

Structured PICO

Does intrabursal pulsed radiofrequency improve pain and range of motion in patients with persistent arthrogenic shoulder pain?

Population

3 adult patients (ages 36, 54, and 55) with persistent arthrogenic shoulder pain who failed conservative treatments.

Intervention

Intrabursal pulsed radiofrequency (PRF) treatment delivered by a 20-gauge, 15-cm insulated needle with a 10-mm active tip at 42°C (500 KHz applied at 2 bursts/second, each burst lasting 20 milliseconds for a total of 360 seconds).

Outcome

Pain relief measured by Visual Analog Scale (VAS) score and active range of motion (ROM).patient reported

Intrabursal pulsed radiofrequency may provide long-term pain relief and improved mobility for patients with persistent arthrogenic shoulder pain who fail conservative treatments.

Limitations

Retrospectively evaluated cases
Small purposive sample precludes accurate determination of treatment efficacy
Lack of a control group
Potential placebo effect of injection therapies

Cite This Study

Lipov et al. (2013) studied this question.

synapsesocial.com/papers/6a83f92a6de9cd8ef3ee812b https://doi.org/10.1111/pme.12073

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Use of Intra-Articular and Intrabursal Pulsed Radiofrequency for the Treatment of Persistent Arthrogenic Shoulder Pain

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Use of Intra-Articular and Intrabursal Pulsed Radiofrequency for the Treatment of Persistent Arthrogenic Shoulder Pain

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider