Frankston Hospital, Melbourne, Victoria Monash University, Melbourne, Victoria, Australia.
Pain Pract. 2013 Apr;13(4):310-5. doi: 10.1111/j.1533-2500.2012.00582.x. Epub 2012 Aug 3.
We report a retrospective audit of transcutaneous pulsed radiofrequency treatment therapy (TCPRFT) for shoulder pain over a 4-year period.
Electronic and manual case review revealed that TCPRFT had been performed on 13 patients, with 15 painful shoulders, using a single treatment session between 2006 and 2010 in an outpatient setting.
Of the 15 shoulders treated, 10 (two-thirds) had pain relief for over 3 months with an average pain score reduction of 6.1 of 10 and an average duration of pain relief of 395 days. Two experienced pain relief of < 3 months with an average reduction in pain score of 4.3 of 10 and an average duration of effect of 11 days. Three cases experienced no pain relief from the treatment.
These results suggest TCPRFT may provide clinically useful pain relief and be another treatment modality for shoulder pain. Our findings justifies further research, and we are proceeding with a double-blind placebo randomized controlled studies to determine the efficacy of TCPRFT in chronic shoulder pain.
我们报告了一项为期 4 年的经皮脉冲射频治疗(TCPRFT)治疗肩部疼痛的回顾性审计。
电子和手动病例回顾显示,2006 年至 2010 年间,在门诊环境下,对 13 名患者的 15 个疼痛肩部进行了单次治疗,接受了 TCPRFT 治疗。
在接受治疗的 15 个肩部中,10 个(三分之二)有超过 3 个月的疼痛缓解,平均疼痛评分降低 6.1 分,疼痛缓解平均持续 395 天。2 例疼痛缓解<3 个月,平均疼痛评分降低 4.3 分,平均有效持续时间 11 天。3 例患者治疗后无疼痛缓解。
这些结果表明,TCPRFT 可能提供临床有用的疼痛缓解,是肩部疼痛的另一种治疗方法。我们的发现证明了进一步研究的合理性,我们正在进行一项双盲安慰剂随机对照研究,以确定 TCPRFT 在慢性肩部疼痛中的疗效。