Division of Pain Medicine, Department of Anesthesiology, Istanbul University, İstanbul Faculty of Medicine, İstanbul, Türkiye.
Department of Pain Medicine, Tekirdağ Dr. İsmail Fehmi Cumalıoğlu Hospital, Tekirdağ, Türkiye.
Agri. 2022 Oct;34(4):272-277. doi: 10.14744/agri.2022.44342.
Shoulder pain is one of the most common musculoskeletal pain syndromes. Interventional treatments can be applied to patients who do not respond to conservative therapies. Intra-articular steroid injection and suprascapular nerve block are both short-acting and may sometimes be clinically inadequate. In this study, the answer to the question of whether pulse radiofrequency application to the suprascapular nerve provides additional benefit was investigated.
Patients who had shoulder pain and were injected between October 2016 and April 2018 were evaluated retrospectively. Totally 160 patients who underwent shoulder injections were included in the study. Patients were divided into two groups: 114 patients who underwent shoulder intra-articular steroid injection and suprascapular nerve block, as Group 1 and 46 patients who underwent pulse radiofrequency to the suprascapular nerve, in addition to shoulder intra-articular steroid injection and suprascapular nerve block, as Group 2.
There was no statistical difference between the groups in pre-intervention numerical rating scale (NRS) scores. One month after the intervention, NRS scores of Group 2 were significantly lower than Group 1. In both groups, 1 month after the intervention NRS scores were significantly lower than pre-intervention. The duration of pain relief for Group 2 was longer than Group 1. The satisfaction percentages of patients for Group 2 were higher than Group 1.
In addition to glenohumeral intra-articular steroid injection and suprascapular nerve block, pulse radiofrequency application to the suprascapular nerve provides additional benefits in terms of NRS scores, duration of pain relief, and patient satisfaction.
肩部疼痛是最常见的肌肉骨骼疼痛综合征之一。对于那些对保守治疗无反应的患者，可以采用介入治疗。关节内类固醇注射和肩胛上神经阻滞都是短效的，有时在临床上可能不够充分。在这项研究中，我们探讨了肩胛上神经脉冲射频应用是否能提供额外的益处。
回顾性评估了 2016 年 10 月至 2018 年 4 月期间接受肩部注射治疗的患者。共纳入 160 例接受肩部注射治疗的患者。患者分为两组：114 例接受肩内关节类固醇注射和肩胛上神经阻滞的患者为第 1 组，46 例接受肩胛上神经脉冲射频治疗，同时接受肩内关节类固醇注射和肩胛上神经阻滞的患者为第 2 组。
两组患者在干预前的数字评分量表（NRS）评分无统计学差异。干预后 1 个月，第 2 组的 NRS 评分明显低于第 1 组。两组患者在干预后 1 个月的 NRS 评分均明显低于干预前。第 2 组的疼痛缓解持续时间长于第 1 组。第 2 组患者的满意度高于第 1 组。
除了盂肱关节内类固醇注射和肩胛上神经阻滞外，肩胛上神经脉冲射频应用还能在 NRS 评分、疼痛缓解持续时间和患者满意度方面提供额外的益处。
