Kabbara Jad, Alsalak Cham, Kabbara Abdallah
Anesthesiology, Lake Erie College of Osteopathic Medicine, Westlake, USA.
General Medicine, Damascus University, Damascus, SYR.
Cureus. 2025 Aug 10;17(8):e89729. doi: 10.7759/cureus.89729. eCollection 2025 Aug.
Chronic shoulder pain can severely impact function and quality of life. The suprascapular nerve, which innervates most of the shoulder joint, is a key target in refractory cases. This report describes the case of an 87-year-old female with bilateral osteoarthritis who failed conservative treatments. A diagnostic suprascapular nerve block provided complete relief. She then underwent fluoroscopically guided conventional radiofrequency ablation (RFA) at 80°C for 90 seconds, resulting in immediate and sustained pain relief and improved mobility. The pain relief lasted for over two years. This report demonstrates the long-term effectiveness and safety of conventional RFA in managing chronic suprascapular nerve-related shoulder pain.
慢性肩部疼痛会严重影响功能和生活质量。肩胛上神经支配大部分肩关节，在难治性病例中是关键靶点。本报告描述了一名87岁双侧骨关节炎女性患者，其保守治疗失败。诊断性肩胛上神经阻滞提供了完全缓解。随后，她在透视引导下接受了80°C、持续90秒的传统射频消融（RFA）治疗，疼痛立即得到持续缓解，活动能力改善。疼痛缓解持续了两年多。本报告证明了传统RFA在治疗慢性肩胛上神经相关肩部疼痛方面的长期有效性和安全性。
