• Pain Med · Dec 2010

    Case Reports

    Treating frozen shoulder with ultrasound-guided pulsed mode radiofrequency lesioning of the suprascapular nerve: two cases.

    • Chien-Chih Huang, Shao-Lun Tsao, Chan-Yuan Cheng, Ming-Tai Hsin, and Chien-Ming Chen.
    • Department of Neurosurgery, Changhua Christian Hospital, Taiwan.
    • Pain Med. 2010 Dec 1;11(12):1837-40.

    ObjectiveMany approaches to treatment of frozen shoulder, or adhesive capsulitis, including use of steroid injections, provide only short-term relief. We present a method for pulsed mode radiofrequency (PRF) lesioning of the suprascapular nerve using ultrasound guidance in patients with severe pain from frozen shoulder.DesignPatients with frozen shoulder were treated by using real-time, high-resolution ultrasound guidance to facilitate PRF lesioning of the suprascapular nerve.Setting And PatientsTwo patients with frozen shoulder of a tertiary hospital were reported.MeasuresPain intensity and shoulder movement before and after procedure were recorded. Results.  In the two cases presented, both patients experienced pain relief and increased shoulder flexibility for 5-6 months.ConclusionUltrasound can not only quickly and effectively identify the suprascapular notch and nerve, but also helps the operator manipulate and advance the needle to a more precise position.Wiley Periodicals, Inc.

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