Radiofrequency in shoulder pain

Shoulder disorders and pain are the third most prevalent type of musculoskeletal complaint in adults thatprevalence ranges from ۱۵.۵% to ۴۱%. They can significantly impact life quality.Shoulder pain etiology can be attributable to intrinsic disorders comprising the rotator cuff, glenohumeral,acromioclavicular, biceps tendonitis,Bursitis, infection, shoulder instability, or as extrinsic shoulder pain such asreferred pain, polymyalgia rheumatic, and malignancy.shoulder joint innervation is complex and involves multiple branches of the brachial plexus.suprascapular nerve(mix sensory motor nerve) supplies ۷۰% of the sensory innervation of the shoulder joint,whereas ۳۰% is supplied by the subscapular nerve, axillary nerve, and lateralpectoral nerveShoulder pain treatment involves a multimodal approach, including non-pharmacological, pharmacologicaltherapies, and interventional procedures such as intra-articular steroid injections, continuous cervicalepidural,suprascapular nerve blocks, radiofrequency of suprascapular nerve and surgery.RF procedures in publications were offered to patients with refractory chronic shoulder pain not amenable toconservative management.use of Pulsed RF of supra scapular nerve treatment for patients with shoulder pain results good clinical efficacywith no complication reported and was reported in most of the papers.conceptual appeal of PRF is that it can modulate nociceptive transmission with precision in nerves that carrymotor and nociceptive sensory information, and have reported benefits for neuropathic pain without nervedestruction.RFAbation of sensory-only articular branches to the shoulder complex could disrupt nociceptive pathways whilesparing motor function. case series and reports for this modality showed clinically notable improvements inanalgesia and functionAnatomic studies have defined the locations and ablation safe zones of the terminal sensory articular branchesto the shoulder joint from the suprascapular nerve , axillary nerve , subscapular nerve, and lateral pectoralnerve.