Comparison of Clinical Results of Pulsed Radio Frequency and Mixed Injection of Corticosteroid and Local Anesthetic in Patients with Shoulder Impingement Syndrome
-
Arman Taheri
,
Foad Fouladi
,
Alireza Khajenasiri
,
Reza Atef-Yekta
,
Nader-Ali Nazemian-Yazdi
,
Fatemeh Arjmandnia
Abstract
Background: Shoulder impingement syndrome is a clinical situation that presenting with shoulder pain, difficultly and weakness. Present study designed for evaluating the effect of radiofrequency and corticosteroid injection in longterm treatment follow up for pain reduction and functional evaluation of shoulder joint.
Methods: Sixty patients were analyzed equally in two treatment groups. Post-treatment follow up at one, four and twelve weeks after procedures were carried out using Visual Analog Scale (VAS) for pain relief, Shoulder Pain and Disability Index (SPADI) for shoulder function and Beck Depression Inventory (BDI).
Results: Both treatment groups showed significantly pain reduction (P-value<0.001 for both) in 4 weeks after procedures. In time point comparison between 4 to 12 weeks postoperatively, there were significantly reduced pain in R group (P=0.03), but not significant in C group (P=0.1). Total SPADI score was significantly lower in RF group in time points 1 and 4 weeks (P<0.001), but not significant in 12 weeks of follow up.
Conclusion: Radiofrequency could not be sufficient alone for retrieving function of the shoulder at the long periods of time after procedure, unless good and effective results for first 1 and 4 weeks of follow up.
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[17] MacDermid JC, Solomon P, Prkachin K. The Shoulder Pain and Disability Index demonstrates factor, construct and longutidunal validity. BMC Musculoskelet Dis- ord. 2006; 7(1):12
[18] Guy W. Clinical Global Impressions: ECDEU Assessment Manual for Pharma- cology, revised edition. Rockville, MD: National Institute of Mental Health, Dept. of Health, Education and Welfare Publication (ADM). 1976; 18-22.
[19] Lu Y, Zhang Q, Zhu Y, Jiang C. Is radiofrequency treatment effective for shoulder impingement syndrome? A prospective randomized controlled study. J Shoulder Elbow Surg. 2013; 22(11):1488-94.
[20] Pushparaj H, Hoydonckx Y, Mittal N, Peng P, Cohen S, Cao X. A systematic review and meta-analysis of radiofrequency procedures on innervation to the shoulder joint for relieving chronic pain. Eur J Pain. 2021; 25(2):986-1011.
[21] Liu A, Zhang W, Sun M, Ma C, Yan S. Evidence-based Status of Pulsed Radiofrequency Treatment for Patients with Shoulder Pain: A Systematic Review of Randomized Controlled Trials. Pain Pract. 2016; 16(4):518-25.
[2] Stalder KR, McMillen DF, Woloszko J. Electrosurgical plasmas. J Phys D Appl Phys. 2005; 38:1728- 38.
[3] Stalder KR, Woloszko J, Brown IG, Smith CD. Repetitive plasma discharges in saline solutions. Appl Phys Lett. 2001; 79:4503-5.
[4] Woloszko J, Stalder KR, Brown IG. Plasma characteristics of repetitively-pulsed electrical discharges in saline solutions used for surgical procedures. IEEE Trans Plasma Sci. 2002; 30:1376- 83.
[5] Harwood F, Medlock B, Bowden K, Ball S, Tasto JP, Amiel D. Structural and angiogenic response to bipolar radiofrequency treatment of normal rabbit Achilles tendon: A potential application to the treatment of tendinosis. Trans Orthop Res Soc. 2003; 28:P0819.
[6] Kwon HM, Hong BK, Jang GJ, Kim DS, Choi EY, Kim IJ, et al. Percutaneous transmyocardial revascularization induces angiogenesis: a histologic and 3-dimensional microcomputed tomography study. J Korean Med Sci. 1999; 14:502-10.
[7] Takahashi N, Tasto JP, Locke J. The use of radiofrequency (RF) for the treatment of chronic tendinosis. Presented at the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine Congress, Florence, Italy, May 27-31, 2007.
[8] Tasto JP, Cummings J, Medlock V, Hardesty R, Amiel D. Microtenotomy using a radiofrequency probe to treat lateral epicondylitis. Arthroscopy. 2005; 21:851-60.
[9] Tasto JP, Cumming J, Eves WC, Valeu R, Winters W. Treatment of chronic tendonosis with bipolar radiofrequency stimulation. Presented at the Arthroscopy Association of North America Annual Meeting; 2003; Phoenix, AZ.
[10] Silver WP, Creighton RA, Triantafillopoulos IK, Devkota AC, Weinhold PS, Karas SG. Thermal microdebridement does not affect the time zero biomechanical properties of human patellar tendons. Am J Sports Med. 2004; 32:1946-52.
[11] Taverna E, Battistella F, Sansone V. Radiofrequency-based plasma microtenotomy compared with arthroscopic subacromial decompression yields equivalent outcomes for rotator cuff tendinosis. Arthroscopy. 2007; 23:1042-51.
[12] Sabeti-Aschraf M, Ochsner A, Schueller-Weidekamm C, Schmidt M, Funovics PT, Skrbensky G, et al. The infiltration of the AC joint performed by one specialist: Ultrasound versus palpation a prospective pilot study. Eur J Radiol. 2010; 75 (1): 37-40.
[13] Yoon SH, Lee HY, Lee HJ, Kwack KS. Optimal dose of intra-articular corticosteroids for adhesive capsulitis: a randomized, triple-blind, placebo-controlled trial. Am J Sports Med. 2013; 41(5): 1133–9.
[14] Sluijter ME, Teixeira A, Serra V, Balogh S, Schianchi P. Intra-articular application of pulsed radiofrequency for arthrogenic pain– report of six cases. Pain Pract. 2008; 8(1): 57–61.
[15] Hossain S, Jacobs LG, Hashmi R. The long-term effectiveness of steroid injections in primary acromioclavicular joint arthritis: a five-year prospective study. JShoulder Elbow Surg. 2008; 17(4): 535-8.
[16] Van Riet RP, Goehre T, Bell SN. The long-term effect of an intra-articular injection of corticosteroids in the acromioclavicular joint. J Shoulder Elbow Surg. 2012; 21(3): 376-9.
[17] MacDermid JC, Solomon P, Prkachin K. The Shoulder Pain and Disability Index demonstrates factor, construct and longutidunal validity. BMC Musculoskelet Dis- ord. 2006; 7(1):12
[18] Guy W. Clinical Global Impressions: ECDEU Assessment Manual for Pharma- cology, revised edition. Rockville, MD: National Institute of Mental Health, Dept. of Health, Education and Welfare Publication (ADM). 1976; 18-22.
[19] Lu Y, Zhang Q, Zhu Y, Jiang C. Is radiofrequency treatment effective for shoulder impingement syndrome? A prospective randomized controlled study. J Shoulder Elbow Surg. 2013; 22(11):1488-94.
[20] Pushparaj H, Hoydonckx Y, Mittal N, Peng P, Cohen S, Cao X. A systematic review and meta-analysis of radiofrequency procedures on innervation to the shoulder joint for relieving chronic pain. Eur J Pain. 2021; 25(2):986-1011.
[21] Liu A, Zhang W, Sun M, Ma C, Yan S. Evidence-based Status of Pulsed Radiofrequency Treatment for Patients with Shoulder Pain: A Systematic Review of Randomized Controlled Trials. Pain Pract. 2016; 16(4):518-25.
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How to Cite
1.
Taheri A, Fouladi F, Khajenasiri A, Atef-Yekta R, Nazemian-Yazdi N-A, Arjmandnia F. Comparison of Clinical Results of Pulsed Radio Frequency and Mixed Injection of Corticosteroid and Local Anesthetic in Patients with Shoulder Impingement Syndrome. Arch Anesth & Crit Care. 2024;.
