This study assessed Transcutaneous Pulse Radiofrequency Therapy's (TCPRF) effectiveness in reducing shoulder pain and improving shoulder function. A double-blind randomized controlled trial involved 50 SAIS patients with chronic shoulder pain. Participants were randomized into two groups: the study group (n = 27) received TCPRF, while the control (n = 23) received sham treatment. The primary outcome was shoulder pain, secondary outcomes, including shoulder function, quality of life, and range of motion, were assessed at baseline, and at 1, 4, and 12 weeks using the Visual Analog Scale (VAS), Shoulder Pain and Disability Index (SPADI), and the SF-36 questionnaire. Supraspinatus tendon thickness (SSPT) and acromiohumeral distance (AHD) were measured by ultrasound. Both groups showed reductions in activity and resting pain over 12 weeks. In the control, activity pain dropped from a median (IQR) of 8 (7-8) to 6 (3-7), and in TCPRF from 8 (7-10) to 3.5 (2-6.3), with no significant difference at 12 weeks ( = 0.192). Resting pain decreased from 3 (1-6) to 1 (1-3) in the control, and from 3 (2-4) to 0 (0-2) in TCPRF, showing a lower resting pain at 12 weeks ( = 0.041). SPADI-Total scores decreased from 87 (54-105) to 50 (29-82) in the control and from 84 (69-107) to 21 (9-66.3) in TCPRF, favoring TCPRF at 12 weeks ( = 0.017). SPADI-Disability scores reduced from 49 (30-63) to 30 (15-30) in control and from 47 (35-62) to 11 (5.8-38.8) in TCPRF, also favoring TCPRF ( = 0.008). Both groups showed similar improvements in other outcomes. TCPRF reduced resting pain and shoulder disability in SAIS over 12 weeks, though other outcomes showed similar improvement in both groups. Further studies are needed to determine long-term effects.
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http://dx.doi.org/10.3390/jcm13237462 | DOI Listing |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11642105 | PMC |
Reg Anesth Pain Med
December 2024
Physical Medicine and Rehabilitation, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Background: Adhesive capsulitis is a distressing ailment that progressively limits the active and passive mobility of the shoulder joint. Physical therapy (PT) combined with intra-articular steroid (IAS) injection and suprascapular nerve block (SSNB) has shown improved functional outcomes. We aimed to assess whether providing both IAS injection and SSNB improved outcomes compared with IAS injection alone.
View Article and Find Full Text PDFArthroscopy
December 2024
Department of Orthopaedic Surgery, Arthroscopy and Joint Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. Electronic address:
Purpose: This study aimed to compare clinical outcomes and re-tear rates of medium-sized rotator cuff tears repaired with incomplete footprint coverage using the transosseous-equivalent technique versus those with complete footprint coverage plus bone marrow stimulation.
Methods: The retrospective study, conducted from March 2019 to December 2021, included consecutive patients with medium-sized (1-3cm) posterosuperior rotator cuff tears repaired using the transosseous-equivalent technique and bone marrow stimulation, with a minimum follow-up of 2 years. Patients were divided into two groups based on the degree of footprint coverage achieved: Group C (complete coverage) and Group I (incomplete coverage).
Br J Anaesth
December 2024
Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia; School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia. Electronic address:
Background: Sex-differences in pain perception have been documented; however, the role of sex hormones in chronic musculoskeletal pain (CMP) remains unclear. Therefore, this study investigated whether sex hormones and sex hormone-binding globulin (SHBG) are associated with CMP.
Methods: We utilised data from the UK Biobank (n=357 424; females: 51.
J ISAKOS
December 2024
Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. Electronic address:
Introduction: Chronic shoulder pain caused by a rotator cuff tear is commonly treated with arthroscopic rotator cuff repair surgery (ARCR). However, ARCR may be associated with moderate-to-severe postoperative pain, and poorly controlled pain can result in delayed functional recovery and the development of frozen shoulder. Terminal sensory articular nerve radiofrequency ablation (RFA) has been shown to be clinically effective in patients with severe refractory shoulder pain from multiple etiologies.
View Article and Find Full Text PDFJ Man Manip Ther
December 2024
Faculty of Medicine and Health Sciences, Physiotherapy and Nursing Department, University of Alcalá, Madrid, Spain.
Objectives: Determining the prevalence of different shoulder subclassification-based diagnoses using a defined exclusion-type diagnostic algorithm. Analyzing the relationships between cervical contribution and other shoulder diagnoses.
Methods: A proposal of a shoulder pain diagnosis based on functional subclassification was carried out in all subjects.
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