Resumo

HERNANDEZ-ESPINOSA, OA. Pulsed radiofrequency of the supraescapular nerve in the treatment of painful shoulder. Rev. Soc. Esp. Dolor [online]. 2023, vol.30, n.1, pp.36-48.  Epub 05-Fev-2024. ISSN 1134-8046.  https://dx.doi.org/10.20986/resed.2023.4046/2022.

Shoulder pain is not a specific diagnosis, since it encompasses dissimilar diagnoses, whose limits are imprecise and may overlap. It is a fairly common pathology in the general population. Pulsed radiofrequency treatment has become increasingly popular in chronic painful shoulder therapy due to its long-lasting effect and absence of damage. Specifically, the radiofrequency of the suprascapular nerve is used in the treatment of chronic painful shoulder, for various pathologies. This Master's Project aims to address the importance of the use of pulsed radiofrequency of the suprascapular nerve for the treatment of painful shoulder. For them, a systematic review was carried out, based on a critical selection of the scientific literature on this subject, available from 2000 to date, using the Google Scholar, Web of Science, PubMed and Scopus platforms as bibliographic sources. Forty-seven works were critically examined, selected after filtering the initial records following the inclusion and exclusion criteria. The studies consulted demonstrate the efficacy of the technique in the treatment of chronic shoulder pain, especially with ultrasound guidance. Studies generally include three types of assessments: clinical pain assessment, functional assessment, and treatment response assessment. Improvements in pain, flexion, abduction and rotation of the shoulder are observed, which are maintained up to six months. Several studies combine the technique with other treatments, which may be promising for the future. Among the main limitations to the use of the technique are that there are currently limited data on the use of pulsed radiofrequency for chronic pediatric pain, the feasibility of patient follow-up, and questions about the ideal parameters (time, voltage, frequency, pulse duration), to achieve the improvement of radiofrequency treatments.

Palavras-chave : Adhesive capsulitis; chronic pain; rotator cuff; radiofrequency.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )