Pulsed radiofrequency ablation for treatment of severe pain after shoulder arthroplasty (case report)

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Abstract

A case of refractory neuropathic pain syndrome in patient who underwent monopolar shoulder replacement is presented. The patient had right lung tumor metastasis in the right humeral head. Severe neuropathic pain syndrome, not responding to 6-months conservative treatment, developed in post-operative period. Pulsed radiofrequency ablation of C4-C6 nerve roots via interscalene access was performed. The procedure allowed the patient to stop taking painkillers and improved his quality of life. The patient was monitored for 2 months.

About the authors

D. V. Zabolotsky

St. Petersburg State Pediatric Medical University

Author for correspondence.
Email: docent-zab@mail.ru
associate professor of department of anesthesiology, resuscitation and emergency pediatrics Russian Federation

I. G. Portnyagin

Interventional pain management clinic “Medica”

Email: fake@neicon.ru
anesthesiologist Russian Federation

References

  1. Данилов А.Б., Давыдов О.С. Нейропатическая боль. М.: Боргес; 2007. 198 с.
  2. Корячкин В.А., Эмануэль В.Л., Страшнов В.И. Диагностика в анестезиологии и интенсивной терапии : рук-во для врачей. СПб.: СпецЛит; 2011. 414 с.
  3. Корячкин В.А. Комплексный регионарный болевой синдром. Травматология и ортопедия России. 2014; (3):147-156.
  4. Ненашев Д.В., Варфоломеев А.П., Майков С.В. Анализ отдаленных результатов эндопротезирования плечевого сустава. Травматология и ортопедия России. 2012; (2):71-78.
  5. Сафин Р.Р., Хомяков Е.А,. Баширов Ф.В, Исламов Р.Р. Влияние локальной эпидуральной анестезии нагретым до 43°С наропином на иммуноэкспрессию белка теплвого шока Hsp 70 в нейронах спинного мозга крысы. Морфологические ведомости. 2008; (1-2):90-92.
  6. A rai Y.C., Nishihara M., Aono S., Ikemoto T., Suzuki C., Kinoshita A., Ushida T., Pulsed radiofrequency treatment within brachial plexus for the management of intractable neoplastic plexopathic pain. J Anesth. 2013; 27(2):298-301.
  7. Bennet M. (ed). Neuropathic pain. Oxford University Press; 2010. 204 p.
  8. Bohsali K.I., Wirth M.A., Rockwood C.A. Jr. Complications of total shoulder arthroplasty. J Bone Joint Surg Am. 2006; 88(10):2279-2292.
  9. Chua N.H., Vissers K.C., Sluijter M.E. Pulsed radiofrequency treatment in interventional pain management: mechanisms and potential indications-a review. Acta Neurochir (Wien). 2011; 153(4):763-771.
  10. F ishman S.M., Ballantyne J.C., Rathmell J.P. eds. Bonica’s Management of Pain, 4th Edition. Philadelphia: Wolters Kluwer/Lippincott, Williams and Wilkins; 2010. 2064 p.
  11. Gaskin D.J., Richard P. The economic costs of pain in the United States. J Pain. 2012;13(8):715-724.
  12. Ji J.H., Jia X., Mathew M., Petersen S., McFarland E.G., Neurologic complications after shoulder arthroplasty. J Bone Joint Surg. 2010; 92-B, Supp. 1:122.
  13. 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. 2015 May 19. doi: 10.1111/papr.12310. [Epub ahead of print]
  14. Mailis A., Taenzer P. Evidence-based guideline for neuropathic pain interventional treatments: Spinal cord stimulation, intravenous infusions, epidural injections and nerve blocks. Pain Res Manage. 2012; 17(3):150-158.
  15. Manchikanti L., Falco F.J., Singh V., Benyamin R.M., Racz G.B., Helm S. 2nd, Caraway D.L., Calodney A.K., Snook L.T., Smith H.S., Gupta S., Ward S.P., Grider J.S., Hirsch J.A. An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part I: introduction and general considerations. Pain Physician. 2013; 16 (2 Suppl):S1-48.
  16. Rana H., Matchett G., Using pulsed radiofrequency ablation to treat pain associated with a tumor involving the brachial plexus. Pain Physician. 2013; 16 (3):E311-314.
  17. Satija A., Ahmed S.M., Gupta R., Ahmed A., Rana S.P., Singh S.P., Mishra S., Bhatnagar S. Breast cancer pain management – a review of current & novel therapies. Indian J Med Res. 2014; 139(2):216-225.
  18. Van Boxem K., van Eerd M., Brinkhuizen T., Patijn J., van Kleef M., van Zundert J., Radiofrequency and pulsed radiofrequency treatment of chronic pain syndromes: the available evidence. Pain Pract. 2008; 8(5):385-393.
  19. Van Boxem K., Huntoon M., Van Zundert J., Patijn J., van Kleef M., Joosten E.A., Pulsed radiofrequency: a review of the basic science as applied to the pathophysiology of radicular pain: a call for clinical translation. Reg Anesth Pain Med. 2014; 39(2):149-159.

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