Pulsed Radiofrequency of Shoulder Individual Nerves Versus Brachial Plexus in Management of Chronic Post Mastectomy Shoulder Pain
Role of Pulsed Radiofrequency of Shoulder Individual Nerves Versus Brachial Plexus in Management of Chronic Post Mastectomy Shoulder Pain: A Prospective Randomized Controlled Study
Cairo University
90 participants
Jun 3, 2025
INTERVENTIONAL
Conditions
Summary
this study aims to assess the role of pulsed radiofrequency of the brachial plexus or pulsed radiofrequency of shoulder individual nerves in the management of post-mastectomy shoulder pain.
Eligibility
Inclusion Criteria5
- Age (18-65) Years.
- American Society of Anesthesiologists (ASA) physical status (II- III).
- Patients with post mastectomy shoulder pain.
- Body mass index (BMI): (20-40) kg/m2.
- Patients on maximum daily dose tramadol ( 450mg ) and still in pain
Exclusion Criteria7
- Patient refusal.
- Known sensitivity or contraindication to drugs used in the study.
- Pregnancy.
- Recent myocardial infarction.
- Hemodynamically unstable.
- Local and systemic sepsis.
- Psychiatric illness.
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Interventions
Patients will receive pulsed radiofrequency of brachial plexus with steroids injection.
Patients will receive shoulder individual nerves pulsed radiofrequency with steroids injection.
Patients will receive conservative treatment (paracetamol 1000 tid and pregabalin 75 mg bid; can be increased to 150 mg bid , oxycodone 10 mg oral every 12 hrs .
Locations(1)
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NCT07002944