Bilateral Suprascapular Nerve Cryoneurolysis for Pain Associated With Glenohumeral Osteoarthritis: A Case Report
Osteoarthritis is a leading cause of disability, typically treated with exercise, analgesics, injections, or surgeries. Cryoneurolysis is an established technique for the treatment of pain, including osteoarthritis that may provide an alternative for patients in whom surgery is not appropriate and c...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-03-01
|
| Series: | Archives of Rehabilitation Research and Clinical Translation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109523000034 |
| _version_ | 1827989188400644096 |
|---|---|
| author | Fraser MacRae, BSc Eve Boissonnault, MD Mahdis Hashemi, MD Paul Winston, MD |
| author_facet | Fraser MacRae, BSc Eve Boissonnault, MD Mahdis Hashemi, MD Paul Winston, MD |
| author_sort | Fraser MacRae, BSc |
| collection | DOAJ |
| description | Osteoarthritis is a leading cause of disability, typically treated with exercise, analgesics, injections, or surgeries. Cryoneurolysis is an established technique for the treatment of pain, including osteoarthritis that may provide an alternative for patients in whom surgery is not appropriate and conservative measures have failed. We present our experience with a 78-year-old man with severe pain from bilateral glenohumeral osteoarthritis. Their condition is complicated by several concurrent diagnoses, leaving them ineligible for surgical intervention, despite pharmacologic treatments proving insufficient to manage their pain. As an alternative, bilateral cryoneurolysis of the suprascapular nerve was performed at the suprascapular notch. Pain and disability scores both lessened on the Brief Pain Inventory Score, Disabilities of the Arm Shoulder and Hand (change of 9 points after 170 days) as well as the Shoulder Pain and Disability Index (change of 19 points after 170 days). The patient had improved active and passive range of motion for flexion, abduction, and external rotation of the shoulder. Improvements endured to follow-up at 170 days. There were no negative side effects as a result of the procedure. |
| first_indexed | 2024-04-10T00:16:29Z |
| format | Article |
| id | doaj.art-5674a7fa48e640cebe40bdb788f9b274 |
| institution | Directory Open Access Journal |
| issn | 2590-1095 |
| language | English |
| last_indexed | 2024-04-10T00:16:29Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Rehabilitation Research and Clinical Translation |
| spelling | doaj.art-5674a7fa48e640cebe40bdb788f9b2742023-03-16T05:06:06ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952023-03-0151100256Bilateral Suprascapular Nerve Cryoneurolysis for Pain Associated With Glenohumeral Osteoarthritis: A Case ReportFraser MacRae, BSc0Eve Boissonnault, MD1Mahdis Hashemi, MD2Paul Winston, MD3Western University, School of Physical Therapy, London, Canada; Vancouver Island Health Authority, Victoria, CanadaVancouver Island Health Authority, Victoria, Canada; Division of Physical Medicine and Rehabilitation, Centre Hospitalier de l'Université de Montréal, Montréal, CanadaVancouver Island Health Authority, Victoria, CanadaVancouver Island Health Authority, Victoria, Canada; Division of Physical Medicine and Rehabilitation, University of British Columbia, Faculty of Medicine, Vancouver, Canada; Corresponding author Paul Winston, MD, 1 Hospital Way, Victoria, BC, Canada V8Z 6R5.Osteoarthritis is a leading cause of disability, typically treated with exercise, analgesics, injections, or surgeries. Cryoneurolysis is an established technique for the treatment of pain, including osteoarthritis that may provide an alternative for patients in whom surgery is not appropriate and conservative measures have failed. We present our experience with a 78-year-old man with severe pain from bilateral glenohumeral osteoarthritis. Their condition is complicated by several concurrent diagnoses, leaving them ineligible for surgical intervention, despite pharmacologic treatments proving insufficient to manage their pain. As an alternative, bilateral cryoneurolysis of the suprascapular nerve was performed at the suprascapular notch. Pain and disability scores both lessened on the Brief Pain Inventory Score, Disabilities of the Arm Shoulder and Hand (change of 9 points after 170 days) as well as the Shoulder Pain and Disability Index (change of 19 points after 170 days). The patient had improved active and passive range of motion for flexion, abduction, and external rotation of the shoulder. Improvements endured to follow-up at 170 days. There were no negative side effects as a result of the procedure.http://www.sciencedirect.com/science/article/pii/S2590109523000034Nerve blockOsteoarthritisPainRehabilitation |
| spellingShingle | Fraser MacRae, BSc Eve Boissonnault, MD Mahdis Hashemi, MD Paul Winston, MD Bilateral Suprascapular Nerve Cryoneurolysis for Pain Associated With Glenohumeral Osteoarthritis: A Case Report Archives of Rehabilitation Research and Clinical Translation Nerve block Osteoarthritis Pain Rehabilitation |
| title | Bilateral Suprascapular Nerve Cryoneurolysis for Pain Associated With Glenohumeral Osteoarthritis: A Case Report |
| title_full | Bilateral Suprascapular Nerve Cryoneurolysis for Pain Associated With Glenohumeral Osteoarthritis: A Case Report |
| title_fullStr | Bilateral Suprascapular Nerve Cryoneurolysis for Pain Associated With Glenohumeral Osteoarthritis: A Case Report |
| title_full_unstemmed | Bilateral Suprascapular Nerve Cryoneurolysis for Pain Associated With Glenohumeral Osteoarthritis: A Case Report |
| title_short | Bilateral Suprascapular Nerve Cryoneurolysis for Pain Associated With Glenohumeral Osteoarthritis: A Case Report |
| title_sort | bilateral suprascapular nerve cryoneurolysis for pain associated with glenohumeral osteoarthritis a case report |
| topic | Nerve block Osteoarthritis Pain Rehabilitation |
| url | http://www.sciencedirect.com/science/article/pii/S2590109523000034 |
| work_keys_str_mv | AT frasermacraebsc bilateralsuprascapularnervecryoneurolysisforpainassociatedwithglenohumeralosteoarthritisacasereport AT eveboissonnaultmd bilateralsuprascapularnervecryoneurolysisforpainassociatedwithglenohumeralosteoarthritisacasereport AT mahdishashemimd bilateralsuprascapularnervecryoneurolysisforpainassociatedwithglenohumeralosteoarthritisacasereport AT paulwinstonmd bilateralsuprascapularnervecryoneurolysisforpainassociatedwithglenohumeralosteoarthritisacasereport |