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Abstract Adhesive capsulitis (AC), is also known as frozen shoulder an insidious painful condition of the shoulder persisting more than 3 months. This inflammatory condition that causes fibrosis of the glenohumeral joint capsule is accompanied by gradually progressive stiffness and significant restriction of range of motion (typically external rotation). However, the patients may develop symptoms suddenly and have a slow recovery phase. The recovery is satisfying in most of the cases, even though this may take up to 2 to 3 years. Despite the number of published literature on the AC, there is no consistent consensus about management of AC. The majority of treatment options for AC are non-operative and include pharmacological management and physical therapy. During the initial painful freezing stages, treatment strategy is directed at pain relief. Although it is traditional to give patients non steroidal anti-inflammatory drugs (NSAIDs), NSAIDs alone have no effect on the natural course of FS. More recently, pulsed radiofrequency (PRF) treatment of the SSN has emerged as an alternative mode for prolonged relief of chronic shoulder pain. PRF is a very attractive mode of treatment because of its minimally destructive nature. Aim of the study: We aimed to compare pain control between PRF lesioning of SSN and medical treatment “NSAIDs” The primary endpoint was to evaluate the efficacy of pulsed radiofrequency (PRF) lesioning to the suprascapular nerve in treating pain in frozen shoulder. The secondary endpoint was to evaluate patients shoulder range of motion after the intervention. Methods: The study participants 40 patients were divided into 2 groups: group I “intervention” included 20 patients received pulsed radiofrequency for 6 minutes to Suprascapular nerve (SSN) & group II “control” included 20 patients received their medical treatment in the form of NSAIDs. All patients were contacted after 1 week, 1 month, 3 months to rate their pain using the NRS scale also function of the shoulder was assisted 1 week, 1 month, 3 months using the simple shoulder test. Results: Our results showed that the mean numeric rating scale score before the procedure was 8.70 ± 0.8 this fell to2.80 ± 0.5 at 12 weeks post procedure. The change in baseline range of motion by SST improved from 6.55% ± 2.0 TO 76.50% ± 6.5 in 3 months duration. At the end of 12 weeks , intervention group showed more promising outcome results in pain relief, as measured by NRS (P< 0.001) Improvement of shoulder disorder as assessed by SST (P < 0.001) in intervention group than control group (P = 0.044 ). In Conclusion: This study showed that PRF lesioning of the SSN is fast and effective modality in treatment of frozen shoulder. It allowed good pain control and improved ROM for 3 months, although additional larger longer-term studies are needed to confirm our results. |