Cryoneurolysis as a Drug Free Novel Treatment for Knee and Shoulder Pain Impairing Inpatient Neurological Rehabilitation

What this Trial Is About

This research aims to evaluate the effects of cryoneurolysis, a minimally invasive procedure, on reducing shoulder and knee pain in adults recovering from acute neurological conditions such as stroke. Hemiplegic shoulder pain is a common complication after stroke, often interfering with rehabilitation and quality of life. The study also explores secondary goals like reducing pain medication use, improving independence, range of motion, and involving an interdisciplinary care team for better patient selection. Cryoneurolysis involves using a cold probe guided by ultrasound to target nerves responsible for pain and spasticity, causing a temporary disruption that allows nerve regeneration. This procedure is performed on patients with shoulder or knee pain due to stroke or osteoarthritis. The study includes adults who are candidates for cryoneurolysis as part of their standard care during inpatient rehabilitation or outpatient follow-up within 16 weeks of their neurological event. Participants will be assessed before the procedure and at 1 week, 1 month, and 4 months afterward. Measures include changes in pain, range of motion, muscle tone, grip strength, functional independence, and walking ability. Questionnaires and physical tests such as the 10-meter walk and timed up and go test will be used to monitor progress. The study involves regular follow-ups to evaluate the safety and effectiveness of cryoneurolysis in improving rehabilitation outcomes over several months.

Cryoneurolysis for Knee and Shoulder Pain in an Inpatient Setting