Comparing Pulsed Radiofrequency of Shoulder Nerves and Brachial Plexus for Treating Chronic Post-Mastectomy Shoulder Pain

What this Trial Is About

This research aims to evaluate the role of pulsed radiofrequency treatment applied to either the brachial plexus or individual shoulder nerves in managing chronic shoulder pain after mastectomy. Breast cancer, one of the most common cancers worldwide, often requires surgery, and many patients develop persistent shoulder pain afterward. The study explores new treatment options since pulsed radiofrequency of the brachial plexus has not yet been tested for this type of shoulder pain. Participants are randomly assigned into three groups one receives pulsed radiofrequency of the brachial plexus combined with steroid injections, another receives pulsed radiofrequency of individual shoulder nerves with steroids, and a control group receives conservative treatment including paracetamol, pregabalin, and oxycodone at specified doses. The study looks at these interventions over a 24-week period after surgery. During the study, researchers monitor pain levels using the Visual Analogue Scale, assess functional improvement, track pain medication use, and evaluate patient satisfaction and quality of life. They also record any complications related to the treatments. Participants are followed for 24 weeks postoperatively to gather these outcomes and better understand the impact of these therapies on post-mastectomy shoulder pain.

Pulsed Radiofrequency of Shoulder Individual Nerves Versus Brachial Plexus in Management of Chronic Post Mastectomy Shoulder Pain