Evidence map›Paper›PMID 40036562›Full record

ArticlePain medicine (Malden, Mass.)2025

Evaluation of internally cooled radiofrequency ablation targeting multiple shoulder nerves for chronic shoulder pain relief and function restoration: a prospective study.

Mitsukuni Yoshida, Peter K Park, Loc V Thang

Abstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mitsukuni YoshidaDivision of Pain Medicine, Department of Anesthesiology, Washington University School of Medicine, St Louis, MO, United States.ORCID 0000-0002-2752-1231
Peter K ParkDivision of Pain Medicine, Department of Anesthesiology, Washington University School of Medicine, St Louis, MO, United States.
Loc V ThangDivision of Pain Medicine, Department of Anesthesiology, Washington University School of Medicine, St Louis, MO, United States.

Funding

Institute for Research on Productive Aging
6 · The paper itself

Abstract

objectiveShoulder pain is a prevalent musculoskeletal disorder, affecting up to 70% of adults over their lifetimes. Recently, radiofrequency ablation (RFA) has gained attention as a treatment for joint pain. This study aims to evaluate the efficacy of internally cooled RFA (icRFA) in alleviating shoulder pain and improving both qualitative and quantitative measures of shoulder function.

designProspective cohort study. SUBJECTS: Patients with chronic shoulder pain (n = 35) who responded positively to diagnostic blocks of the suprascapular nerve (SSN), axillary nerve (AN), and lateral pectoral nerve (LPN).

methodsPatients underwent icRFA targeting the SSN, AN, and LPN. Treatment response was assessed with the numeric rating scale (NRS) for pain, the American Shoulder and Elbow Surgeons (ASES) score, and active range of motion (AROM) in flexion and abduction. Outcomes were measured at baseline and at 1, 3, and 6 months after icRFA. Patient characteristics were compared between responders and nonresponders to icRFA treatment, and correlation analyses were conducted to explore the relationship between pain relief and functional improvement.

resultsNRS pain levels significantly decreased at 1 month (Adjusted [Adj.] P < .0001), 3 months (Adj. P < .0001), and 6  months (Adj. P = .0002) after icRFA. ASES score improved at 1 month (Adj. P < .0001), 3 months (Adj. P < .0001), and 6 months (Adj. P < .0001) after icRFA. Flexion AROM improved at 1 month (Adj. P < .0001), 3 months (Adj. P < .0001), and 6 months (Adj. P = .0139) after icRFA. Abduction AROM improved at 1 month (Adj. P < .0001), 3 months (Adj. P < .0001), and 6 months (Adj. P < .0001) after icRFA.

conclusioniccRFA targeting the SSN, AN, and LPN is a safe and effective intervention, providing significant improvements in pain, functional activities of daily living, and AROM of the shoulder for at least 6 months.

Indexed as

Chronic PainRadiofrequency AblationShoulder PainAdultAgedFemaleHumansMaleMiddle AgedPain MeasurementProspective StudiesRange of Motion, ArticularRecovery of FunctionTreatment Outcomefunctional outcomesradiofrequency ablationshoulder pain

Identifiers

PMID40036562
PMCPMC12230404

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.