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10.3390/surgeries4030034
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Case Report

Pulsed Radiofrequency as a Standalone Treatment for Adhesive Capsulitis

by
Giulia Bongiorno
1,
Rym Bednarova
2,
Helena Biancuzzi
3,
Francesca Dal Mas
4,
Alessandro Rizzardo
5,
Andrea Tomasi
5,
Giulio Edoardo Vigni
5 and
Luca Miceli
6,*
1
Friuli Riabilitazione, 33080 Roveredo in Piano, Italy
2
Pain Medicine, Hospital of Latisana, 33053 Latisana, Italy
3
Department of Economics, Ca Foscari University of Venice, 30123 Venice, Italy
4
Department of Management, Ca Foscari University of Venice, 30123 Venice, Italy
5
Papa Giovanni XXIII Hospital, 31050 Monastier, Italy
6
Pain Medicine, IRCCS C.R.O. National Cancer Institute of Aviano, 33081 Aviano, Italy
*
Author to whom correspondence should be addressed.
Surgeries 2023, 4(3), 335-341; https://doi.org/10.3390/surgeries4030034
Submission received: 25 May 2023 / Revised: 19 June 2023 / Accepted: 3 July 2023 / Published: 5 July 2023
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Abstract

Adhesive capsulitis is a pathology that affects the shoulder and can have a particularly long and disabling course. The usual therapies are treatment with non-steroidal anti-inflammatory drugs (NSAID) and painkillers, steroid injections, physiotherapy, and surgical treatment. This case report describes the effect of a single treatment with pulsed radiofrequency of the suprascapular nerve in a diabetic patient affected by this pathology, for whom steroid injections were contraindicated. Three weeks after the treatment, the reduction of pain and the improvement of ROM (range of movement) allowed the patient to start an adequate physiotherapy treatment, which was not feasible until that moment due to the severe pain despite NSAIDS therapy. The peculiarity of this work consists in the accurate measure of the impact of the analgesic treatment alone in improving the ROM and muscular activation in the patient. The patient was able to correctly perform physiotherapy only once the pain was reduced, after PRF (pulsed radio frequency) treatment. This study has two limitations: being a case report and not a prospective randomized study, and observing the kinematic and pain aspects for a limited period of time. Finally, the case report draws attention to the importance of cooperation between the various health figures involved in the treatment of patients suffering from adhesive capsules.
Keywords: physiotherapy; pulsed radiofrequency; shoulder pain; surface electromyography physiotherapy; pulsed radiofrequency; shoulder pain; surface electromyography

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MDPI and ACS Style

Bongiorno, G.; Bednarova, R.; Biancuzzi, H.; Dal Mas, F.; Rizzardo, A.; Tomasi, A.; Vigni, G.E.; Miceli, L. Pulsed Radiofrequency as a Standalone Treatment for Adhesive Capsulitis. Surgeries 2023, 4, 335-341. https://doi.org/10.3390/surgeries4030034

AMA Style

Bongiorno G, Bednarova R, Biancuzzi H, Dal Mas F, Rizzardo A, Tomasi A, Vigni GE, Miceli L. Pulsed Radiofrequency as a Standalone Treatment for Adhesive Capsulitis. Surgeries. 2023; 4(3):335-341. https://doi.org/10.3390/surgeries4030034

Chicago/Turabian Style

Bongiorno, Giulia, Rym Bednarova, Helena Biancuzzi, Francesca Dal Mas, Alessandro Rizzardo, Andrea Tomasi, Giulio Edoardo Vigni, and Luca Miceli. 2023. "Pulsed Radiofrequency as a Standalone Treatment for Adhesive Capsulitis" Surgeries 4, no. 3: 335-341. https://doi.org/10.3390/surgeries4030034

APA Style

Bongiorno, G., Bednarova, R., Biancuzzi, H., Dal Mas, F., Rizzardo, A., Tomasi, A., Vigni, G. E., & Miceli, L. (2023). Pulsed Radiofrequency as a Standalone Treatment for Adhesive Capsulitis. Surgeries, 4(3), 335-341. https://doi.org/10.3390/surgeries4030034

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