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Invasive treatment of chronic pain emanating from joints is often difficult because of the complex anatomy of nerve supply. In most joints, the innervation is derived from several segmental levels, with multiple peripheral nerve branches entering the joint capsule [1]. Radiofrequency treatment has been used empirically for the management of different chronic pain syndromes, based on the assumption that thermocoagulation of the nerve fibers will interrupt pain conduction [2]. This report describes three cases in which patients experienced little or moderate satisfaction with pulsed radiofrequency lesioning of the glenohumeral joint.  All 3 patients were referred from the physical medicine or orthopedics departments to our pain clinic. None had experienced trauma to the shoulder or undergone surgery, and all 3 were taking oral opioid medication. They suffered from pain throughout the day, particularly aggravated at night and by movement. The pain was moderately responsive to oral analgesics, but all 3 patients had severe restrictions on activities of daily living. Despite physical therapy, they experienced little improvement in range of motion.

Intraarticular Pulsed Mode Radiofrequency Lesioning of Glenohumeral Joint in Chronic Shoulder Pain: 3 Cases