**Rehab and Miscellaneous**

**Chapter 8**

**Provisional chapter**

**Integral Management in Painful Shoulder Treatment:**

Shoulder pain is a common complaint in clinical practice. The usual form of treatment is based on nonsteroidal anti-inflammatory drugs (NSAIDs), rest, rehabilitation and, as an alternative, a local injection into the joint. Due to the lack of oral medication and the lack of evidence, it is necessary to use different nonsurgical therapeutic alternatives. Pulsed radiofrequency produces a temporary nondestructive blockage being the most common technique in the management of shoulder pain. The application of pulsed radiofrequency on the suprascapular nerve has proven to be an effective method in the treatment of shoulder pain, with a decrease in pain that allows the rehabilitation of patients. The axillary or circumflex nerve provides motor innervation mainly to deltoids with branches to the teres minor, provides sensitive innervation to the lower, lateral, and anterior articular capsule, and innervates the humeral head and upper humeral neck. It has a cutaneous branch, which contributes sensitivity of the skin on the deltoids. Combined pulsed radiofrequency on the suprascapular nerve and on the circumflex nerve has been scarcely studied with very few references in the literature. The joint treatment by pulsed radiofrequency technique on suprascapular nerve and circumflex nerve can provide a complete

**Keywords:** shoulder, suprascapular nerve, circumflex nerve, radiofrequency, chronic pain

Shoulder pain is a common problem with an estimated prevalence of 4–26%. It has been estimated that 20% of the general population will suffer shoulder pain throughout their life with a prevalence that can reach up to 50% [1]. This entity is responsible for approximately 16% of

all musculoskeletal conditions only behind patients with low back pain.

**Integral Management in Painful Shoulder Treatment:** 

DOI: 10.5772/intechopen.69914

© 2016 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution,

© 2018 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use,

distribution, and reproduction in any medium, provided the original work is properly cited.

and reproduction in any medium, provided the original work is properly cited.

**Anesthesiologist's Point of View**

**Anesthesiologist's Point of View**

Additional information is available at the end of the chapter

Additional information is available at the end of the chapter

José Miguel Esparza Miñana

**Abstract**

**1. Introduction**

José Miguel Esparza Miñana

http://dx.doi.org/10.5772/intechopen.69914

and lasting relief of this pathology.

**Provisional chapter**
