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

Launched by CAIRO UNIVERSITY · Jun 3, 2025

Keywords

ClinConnect Summary

This clinical trial is looking at two different methods to help manage shoulder pain that some people experience after having breast surgery (mastectomy). The study will compare a treatment called pulsed radiofrequency applied to individual nerves in the shoulder against pulsed radiofrequency applied to a larger group of nerves known as the brachial plexus. The goal is to see which method is more effective in relieving pain for patients who are still suffering despite taking maximum doses of pain medication like tramadol.

To participate in the trial, you need to be between 18 and 65 years old, have been diagnosed with shoulder pain after a mastectomy, and have a body mass index (BMI) between 20 and 40. If you qualify and choose to take part, you can expect to receive one of the two treatments and be monitored for how well it works in reducing your pain. It’s important to note that some people may not be eligible, such as those who are pregnant or have certain health conditions. If you’re interested, this could be a chance to find relief from persistent pain.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age (18-65) Years.
• • American Society of Anesthesiologists (ASA) physical status (II- III).
• • Patients with post mastectomy shoulder pain.
• • Body mass index (BMI): (20-40) kg/m2.
• • Patients on maximum daily dose tramadol ( 450mg ) and still in pain
• Exclusion Criteria:
• • Patient refusal.
• • Known sensitivity or contraindication to drugs used in the study.
• • Pregnancy.
• • Recent myocardial infarction.
• • Hemodynamically unstable.
• • Local and systemic sepsis.
• • Psychiatric illness.