Pulsed Radiofrequency of Shoulder Individual Nerves Versus Brachial Plexus in Management of Chronic Post Mastectomy Shoulder Pain
NCT ID: NCT07002944
Last Updated: 2025-06-04
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
90 participants
INTERVENTIONAL
2025-06-03
2026-06-30
Brief Summary
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Detailed Description
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Regarding pulsed RF of the brachial plexus, it is not tried up till now for shoulder pain. Since C 5,6,7 are derived from upper and middle trunks of brachial plexus, then innervation of shoulder joint can be blocked by interscalene brachial plexus block or pulsed radiofrequency . Review of literature demonstrated efficacy of PRF of brachial plexus in case studies for other conditions e.g. pain associated with a tumor involving the brachial plexus , refractory stump pain , chemotherapy-induced peripheral neuropathy of the upper limb and radiation-induced brachial plexopathy .
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Brachial plexus pulsed radiofrequency group
Patients will receive pulsed radiofrequency of brachial plexus with steroids injection.
Brachial plexus pulsed radiofrequency
Patients will receive pulsed radiofrequency of brachial plexus with steroids injection.
Sholder individual nerves pulsed radiofrequency group
Patients will receive shoulder individual nerves pulsed radiofrequency with steroids injection.
Sholder individual nerves pulsed radiofrequency
Patients will receive shoulder individual nerves pulsed radiofrequency with steroids injection.
Control group
Patients will receive conservative treatment (paracetamol 1000 tid and pregabalin 75 mg bid; can be increased to 150 mg bid , oxycodone 10 mg oral every 12 hrs .
Control
Patients will receive conservative treatment (paracetamol 1000 tid and pregabalin 75 mg bid; can be increased to 150 mg bid , oxycodone 10 mg oral every 12 hrs .
Interventions
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Brachial plexus pulsed radiofrequency
Patients will receive pulsed radiofrequency of brachial plexus with steroids injection.
Sholder individual nerves pulsed radiofrequency
Patients will receive shoulder individual nerves pulsed radiofrequency with steroids injection.
Control
Patients will receive conservative treatment (paracetamol 1000 tid and pregabalin 75 mg bid; can be increased to 150 mg bid , oxycodone 10 mg oral every 12 hrs .
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* 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
* Known sensitivity or contraindication to drugs used in the study.
* Pregnancy.
* Recent myocardial infarction.
* Hemodynamically unstable.
* Local and systemic sepsis.
* Psychiatric illness.
18 Years
65 Years
ALL
No
Sponsors
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Cairo University
OTHER
Responsible Party
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Yasmina Sayed
Assistant Lecturer of Anesthesiology, Surgical Intensive Care and Pain Management Department, National Cancer Institute, Cairo University, Egypt.
Locations
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Cairo University
Cairo, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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AP2412-201-087-194
Identifier Type: -
Identifier Source: org_study_id
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