radiofrequency ablation for shoulder pain

A local anesthetic will be used to numb your skin. A small needle will then be inserted to an area of the shoulder blade. Fluoroscopy, a type of x-ray, will be used to position the needle. Once the needle is properly placed, the nerve will be numbed. Radiofrequency energy will then be used to disrupt the suprascapular nerve.  

Most patients are able to resume normal activities immediately after the procedure. As the anesthetic wears off, you may feel sore and have pain in the treated area. It can take one to two weeks for the ablated nerves to stop sending pain signals to your brain.  

Pain relief may last from 3 months to more than a year. It is possible the nerve will regrow and start the cycle of pain again. If the nerve does regrow, it is usually 6-12 months after the procedure. Radiofrequency ablation is 70-80% effective in people who have a successful trial. The procedure can be repeated if needed.  

As with any procedure involving a needle, there is a rare chance of infection, bleeding, allergic reaction and nerve damage. Complications are extremely rare. Talk with your provider if you have specific questions about the risk of your procedure. 

Dress in loose, comfortable clothing, and leave jewelry and other valuables at home.

You must have a driver to take you home after the procedure. 

If you are scheduled to be sedated, you must fast for 8 hours before the procedure. 

If you take medications for high blood pressure or any kind of heart condition, please take your medications as normal with a small sip of water.  

If you take aspirin or any blood thinning medication you will need to stop taking it for 2-7 days before your procedure. Discuss the risks involved with the physician who prescribes your blood thinner. Restart the blood thinner the day after your procedure.