Suprascapular Nerve PRF in Chronic Shoulder Pain
SUPRA-PRF
Comparison of Suprascapular Notch and Midpoint Approaches in Pulsed Radiofrequency Treatment of the Suprascapular Nerve on Pain and Function in Patients With Chronic Shoulder Pain
1 other identifier
interventional
32
1 country
1
Brief Summary
This study aims to compare the effects of pulsed radiofrequency (PRF) treatment of the suprascapular nerve using suprascapular notch and midpoint approaches on pain, shoulder function, and muscle strength in patients with chronic shoulder pain due to rotator cuff tendinopathy. Patients will be randomly assigned to one of the two intervention groups. Clinical evaluations will include pain assessment using the Numeric Rating Scale (NRS), functional assessment using the Shoulder Pain and Disability Index (SPADI), and quality of life assessment using the Short Form-36 (SF-36). In addition, shoulder range of motion will be measured goniometrically, muscle thickness of the supraspinatus and infraspinatus will be evaluated by ultrasonography, and shoulder muscle strength will be assessed using an isokinetic dynamometer. Assessments will be performed at baseline, 24 hours, 1 month, and 3 months after the intervention. The results of this study are expected to provide evidence regarding the optimal approach for PRF treatment of the suprascapular nerve in patients with chronic shoulder pain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2026
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 25, 2026
CompletedFirst Posted
Study publicly available on registry
March 30, 2026
CompletedStudy Start
First participant enrolled
April 10, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 30, 2027
March 30, 2026
March 1, 2026
1.2 years
March 25, 2026
March 25, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Isokinetic Shoulder Abduction Peak Torque
Isokinetic peak torque of shoulder abduction will be measured using an isokinetic dynamometer (ISOMED 2000). Measurements will be performed to evaluate changes in muscle strength.
Baseline and 3 months
Secondary Outcomes (5)
Pain Intensity (NPRS)
Baseline, 24 hours, 1 month, and 3 months
Shoulder Function (SPADI)
Baseline, 1 month, and 3 months
Supraspinatus and Infraspinatus Muscle Thickness
Baseline and 3 months
Shoulder Range of Motion (ROM)
Baseline and 3 months
Quality of Life (SF-36)
Baseline and 3 months
Study Arms (2)
Suprascapular Notch PRF
EXPERIMENTALParticipants in this group will receive pulsed radiofrequency treatment of the suprascapular nerve via the suprascapular notch approach under ultrasound guidance.
Midpoint PRF
EXPERIMENTALParticipants in this group will receive pulsed radiofrequency treatment of the suprascapular nerve via the midpoint approach under ultrasound guidance.
Interventions
Pulsed radiofrequency treatment will be applied to the suprascapular nerve via the suprascapular notch approach under ultrasound guidance using standard clinical parameters.
Pulsed radiofrequency treatment will be applied to the suprascapular nerve via the midpoint approach under ultrasound guidance using standard clinical parameters.
Eligibility Criteria
You may qualify if:
- Patients aged between 40 and 80 years
- Patients with chronic shoulder pain lasting longer than 3 months
- Patients diagnosed with rotator cuff-related shoulder pain
- Patients who show at least 50% pain reduction after diagnostic suprascapular nerve block
- Patients who provide written informed consent
You may not qualify if:
- Adhesive capsulitis
- Previous shoulder surgery
- Full-thickness rotator cuff tear
- Neurological disorders affecting the shoulder
- Pacemaker
- Coagulopathy or anticoagulant therapy contraindicating intervention
- Infection at the injection site
- Severe systemic disease
- Pregnancy
- Inability to comply with study protocol
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ankara Bilkent City Hospital
Ankara, 06800, Turkey (Türkiye)
Related Publications (3)
Abd-Elsayed A, Argall TR, Henjum LJ, McKindsey DM, Perkins NA, Fiala KJ. Radiofrequency Ablation and Pulsed Radiofrequency of Suprascapular Nerves for Managing Chronic Shoulder Pain. Brain Sci. 2025 Aug 26;15(9):915. doi: 10.3390/brainsci15090915.
PMID: 41008275BACKGROUNDJain E, O'Connor IT, Tram JK, Varlotta CA, Fiala KJ, Asaad FS, Chitneni A, Abd-Elsayed A. Radiofrequency ablation for shoulder pain: an updated systematic review. Ann Palliat Med. 2024 Jul;13(4):963-975. doi: 10.21037/apm-23-529. Epub 2024 Jul 4.
PMID: 38988077BACKGROUNDTran J, Peng P, Agur A. Evaluation of suprascapular nerve radiofrequency ablation protocols: 3D cadaveric needle placement study. Reg Anesth Pain Med. 2019 Sep 16:rapm-2019-100739. doi: 10.1136/rapm-2019-100739. Online ahead of print.
PMID: 31527162BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Ayşe Merve Ata, MD
Ankara City Hospital Bilkent
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
March 25, 2026
First Posted
March 30, 2026
Study Start
April 10, 2026
Primary Completion (Estimated)
June 30, 2027
Study Completion (Estimated)
August 30, 2027
Last Updated
March 30, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share