Cryoneurolysis for shoulder pain

WorkSafeBC Evidence-Based Practice Group, Martin CW
Record ID 32018013205
English
Authors' objectives: To determine if there is any evidence on the efficacy and/or effectiveness of cryoneurolysis as treatment for (non-specific) shoulder pain.
Authors' results and conclusions: No published study investigating the application of cryoneurolysis to treat non-specific shoulder pain or to treat lateral pectoral nerve was identified in this systematic review. Five published studies were found investigating the application of cryoneurolysis in treating shoulder pain; one published study in treating suprascapular neuropathy while three studies reported on the application of cryoneurolysis in treating suprascapular nerve. Hence, overall, there were six studies identified in our literature search. Upon examination on the titles and abstracts of these six studies, two were thought to be relevant and were retrieved in full for further appraisals. The (expert) review articles (level of evidence 5) did not provide relevant information nor provide further references for relevant primary studies and will not be discussed further. In a case report (level of evidence 4) the application of cryoneurolysis in treating bilateral shoulder pain associated with glenohumeral osteoarthritis in a 78-year-old man. At present, there is some evidence, coming from a case report on the effectiveness of cryoneurolysis in treating shoulder pain. However, this evidence has to be interpreted with caution.
Authors' methods: A comprehensive and systematic literature search was conducted on November 28, 2023. A combination of keywords was employed on this search. No limitation, such as on the language or date of publication, was implemented in this search. A manual search was also done on the references of the articles that were retrieved in full.
Details
Project Status: Completed
Year Published: 2023
English language abstract: An English language summary is available
Publication Type: Mini HTA
Country: Canada
MeSH Terms
  • Shoulder Pain
  • Cryoanesthesia
  • Pain Management
  • Ablation Techniques
Keywords
  • Cryoneurolysis
  • cryoanaesthesia
  • cryoneurotherapy
  • cryoneuroablation
  • percutaneous cryoanalgesia
  • non-specific shoulder pain
  • suprascapular neuropathy
Contact
Organisation Name: WorkSafeBC
Contact Address: 6591 Westminster Highway, Richmond, BC, V7C 1C6 Canada. Tel: 604-231-8417; Fax: 604-279-7698
Contact Name: ebpg@worksafebc.com
Contact Email: ebpg@worksafebc.com
Copyright: WorkSafe BC
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.