This trial is evaluating whether Peripheral Nerve Stimulation will improve 1 primary outcome and 1 other outcome in patients with Shoulder Pain. Measurement will happen over the course of Prior 7-days.
This trial requires 132 total participants across 3 different treatment groups
This trial involves 3 different treatments. Peripheral Nerve Stimulation is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
There is a lack of agreement on what shoulder pain really is and what should be regarded as an actual disease issue. As the definition of pain remains a topic of debate, the interpretation of results from pain studies will also be problematic.
The presentation of shoulder pain to the GP is most probably pain. Other signs are typically vague or atypical. A GP should be aware of these signs and consider ordering a full shoulder examination.
Around 13 million people in the United States have shoulder pain each year. This rate is higher in the age group 60 to 64 years, where around 45% have shoulder pain at least once a year. Half of persons without shoulder pain have shoulder pain at least once a month. Findings from a recent study demonstrates high rates of shoulder pain and symptoms in the United States.
Common treatments for shoulder pain include pain medication (acetaminophen, NSAIDs, and acetaminophen), shoulder exercises, and physical therapy. Most patients have had more than one intervention with varying duration of effect. There appears to be no significant difference in the effect of treatment of shoulder pain of different shoulder symptoms.
This is the first longitudinal study of shoulder pain, and the first to use a self-made interview instrument in this area. We demonstrated that the most common complaint is tenderness to the touch, and that shoulder pain is highly prevalent. We also showed that symptoms associated with shoulder pain include pain, joint stiffness and sleep-related shoulder complaints. The study demonstrated that the assessment of symptomatology is important to make informed decisions regarding the appropriate use of healthcare services, the need for physiotherapy, and for the development and provision of appropriate strategies to relieve shoulder pain.
In this series our rehabilitation program and [pain management](https://www.withpower.com/clinical-trials/pain-management) proved to be most successful in resolving symptoms in patients with non-specific shoulder pain. A multidisciplinary rehabilitation program including occupational and physical therapists as well as athletic trainers, has a high patient acceptance and may be beneficial in the long term, irrespective of treatment, in the pain relief of patients with shoulder pain and shoulder musculoskeletal disorders, such as rotator cuff tears, tendinitis, and impingement, amongst others, particularly in young patients. In future studies, longer follow-up periods are needed to examine this issue.
As peripheral nerve stimulation is a new and evolving treatment it is essential for people’s safety that those involved in administering and interpreting the procedure are well trained to safely handle stimulator circuitry and stimulate nerves using the correct current, pulse duration and frequency, and that they are appropriately supported in case emergencies.
Results from a recent paper of this study are promising regarding the treatment of various types of neuropathic pain through the stimulation of nerve fibers.
Peripheral nerve stimulation can improve the quality of life for patients with shoulder pain. Patients with a reduced disability and a high degree of pain self-control may benefit most from this treatment.
PNS is a valuable treatment option for chronic muscle pain. It has also found promise in treating pain in a range of non-musculoskeletal pain conditions. PNS, in the form of a transcutaneous electric nerve stimulation (TENS) device, appears to be an effective treatment in a variety of non-pain conditions, including postherpetic neuralgia, diabetic neuropathic pain and shoulder pain.
A study was conducted using a sample of students from a university in Pakistan to investigate the factors that cause shoulder pain. In a recent study, findings found out that there are gender, age, income, and sports as the most important factors that cause shoulder pain among Pakistani students in this study. Also, in this study, the most common age people get shoulder pain was between 17-27 yrs old, while the second most prevalent age age was at 10-21 yrs old.
Continuous application of PNS is still an investigational tool in clinical settings. PNS may offer a versatile treatment modality, even for indications such as pain, fatigue, and neuropathic pain, as such applications were described well in these clinical settings. An interesting development for PNS is the use of high-frequency stimulation, which is now being investigated for the purpose of analgesia.