Background and aims The shoulder joint is one of the pivotal joints for day to day activity. Chronic shoulder pain is a major musculoskeletal pain problem affecting significant functional disability and incidence is as high as 67%. Currently the main treatment modalities are oral analgesics, physiotherapy, intra articular steroid injection and suprascapular nerve block. These modalities offer only partial or no pain relief. the author has developed a new treatment modality- ultrasound guided superior trunk percutaneous neuromodulation and block for chronic shoulder pain management.

Methods

• After local research and development departmental approval a retrospective data collection who had the procedure was done

• Retrospective– 55 patients from mid–2016 until end of 2017. Data obtained from 49.

• Age, sex, laterality, original pathology, pre procedure NRS, post procedure NRS at 6–8 weeks, patient reported outcome of functionality and QoL improvement, details of physiotherapy sessions and it’s outcome were recorded.

Results

• Average pre procedure pain score was – 9/10 and post procedure pain score was –3.3/10.

• Average 63% reduction or 5 points in the NRS reduction

• 80% reported Quality of life and functional improvement.

• Majority of patients had Osteoarthritis and rotator cuff pathology.

• Second most common cause was persistent post surgical pain.

Conclusions Ultrasound guided STBPB provided average 63% improvement in NRS scoring and 80% improvement in functionality and QoL across the board.