Suprascapular Nerve Block
Shoulder pain is common in the community, affecting 15–30% of adults at any one time. Causes include degenerative disease affecting the glenohumeral and acromioclavicular joints and supporting soft tissue structures (mainly rotator cuff) and inflammatory diseases such as rheumatoid arthritis (RA), seronegative spondyloarthropathies, and crystal arthropathies. The resultant pain and loss of function is also a major cause of disability in people with these conditions, particularly in the elderly.
At Pain Spa Dr Krishna is very experienced in interventional treatments. Dr Krishna always performs suprascapular nerve block under ultrasound guidance for greater accuracy and improved safety. Ultrasound gives the added advantage of visualizing the surrounding tendons and muscles, which can be contributory to pain.
Evidence for the efficacy of various treatments of shoulder pain is limited. There is little evidence to support or refute the efficacy of common interventions for shoulder pain. From a clinician’s perspective, therapeutic options for the management of chronic shoulder pain are limited. Simple analgesia, non-steroidal anti-inflammatory drugs (NSAIDs), intraarticular steroid injection, and surgery all have their limitations, particularly in older populations with comorbidities.