suprascapular nerve block

What is the suprascapular nerve?

A suprascapular nerve is the major sensory supply to the shoulder joint and motor supply to the Supraspinatus and infraspinatus muscles.

What is the purpose of the injection?

It may be done for one of two reasons, namely:

  1. To define the source of your pain more precisely or
  2. To inject therapeutic steroid and local anaesthetic around the nerve so as to reduce its ability to transmit pain. Pain relief from the procedure varies from minimal to long-term, depending on the specific symptoms; in some cases it may fail to give any relief at all.

This injection is used to treat arthritis or bursitis of the shoulder joint. This is done for diagnostic as well as therapeutic purposes. Diagnostically, the block is used to confirm suprascapular nerve irritation or entrapment.

What is injected?

This injection consists of a local anesthetic and steroid.

Does the procedure hurt?

The procedure is done with x-ray guidance and involves inserting a needle through skin and deeper tissues. There is some discomfort involved. However, the skin and deeper tissues are numbed with a local anesthetic. Most of the patients also receive intravenous sedation which makes the procedure easy to tolerate.

What are the risks and side effects?

With any procedure there are risks, side effects and possibility of complications. Risks include pneumothorax (lung puncture) or nerve injury.

What should I expect after the injection?

After the injection, your pain will be decreased which is a result of the local anesthetic.

What should I do to prepare for the procedure?
  1. You must have someone with you. You will not be allowed to drive home.
  2. You may take routine medications including pain medicine.
  3. A light meal is acceptable unless otherwise directed.
What should I expect the day of the procedure?
  1. Your medical history will be reviewed.
  2. An IV will be started, and you may be given some relaxing medication.
  3. You will be monitored during and for a minimum of 30 minutes after the procedure.

If you get temporary relief from this procedure, then you may be a candidate for radio frequency lesioning of the suprascapular nerve. This procedure gives longer lasting relief.

 

YOU MUST ALWAYS ARRANGE FOR SOMEONE TO ACCOMPANY YOU FROM HOSPITAL AFTER THE PROCEDURE AND TO BE AVAILABLE FOR YOUR CARE FOR 24 HOURS AFTERWARDS

Due to the effects of certain medications, your driving reflexes may be impaired. You will need someone to drive you home after the procedure

If you are on specific blood thinning medications (e.g. Warfarin or Plavix), Aspirin or Anti-inflammatory drugs (e.g. Ibuprofen, Diclofenac) you should ensure that you let me know as soon as possible.

Site design by 4webspace