SHOULDER PAIN TREATMENT
Interventional pain procedures for shoulder pain can be grouped based on their complexity, with some procedures being less invasive than others. Here are the procedures listed in order from least invasive to most invasive:
- Subacromial injection: Subacromial injection is the least invasive procedure for shoulder pain. It involves the injection of a local anesthetic and a steroid medication into the subacromial space to reduce inflammation and pain. The procedure can be performed in the physician's office, and patients can typically return to normal activities immediately after the injection.
- Glenohumeral joint injection: Glenohumeral joint injection involves the injection of a local anesthetic and a steroid medication into the shoulder joint to reduce inflammation and pain. The procedure can be performed in the physician's office and takes about 20-30 minutes to complete.
- Suprascapular nerve block: Suprascapular nerve block involves the injection of a local anesthetic around the suprascapular nerve that supplies the shoulder joint. The procedure is typically performed in the physician's office and takes about 20-30 minutes to complete.
- Radiofrequency ablation: Radiofrequency ablation is a more invasive procedure that involves the use of heat to destroy the nerves that transmit pain signals from the shoulder joint. The procedure is typically performed in an outpatient setting and may require sedation.
- Arthroscopy: Arthroscopy is a more invasive procedure that involves the insertion of a small camera and surgical instruments into the shoulder joint through small incisions to repair damaged tissues or remove debris. The procedure is typically performed in a hospital or outpatient surgery center under sedation.
The expected outcome and success rates for these interventional pain procedures can vary based on the patient's individual condition, the type of procedure performed, and the severity of the shoulder pain. However, many patients experience significant pain relief and improvement in function after undergoing these procedures.
For example, subacromial injections and glenohumeral joint injections have been shown to provide relief for up to several months in some patients, while suprascapular nerve blocks can provide relief for several weeks to several months. Radiofrequency ablation can provide long-term pain relief for patients with chronic shoulder pain, and arthroscopy can provide significant relief for patients with certain types of shoulder injuries or damage.
Patients who are considering interventional pain procedures for their shoulder pain should discuss the potential risks and benefits of the procedure with their physician. Some potential risks of these procedures include infection, bleeding, nerve damage, and allergic reactions. However, these risks are relatively rare, and most patients tolerate the procedures well.
It is also important to note that not all patients with shoulder pain are candidates for interventional pain procedures. Patients with certain medical conditions or who are taking certain medications may not be eligible for these procedures. Additionally, some procedures may be more effective than others for certain types of pain or underlying conditions.
Patients should always consult with their physician to determine if interventional pain procedures are an appropriate treatment option for their individual needs and underlying condition. A thorough evaluation and diagnostic testing may be necessary to determine the underlying cause of the pain and to identify the most appropriate treatment options.
In addition, patients should understand that interventional pain procedures are typically not a one-time cure for chronic shoulder pain. Most patients will require ongoing treatments, such as repeat injections or other procedures, to maintain pain relief and improve function.
Overall, interventional pain procedures can be a valuable tool in the management of chronic shoulder pain. Patients who are experiencing shoulder pain and have not responded to other treatments should discuss the potential benefits of interventional pain procedures with their physician to determine if this treatment option is appropriate for them.
With the right care and attention, many patients can experience significant pain relief and improved quality of life with interventional pain procedures.