Upper Back Pain and the Nerve Block Treatement

Pain between the scapulae, or shoulder blades, is a very common
complaint that can stem from various sources. A frequent cause is nerve
entrapment or irritation of nerves in the upper back and neck.
Conditions like notalgia paresthetica, which is a neurological condition
causing intense itching and burning, or irritation of nerves like the
suprascapular nerve, can lead to chronic, localized pain. While muscle
strains or poor posture are often blamed, nerve-related issues can be
the underlying culprit, leading to persistent discomfort that doesn’t
respond to typical treatments like massage or physical therapy.

HOW DOES A NERVE BLOCK HELP?

A nerve block can be an effective treatment option when the pain is
directly linked to a specific nerve. For pain between the shoulder
blades, a suprascapular nerve block is one common procedure. The
suprascapular nerve, which supplies sensation to parts of the shoulder
joint and surrounding muscles, can be targeted with an injection of a
local anesthetic and a corticosteroid. The local anesthetic provides
instant relief, confirming the nerve as the source of pain, while the
corticosteroid works to reduce inflammation for longer-term benefits.
This procedure is typically done under imaging guidance, such as
ultrasound or fluoroscopy, to ensure precise and safe needle placement.

BENEFITS OF A NERVE BLOCK

The benefits of a nerve block for interscapular pain can be significant,
offering relief that allows a patient to participate in physical therapy
and other rehabilitative treatments more effectively. The duration of
pain relief varies, with some patients experiencing relief for months,
which can be a game-changer for those suffering from chronic pain.
However, it’s important to understand that nerve blocks are not a cure,
but rather a tool for pain management. The procedure carries minimal
risk, but like any injection, can cause temporary soreness or bruising.
Patients should always consult with a pain management specialist to
determine if a nerve block is the right approach for their specific
condition.