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Unveiling dorsal scapular nerve entrapment. Understand the symptoms, causes, and treatment options for upper back and shoulder blade pain. Upper to mid-back or shoulder blade pain is a common presentation to sports doctors or physiotherapists.
Dorsal scapular nerve is also associated with brachial plexus injury. DSN block is performed in Japanese pain clinics to treat neck pain and katakori (a unique symptom in Japanese population characterised by myofascial pain syndrome such as shoulder girdle pain).
You may be dealing with an increasingly common and painful affliction called Dorsal Scapular Nerve Entrapment (DSN), and today we are going to talk about what it is, how it presents, and some strategies to help you overcome it.
The dorsal scapular nerve blockade is the most common medical treatment of dorsal scapular nerve entrapment. “Nerve blockade” means injecting an anesthetic agent into the nerve which effectively provides relief from pain, discomfort, and other unpleasant sensory feelings.
Treatment for dorsal scapular nerve entrapment often consists of a conservative route with cervical spine stabilization, muscle relaxants, anti-inflammatories, activity modification, and therapy (Martin & Fish, 2008; Sultan et al., 2013).
Initial treatment is conservative, with surgical options available for refractory injuries or entrapment caused by anatomic abnormality. Peripheral nerves in the upper extremity are at risk for...
The condition is thought to be neurogenic in origin due to the relative, short term effectiveness of drugs used to aid in the treatment of nerve pain including topical capsaicin, botox, nerve blocks and gabapentin. 13 Most often NP has been attributed to the entrapment of the T2–T6 posterior rami that supply cutaneous innervation to the area ...
Treatment options include: Conservative Treatment: Rest and Activity Modification: Avoiding activities that exacerbate symptoms to allow the nerve to heal. Physiotherapy: Exercises to strengthen and stretch the muscles around the shoulder blade and improve posture.
A careful history and physical exam, along with a high index of suspicion, are necessary for accurate diagnosis and therefore appropriate treatment. Injection of the dorsal scapular nerve under ultrasound guidance can be diagnostic as well as therapeutic. Pulsed radiofrequency ablation of the dorsal scapular nerve may provide sustained pain relief.
Further options include intensive physiotherapy to work on the muscles around the rhomboids, trapezius and latissimus dorsi and pulsed radiofrequency ablation – a minimally invasive option that aims to dampen pain in the nerve for a period to allow you to move more normally, not require as much medication, and allow you to perform ...