Effective Shoulder Pain Relief: Nerve Blocks, RFA, and Stimulation

Shoulder pain can be debilitating because it interferes with your ability to perform daily tasks like lifting, reaching, or even sleeping comfortably. Our Remington pain management doctor specializes in advanced, non-surgical treatments for chronic shoulder pain.

If you have tried physical therapy, medications, or injections without lasting relief, it may be time to explore targeted solutions like axillary nerve blocks, radiofrequency ablation (RFA), and peripheral nerve stimulation (PNS).

Common Causes of Shoulder Pain

Have you explored conservative treatments and not seen the results you were hoping for? Shoulder pain can arise from a variety of issues. Targeting the axillary nerve can significantly reduce pain and improve mobility.

Common causes of shoulder pain include: 

  • Rotator cuff injuries

  • Frozen shoulder (adhesive capsulitis)

  • Shoulder arthritis

  • Bursitis or tendonitis

  • Nerve impingement

The axillary nerve is a major nerve supplying the shoulder. Targeting this nerve allows us to interrupt the pain signals regardless of the underlying structural issue.

What Is the Axillary Nerve?

The axillary nerve is a key structure in the shoulder responsible for motor function and sensation to parts of the deltoid muscle and skin over the shoulder.

  • Location: It is located approximately 7mm distal to the acromion.

  • Function: It controls movement and feeling in the shoulder cap.

  • Sensitivity: Damage or irritation to this nerve can cause severe dysfunction.

We use precise imaging to locate this nerve during treatments. This ensures that we target the source of your pain without affecting surrounding tissues.

Axillary Nerve Block: Diagnostic and Therapeutic

An axillary nerve block is a minimally invasive injection used to numb the axillary nerve. It interrupts pain signals traveling from the shoulder to the brain.

  • Diagnostic value: Relief confirms the axillary nerve is the source of pain.

  • Therapeutic value: It provides weeks or months of relief for some patients.

  • Procedure: We perform these blocks under ultrasound or fluoroscopic guidance.

This procedure is often the first step in a long-term pain relief plan. A successful block tells us that advanced therapies like ablation or stimulation will likely be effective.

Radiofrequency Ablation (RFA) for Long-Term Relief

Radiofrequency ablation (RFA) may be the next step if a nerve block provides temporary relief. This outpatient procedure uses heat to disrupt pain signals.

  • Mechanism: It uses radio waves to heat the nerve tissue.

  • Duration: Relief can last for six months or more.

  • Benefits: It reduces reliance on pain medications and has minimal downtime.

RFA is ideal for patients with chronic shoulder pain who have not responded to other treatments. It offers a safe way to achieve lasting comfort without surgery.

Peripheral Nerve Stimulator (PNS)

Peripheral nerve stimulation (PNS) is a revolutionary option for patients who need longer-lasting control. It involves a small system that delivers mild electrical pulses to the nerve.

  • Customizable: You can adjust stimulation settings to your pain level.

  • Reversible: It is a drug-free and reversible intervention.

  • Effective: It modifies pain signals before they reach the brain.

PNS is particularly effective for nerve-related shoulder pain. It puts the control back in your hands and allows you to manage your pain level in real-time.

Schedule Your Shoulder Pain Evaluation Today

You do not have to live with limited mobility. If shoulder pain is affecting your quality of life, we can help you find the right solution.

Contact us today to schedule your personalized evaluation and find lasting relief.

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