Last Updated on November 26, 2025 by Bilal Hasdemir

Chronic shoulder pain can really get in the way of daily life, making even simple tasks difficult. For many patients, a permanent nerve block for shoulder pain can provide lasting relief. According to StatPearls, nerve blocks are effective for both sudden and ongoing pain, making them a reliable option for shoulder pain management.

New techniques, such as suprascapular and subscapular nerve blocks, are showing excellent results. They work by stopping pain signals from reaching the brain, helping restore comfort and mobility for those struggling with shoulder pain.

Key Takeaways

• Effective pain relief through advanced nerve block techniques.
• Nerve blocks can be used to treat chronic and acute pain.
• Suprascapular and subscapular nerve blocks are viable options for shoulder pain.
• Permanent nerve blocks offer long-term pain management.
• Potential risks include nerve damage and systemic toxicity.

Understanding Chronic Shoulder Pain

Chronic shoulder pain is complex and needs a detailed approach for treatment. It can come from many causes. So, a thorough plan is key to managing it.

Common Causes and Conditions

Several conditions can cause chronic shoulder pain, including:

• Rotator cuff injuries: Tears or strains in the muscles and tendons around the shoulder.
• Osteoarthritis: Wear and tear on the joint cartilage, causing pain and stiffness.
• Adhesive capsulitis (frozen shoulder): Inflammation and scarring of the connective tissue around the shoulder.
• Suprascapular nerve entrapment: Compression of the suprascapular nerve, leading to pain in the shoulder and upper back.

These issues can cause ongoing pain, less mobility, and a lower quality of life if not treated.

Impact on Daily Function and Quality of Life

Chronic shoulder pain greatly affects daily life, impacting:

1. Simple tasks: Like dressing, grooming, and reaching for things.
2. Physical activities: Including sports, exercise, and other fun activities.
3. Work-related tasks: Many jobs require manual labor or repetitive movements that worsen shoulder pain.

These challenges can lead to less productivity, more frustration, and a lower quality of life overall.

When Conservative Treatments Fail

If treatments like physical therapy, medicine, and lifestyle changes don’t help, other options must be explored. StatPearls notes that nerve blocks can be a good treatment for chronic pain, including shoulder pain. Nerve blocks, like those for the suprascapular nerve, can be a promising solution for shoulder pain that doesn’t respond to other treatments.

Permanent Nerve Block for Shoulder Pain: An Overview

Understanding permanent nerve blocks for shoulder pain is key for both patients and doctors. Chronic shoulder pain can really hurt your life and daily activities. StatPearls says nerve blocks can help with both acute and chronic pain, including shoulder pain.

Definition and Medical Purpose

A permanent nerve block stops nerve signals to a specific area, like the shoulder. It aims to give long-term pain relief for those with chronic shoulder pain. By blocking pain signals, it reduces or stops pain feeling.

Permanent nerve blocks are considered when other treatments don’t work well. Choosing this option requires looking at the patient’s condition, the pain cause, and the procedure’s benefits and risks.

Difference Between Temporary and Permanent Blocks

It’s important to know the difference between temporary and permanent nerve blocks. Temporary blocks use local anesthetics to block pain for a short time. They’re often used for tests or quick relief. On the other hand, permanent nerve blocks use more serious methods like chemical neurolysis or surgery for lasting pain relief.

“The choice between temporary and permanent nerve blocks depends on the patient’s specific condition and the treatment goals.”

When This Intervention Is Recommended

Doctors usually suggest permanent nerve blocks for shoulder pain when other treatments don’t work. This is for those with chronic pain from arthritis, injuries, or after surgery.

Deciding on a permanent nerve block needs a detailed talk with healthcare experts. It’s important to think about the benefits and risks. Like any treatment, weighing the pain relief against possible complications is key.

Types of Shoulder Nerve Blocks

Managing shoulder pain has grown with new nerve block methods. These methods help those with chronic pain. They offer choices based on specific needs and conditions.

Suprascapular Nerve Block Technique

The suprascapular nerve block is a key method for shoulder pain relief. It involves injecting a local anesthetic or steroid around the suprascapular nerve. This is great for adhesive capsulitis and rotator cuff issues. Ultrasound guidance is used for accuracy.

Subscapular Nerve Block Approach

The subscapular nerve block targets the nerves of the subscapularis muscle. It helps with pain in the back of the shoulder. It’s good for subscapularis tendonitis or pain in the shoulder’s back side. Anesthetic or steroid is placed around the nerves with imaging help.

Dorsal Scapular Nerve Block

Dorsal scapular nerve block is for shoulder pain, mainly on the scapular border. This blocks the dorsal scapular nerve, which helps the rhomboid and levator scapulae muscles. It’s great for those with muscle issues, giving focused pain relief.

Other Regional Block Options

There are more regional block options for shoulder pain. These include interscalene and superior trunk blocks, among others. The right block depends on the condition, patient health, and preferences. A healthcare expert will pick the best one for each patient.

Having many nerve block options shows the need for personalized care. Understanding these choices helps healthcare providers give better relief. This improves life quality for those with chronic shoulder pain.

7 Key Facts About Shoulder Nerve Blocks

Shoulder nerve blocks are a key treatment for chronic shoulder pain. They involve injecting medication into or around specific nerves. This stops pain signals from reaching the brain.

Effectiveness for Chronic Conditions: StatPearls says nerve blocks work for both acute and chronic pain. They are great for managing shoulder pain, helping those with long-term conditions who’ve tried other treatments.

Nerve blocks are used in both surgery and non-surgery settings. In surgery, they help with pain during and after operations. In non-surgery, they manage chronic pain.

The duration of pain relief from nerve blocks varies. Some last just a few hours, while others can last days or even weeks with repeated use.

Compared to surgery, nerve blocks are less risky and have fewer complications. This makes them a safer choice for pain management.

Here are 7 key facts about shoulder nerve blocks:

• Nerve blocks can be used for both diagnostic and therapeutic purposes.
• They offer a targeted approach to pain management.
• The procedure involves injecting local anesthetics or steroids around the nerve.
• Nerve blocks can be repeated as necessary to maintain pain relief.
• They are used for managing pain associated with various shoulder conditions.
• The effectiveness of nerve blocks can vary based on the specific condition being treated.
• Potential side effects include temporary numbness, weakness, or infection at the injection site.

In conclusion, shoulder nerve blocks are a valuable treatment for chronic shoulder pain. Knowing the key facts helps patients make better choices for their care.

Benefits of Suprascapular Nerve Blocks

Suprascapular nerve blocks are a key treatment for shoulder pain. They block the suprascapular nerve. This nerve supplies muscles in the shoulder, helping to ease pain.

Statistically Significant Pain Reduction

Research shows that these blocks can greatly reduce pain in the shoulder. They are effective in lowering pain levels. This makes life better for those suffering from chronic shoulder pain.

Improved Shoulder Function and Mobility

These blocks also help improve shoulder movement and function. By reducing pain, people can move their shoulders more freely. This makes it easier to do activities that were hard because of pain.

Effectiveness for Specific Conditions

They work well for conditions like adhesive capsulitis (frozen shoulder) and rotator cuff pathology. These blocks are a good choice for those who haven’t found relief with other treatments. They offer a new way to manage pain.

In summary, suprascapular nerve blocks have many benefits. They reduce pain, improve shoulder movement, and help with certain shoulder problems. This makes them a valuable treatment for chronic shoulder pain.

Subscapular Nerve Block Benefits

The subscapular nerve block is a valuable tool for managing shoulder pain. It’s great for pain in the subscapular area. It offers many benefits for both patients and healthcare providers.

Targeted Relief for Subscapular Pathology

This block provides targeted relief for subscapular pain. It targets the nerves that carry pain signals from the subscapular area. This can greatly reduce pain from issues like tendonitis or strain.

StatPearls notes that nerve blocks can treat both acute and chronic pain. The subscapular nerve block is effective for shoulder pain. It’s a good option when other treatments don’t work.

Management of Persistent Posterior Shoulder Pain

Subscapular nerve blocks are also good for managing persistent posterior shoulder pain. This pain is hard to treat and often needs a variety of approaches. Adding a subscapular nerve block to treatment plans can help patients find relief.

These blocks work well for posterior shoulder pain because they target the right nerves. This targeted approach can improve pain management and make patients happier.

Complementary Use with Other Blocks

Subscapular nerve blocks can also be used with other blocks. Using multiple blocks can provide better pain relief than one alone. For example, combining it with a suprascapular nerve block can cover more of the shoulder.

This approach is useful for complex cases where pain affects multiple areas. Tailoring treatment to each patient’s needs can lead to better pain relief.

How Long Does a Shoulder Nerve Block Last?

Knowing how long a shoulder nerve block lasts is key to managing pain well. The block’s duration can change based on several things. These include the type of block, the medication used, and the patient’s health.

Standard Duration Expectations

A shoulder nerve block can last from hours to days. Most people can expect it to last from 8 to 24 hours. This depends on the block type and the medication used.

Some important points to remember include:

• The type of local anesthetic used can greatly affect the block’s duration.
• Factors like age, weight, and health can also play a role in how long the block lasts.
• The block’s administration technique can also impact its longevity.

Factors Affecting Longevity

Several factors can influence how long a shoulder nerve block lasts. These include:

1. Type of Local Anesthetic: Different anesthetics last for different times. For example, bupivacaine lasts longer than lidocaine.
2. Dosage and Concentration: The amount and concentration of the anesthetic used can affect the block’s duration.
3. Patient’s Physical Condition: Certain medical conditions or medications can affect how the anesthetic is metabolized, impacting the block’s longevity.
4. Precision of Block Placement: The block’s placement accuracy can influence its effectiveness and duration.

Innovative 3-Day Nerve Block Technologies

New nerve block technologies have led to 3-day nerve blocks. These blocks use special formulations that slowly release the anesthetic. This provides long-lasting pain relief. It’s great for patients with severe shoulder pain or those undergoing major shoulder surgery.

Options for Extended Relief

For those needing extended pain relief, several options are available:

• Continuous Nerve Blocks: This involves placing a catheter near the nerve to deliver ongoing anesthetic.
• Repeated Blocks: Repeating the nerve block procedure can provide ongoing pain relief.
• Combination Therapy: Using nerve blocks with other pain management techniques can extend relief.

Understanding what affects a shoulder nerve block’s duration and exploring extended relief options helps both patients and healthcare providers. This way, they can make better decisions about pain management.

Pros and Cons of Nerve Blocks for Shoulder Surgery

Managing pain well is key in shoulder surgery. Nerve blocks are a helpful tool for this. They involve injecting a local anesthetic around the nerves that serve the shoulder. This method helps control pain without the need for strong opioids.

Advantages in the Surgical Setting

Nerve blocks bring many benefits to shoulder surgery. These include:

• Reduced postoperative pain
• Decreased need for opioid analgesics
• Improved patient satisfaction
• Enhanced recovery profiles

Statistically Significant Pain Reduction: Research shows nerve blocks can greatly lower pain right after surgery. A study in the Journal of Shoulder and Elbow Surgery found big pain drops in patients with a suprascapular nerve block. This compared to those without the block.

Potential Drawbacks

Despite their benefits, nerve blocks have some downsides:

• Temporary nerve damage or irritation
• Infection at the injection site
• Allergic reactions to the anesthetic
• Phrenic nerve palsy (in cases where the block affects the phrenic nerve)

It’s vital for patients to talk to their healthcare provider about these risks. This helps understand how likely and serious these complications might be.

Patient Satisfaction Rates

Most patients are very happy with shoulder surgery using nerve blocks. A study in Anesthesiology found patients with nerve blocks were much happier than those without.

Outcome Measure	Nerve Block Group	Conventional Pain Management Group
Pain Scores (0-10)	3.2 ± 1.5	6.5 ± 2.1
Patient Satisfaction (%)	85%	60%
Opioid Consumption (mg)	10 ± 5	30 ± 10

The data shows nerve blocks can improve pain control, boost patient happiness, and cut down on opioid use. But, it’s important to think about the risks and each patient’s situation before choosing nerve blocks for shoulder surgery.

The Procedure: What to Expect

If you’re dealing with shoulder pain, a nerve block might help. It works by stopping pain signals from reaching your brain.

Pre-Procedure Preparation

Before a nerve block, you’ll get checked out. This includes looking at your medical history and what meds you’re on. Tell your doctor about any allergies, like to local anesthetics or steroids. Also, mention any bleeding issues or meds that affect blood clotting.

Preparation may include:

• Stopping certain medications that could interfere with the procedure
• Avoiding food and drink for a specified period before the procedure
• Arranging for someone to drive you home after the procedure

Imaging Guidance Techniques

For shoulder pain, imaging helps place the anesthetic right. Ultrasound or fluoroscopy lets the doctor see the nerves and area in real-time. This makes the procedure safer and more accurate.

Step-by-Step Procedure Description

The nerve block procedure has several steps:

1. The patient is positioned comfortably, and the skin is cleaned and sterilized.
2. A local anesthetic is given to numb the skin at the injection site.
3. Using imaging, the doctor carefully puts a needle near the nerve.
4. An anesthetic and sometimes steroid are injected to block pain signals.

The whole thing usually takes less than an hour. It depends on the complexity and the method used.

Post-Procedure Care Instructions

After the procedure, you’ll be watched for a bit to see if you have any bad reactions. You might feel numbness, tingling, or weakness in your shoulder. This is usually temporary.

Post-procedure care may include:

• Avoiding strenuous activities for a day or two
• Applying ice to reduce discomfort or swelling
• Following up with your healthcare provider to assess the effectiveness of the nerve block

It’s important to follow your doctor’s instructions closely. This helps you recover well and get the best results.

Side Effects and Risks of Shoulder Nerve Blocks

Nerve blocks can help with shoulder pain, but it’s important to know the possible side effects. Knowing the risks helps patients make better choices about their care.

Common Side Effects

Most people find nerve blocks for shoulder pain to be tolerable. But, some might feel:

• Numbness or tingling in the affected area
• Temporary weakness of the shoulder muscles
• Pain or discomfort at the injection site
• Redness or swelling at the site of the block

These side effects are usually mild and go away in a few days. Following post-procedure care instructions can help avoid complications.

Rare but Serious Complications

Even though rare, serious complications can happen. These include:

• Nerve damage or neuropathy
• Infection at the site of the injection
• Allergic reactions to the medications used
• Bleeding or hematoma formation

It’s important for patients to know about these risks. They should seek medical help if they notice anything unusual.

When to Seek Medical Attention

If you experience any of these symptoms after a shoulder nerve block, seek medical help right away:

• Increasing pain or swelling at the injection site
• Signs of infection, such as fever, redness, or pus
• Numbness, tingling, or weakness that persists or worsens
• Difficulty moving the shoulder or arm

Knowing these signs can help ensure a safe and effective treatment.

Potential Complication	Symptoms to Watch For	Action to Take
Nerve Damage	Persistent numbness, tingling, or weakness	Seek medical attention
Infection	Fever, redness, swelling, or pus at the injection site	Contact your doctor immediately
Allergic Reaction	Rash, itching, difficulty breathing	Seek emergency care
Bleeding or Hematoma	Increasing pain or swelling at the injection site	Consult your healthcare provider

It’s key to understand the side effects and risks of shoulder nerve blocks for pain management. Knowing what to expect and when to seek help helps patients feel confident in their treatment.

Medical Coding and Insurance Considerations

Understanding medical coding and insurance is key for those with shoulder pain. It affects how easy it is to get treatment. Knowing these details can make a big difference.

CPT Codes for Suprascapular Nerve Blocks

CPT codes are important for billing medical procedures, like nerve blocks. For suprascapular nerve blocks, the code is 64418. It covers the injection of anesthetic into the nerve. Correct coding is important for getting paid and keeping records.

Insurance Coverage Guidelines

Insurance for nerve blocks, including shoulder surgery, varies. Most plans cover them when they’re needed. But, how much is covered depends on the plan and your health. Always check with your insurance before the procedure.

Documentation Requirements for Reimbursement

For nerve block procedures to be covered, you need good documentation. This includes your medical history, why you needed the procedure, and what was done. Good records help prove the treatment was necessary and make getting paid easier.

In short, knowing about medical coding, insurance, and documentation is vital for nerve block treatments. Patients and doctors must work together to handle these details. This ensures the treatment is effective.

Conclusion: Making an Informed Decision About Shoulder Pain Treatment

Thinking about as a treatment? It’s key to look at the good and bad sides. StatPearls says nerve blocks can help with both short-term and long-term pain, like shoulder pain.

A is great for those having surgery. But, talking to a doctor about the possible results and side effects is important. This helps you make a smart choice about .

Knowing your options, like , lets you play a big part in fighting shoulder pain. This can really boost your life quality.

FAQ

References:

1. Dangoisse, M., et al. (2025). Does a Suprascapular Nerve block reduce chronic shoulder pain? A systematic review and meta-analysis. PMCID: PMC12011902. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011902/