How do you treat suprascapular nerve entrapment?
Surgery is an important consideration in patients with suprascapular entrapment. Often patients can be treated with non-invasive measures alone. However, surgery becomes the primary treatment modality when those fail, particularly if the patient has an identifiable and reversible nerve compression cause.
How do you test for suprascapular nerve entrapment?
Magnetic resonance imaging (MRI) scans can assess soft tissue causes of entrapment as well as associated pathology. Clinical suspicion from the history and physical examination should help establish a diagnosis of suprascapular neuropathy, and nerve conduction studies are used to confirm the diagnosis.
What are the four rotator cuff muscles?
Parts of the Rotator Cuff
- Supraspinatus controls internal rotation and lifting of the arm.
- Infraspinatus allows you to externally rotate your arm in the shoulder socket.
- Teres minor is a small muscle that helps rotate your arm.
- Subscapularis controls arm abduction (holding your arm out straight, away from your body).
What are symptoms of suprascapular nerve impingement?
What are the symptoms of suprascapular nerve entrapment?
- Shoulder pain, upper back discomfort.
- Pain that generally worsens with shoulder movement.
- Weakness of the affected shoulder or arm, especially external rotation of the arm.
- Atrophy or deterioration of the affected shoulder muscles.
How do you release the suprascapular nerve?
Arthroscopic release of the suprascapular nerve: Surgical technique and evaluation of clinical cases. Through the medial SSN portal, a blunt trocar is used as a retractor, and the nerve is released by sectioning the transverse ligament with an arthroscopic punch from the lateral SSN portal (Fig 5).
How do you treat supraspinatus?
This treatment involves physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), ice treatments and resting. Corticoid injections can also be used additional to physical therapy. A surgical intervention can be a solution if there is no improvement after 3-6 months of conservative treatment.
What does suprascapular nerve pain feel like?
The signs and symptoms of suprascapular neuropathy include: Shoulder/arm weakness or heaviness. Radiating/burning pain to the neck, back or arm. Pain that worsens with shoulder movement.
What happens if suprascapular nerve is damaged?
A suprascapular nerve injury presents as a vague shoulder pain with associated weakness in shoulder abduction and external rotation [3]. Later, the muscles of the shoulder girdle supplied by the suprascapular nerve may atrophy [3].
What is a suprascapular nerve decompression?
Suprascapular nerve decompression is a minimally invasive surgery performed arthroscopically under regional anesthesia to release pressure on the suprascapular nerve.
What is suprascapular nerve entrapment?
Suprascapular neuropathy, or suprascapular nerve entrapment, is a condition which is due to irritation and damage to the suprascapular nerve (SSN). This condition can result in pain, weakness, or both depending on the cause.