Shoulder Pain Injection Suprascapular Nerve Block - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes blind and ultrasound guided injection of the suprascapular nerve.
The Meier’s Method is explained as well.
The suprascapular nerve arises from the upper trunk of the brachial plexus (C5-C6). The suprascapular nerve passes through the suprascapular notch under the superior transverse ligament. the nerve then passes through the spinoglenoid notch under the inferior transverse ligament.
The nerve gives innervation to the supraspinatus muscle, subacromial bursa, AC joint, the shoulder joint and ends by innervating the infraspinatus muscle.
Injection block can be helpful to treat shoulder pain. Block of the suprascapular nerve can be given either blind or through ultrasound guidance.
Block of the suprascapular nerve is given at the area of the suprascapular notch.
Before injection of the suprascapular nerve the scapular spine is identified and marked.
The site of injection is marked by using the Meier method. The line marking the scapular line is halved. The injection site is marked 2 cm cranial and then 2 cm medial to the spine of the scapula.
The needle is inserted down to the scapula. The direction of the needle should be approximately 45 degrees.
Walk the needle to the suprascapular notch and inject fluid.
Patient position: the patient should sit upright.
First the probe is placed parallel to the scapular spine. Move the probe cephalad to identify the suprascapular notch.
The notch is seen covered by the trapezius and supraspinatus muscles as well as the transverse scapular ligament.
Check the blood flow by ultrasound to identify and avoid the suprascapular artery.
The position of the needle: the needle comes from the medial side along the long axis of the probe and penetrates approximately 5 cm.
Aspirate before injection to make sure that the needle is not inserted into the artery.
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[@shairkomissouri8839]

Thank you Dr Nail, I do really find your videos both informative, illustrative and full of useful clinical and practical knowledge

[@rodolfosanz9158]

Thank you doctor, the most clear explanation I could check

[@nabilebraheim]

thanks

[@basmagaber4984]

Thank you ☺️☺️

[@ericwilliams7775]

Great video doc. Thanks

[@girmamoges247]

Thanks doctor

[@ringkhangbasumatary4906]

Thank you sir.

[@gamaltaher9714]

Good, thanks

[@nabilebraheim]

@kaleidoscopekay pain or ortho docs can do this
not too many docs know how to do ultrasound,that is why I uploaded the video

[@narendrasinghal3987]

beutiful explianed dr...can you tell me the containts of the injection

[@bigben6564]

My mother recently got a nerve block in the shoulder, it has been about 10-12 hours and her arm is completely paralyzed. She cannot move it at all and feels nothing. Is this a side effect or is it normal. If side effect is it long term, would it be permanent if so?

[@d1ndark25]

Did it get better mine is the same way.

[@Kiancool]

That is likely normal. A long acting local anesthetic may work for 24 hrs, sometimes longer.

[@valtercioalmeidaportojunio9414]

e aí, ela melhorou?

[@mistycool]

Ohh wow, I'm going in for this

[@noorsultan8296]

Is it helpful to relieve frozen shoulder pain?

[@alwi991]

It’s helpful aloot just did it today

[@Bae439]

Thank you very much!

[@billyjoh4018]

thank U, always,

[@kaleidoscopekay]

I understand. Thank You

[@kaleidoscopekay]

What would be the reason to do the injection blind in comparison with the ultrasound guided. If the patient is in alot of pain and can't wait to be scheduled for ultrasound? I know it can be very expensive for the ultrasound type, because when I had them, it was outpatient in the hospital. It would be great to have them in the office using the blind injection. Does the Ortho Doctor do these, or just a Pain Management Doctor?

[@DavidKuhlmann603]

both can but I go to the pain clinic.

[@DavidKuhlmann603]

Most pain management Dr's are also Anesthesiologists.

[@msirwilson]

Do you know anyone in the Washington DC area capable of doing an ultrasound guided injection here?

[@DavidKuhlmann603]

Check with any Pain Clinic.

[@nabilebraheim]

@orthopassion THANKS

[@binaryglitch64]

You should be to either side of the notch but not in it... I have zero medical training but I just watched something like 45 videos on this procedure and nearly all of them mention that except for yours... that's how I know.
What?... I have to go get it done and I'm curious... and when you can get not just a second opinion, but multiple, with the tap of a screen... why not put them to use.

[@GasdocOK]

The recommended location for this injection is underneath the transverse ligament. you can do it anywhere along the notch as long as the flow of medication is under the ligament and you are not in the artery.

[@superfly1842]

supascabler

[@princeoz17]

+superfly1842 lmao

[@theplug1892]

what is the point of a nerve block? What does this cure?

[@DavidKuhlmann603]

Pain

[@nabilebraheim]

@fj783 thanks

[@himanshuy1828]

Omg😂

[@josephdecesare4885]

Do not ever get this bullshit

[@sukrusnc1291]

Thanks

[@АндрейКострица-ч8с]

thanks