How Injections For Shoulder Pain Can Help?

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Shoulder pain is a common ailment that affects many people, significantly impacting daily activities such as lifting, reaching, and even sleeping. The prevalence of shoulder pain can be attributed to various causes, including injuries, arthritis, and overuse. Effective treatment options are crucial to manage this pain and improve quality of life. One targeted approach to pain relief is the use of shoulder injections. These minimally invasive treatments can reduce inflammation, alleviate pain, and restore mobility, helping patients regain their daily functions and overall well-being.

Types of Shoulder Injections

Corticosteroid Injections: These injections deliver powerful anti-inflammatory medication directly into the shoulder joint, reducing inflammation and pain. They are particularly effective for conditions like arthritis and rotator cuff injuries.

Hyaluronic Acid Injections: Often used for osteoarthritis, these injections help lubricate the joint, reducing friction and pain while improving movement.

Platelet-Rich Plasma (PRP) Injections: Utilizing the patient's own blood components, PRP injections promote healing and reduce inflammation, making them suitable for tendonitis and other soft tissue injuries.

Benefits of Shoulder Injections

  • Targeted Relief: Directly addresses the source of pain, providing more effective results.
  • Reduced Inflammation: Decreases swelling and pain, improving joint function.
  • Enhanced Mobility: Restores movement and flexibility, allowing patients to perform daily activities with ease.
  • Minimally Invasive: Offers a non-surgical option with minimal downtime and quick recovery.

Understanding Shoulder Pain and Its Causes

Common Shoulder Pain Conditions

Shoulder pain can stem from various conditions that affect the joints, tendons, and muscles surrounding the shoulder. Some of the most common conditions include:

  • Rotator cuff injuries: These can involve tears or tendonitis in the rotator cuff, a group of muscles and tendons that stabilize the shoulder joint.
  • Osteoarthritis: This degenerative joint disease leads to the breakdown of cartilage, causing pain and stiffness. Other forms of arthritis can also affect the shoulder.
  • Bursitis: Inflammation of the bursa, a small fluid-filled sac that cushions the shoulder joint, resulting in pain and reduced mobility.
  • Tendonitis: Inflammation of the tendons, such as biceps tendonitis, can cause significant pain and discomfort.
  • Shoulder impingement: This occurs when the shoulder blade exerts pressure on the underlying soft tissues when the arm is lifted, leading to pain and restricted movement.

Risk Factors and Symptoms

Various risk factors can increase the likelihood of developing shoulder pain, including:

  • Repetitive overhead movements: Activities that involve frequent overhead motions, such as certain sports (tennis, swimming) or occupations (painting, construction), can strain the shoulder.
  • Aging and wear-and-tear: The natural aging process and continuous use over time can lead to degenerative changes in the shoulder.
  • Injury or trauma: Sudden impacts or falls can cause immediate damage to the shoulder structures.

Symptoms of shoulder pain can vary but often include:

  • Aching: Persistent or intermittent pain in the shoulder joint.
  • Stiffness: Reduced range of motion and difficulty moving the shoulder.
  • Swelling: Inflammation and swelling around the joint.
  • Clicking or popping: Sounds or sensations of clicking or popping within the shoulder during movement.

At NASPAC, we understand the complexities of shoulder pain and its impact on daily life. Identifying the underlying cause is crucial for effective treatment and long-term relief. Our team is dedicated to providing advanced diagnostic and treatment options tailored to each patient's needs. For personalized care, contact us at (855) 862-7767 to schedule a consultation.

Types of Shoulder Injections

Corticosteroid Injections

Corticosteroid injections are commonly used for their anti-inflammatory effects. These injections help reduce inflammation and pain in the shoulder, making them effective for conditions such as arthritis, bursitis, and tendonitis.

Mechanism of action: Corticosteroids work by reducing inflammation and suppressing the immune system's response, which helps to alleviate pain and swelling in the affected area.

Conditions treated: Corticosteroid injections are particularly beneficial for:

  • Arthritis
  • Bursitis
  • Tendonitis

Procedure overview: The procedure is relatively quick and involves injecting the corticosteroid directly into the shoulder joint or surrounding tissues. Patients may experience some discomfort during the cortisone injection, but this is usually minimal. Pain relief can begin within a few days and may last for several weeks to months.

Hyaluronic Acid Injections

Hyaluronic acid injections are used to provide joint lubrication and cushioning, particularly for patients with osteoarthritis.

Mechanism of action: Hyaluronic acid is a natural substance found in joint fluid that helps lubricate and cushion the joints. Injecting additional hyaluronic acid into the shoulder joint can improve its function and reduce pain.

Conditions treated: Hyaluronic acid injections are primarily used for:

  • Osteoarthritis

Procedure overview: The injection involves inserting hyaluronic acid directly into the frozen shoulder joint. The process is quick, and patients can usually return to normal activities shortly afterward. Relief from pain can vary, with some patients experiencing benefits for several months.

Regenerative Injections

Platelet-Rich Plasma (PRP) Injections

PRP injections utilize the patient's own blood components to stimulate tissue repair and reduce inflammation.

Mechanism of action: PRP is prepared by taking a small sample of the patient’s blood, processing it to concentrate the platelets, and then injecting it into the shoulder. Platelets release growth factors that promote healing and reduce inflammation.

Procedure overview: The procedure involves drawing blood, processing it to create PRP, and then injecting it into the affected shoulder area. Some patients may experience mild discomfort at the injection site, but this typically resolves quickly. Benefits may be observed over several weeks as the tissue heals.

Stem Cell Injections

Stem cell injections aim to promote healing and tissue regeneration by introducing stem cells into the damaged area.

Mechanism of action: Stem cells have the ability to differentiate into various types of cells, aiding in the repair and regeneration of damaged tissues.

Procedure overview: The procedure involves harvesting stem cells from the patient’s bone marrow or adipose tissue, processing them, and injecting them into the shoulder. Patients may experience some soreness at the injection site, but this usually subsides within a few days. The regenerative effects can take several weeks to months to become apparent.

At NASPAC, we offer a range of shoulder injection options tailored to meet the individual needs of our patients. Contact us at (855) 862-7767 to learn more about how these treatments can help restore mobility and improve your quality of life. Pain management in Hainesport, NJ, and Cherry Hill, NJ offers expert care for those suffering from chronic, acute pain and shoulder pain. With advanced treatments and personalized plans, local clinics provide effective relief to improve patients' quality of life.

Benefits and Potential Risks of Shoulder Injections

Benefits

Shoulder injections offer numerous benefits for patients experiencing chronic shoulder pain:

  • Reduced pain and inflammation: Injections directly target the source of pain, providing significant relief.
  • Improved range of motion and mobility: Reduced inflammation and pain lead to better shoulder function and increased mobility.
  • Delayed or prevented surgical intervention: Effective pain management can reduce the need for surgery.
  • Enhanced quality of life: Patients can return to daily activities with less pain and improved functionality.

Potential Risks and Side Effects

While shoulder injections are generally safe, there are potential risks and side effects:

  • Temporary pain or swelling at the injection site
  • Infection (rare)
  • Nerve or blood vessel injury (rare)
  • Cartilage breakdown with repeated injections

Candidate Selection and Treatment Process

Ideal Candidates for Shoulder Injections

Ideal candidates for shoulder injections include those with:

  • Chronic shoulder pain unresponsive to conservative treatments
  • Specific conditions such as arthritis, bursitis, and tendonitis
  • Considerations of age and overall health to ensure suitability

The Consultation and Evaluation Process

The consultation and evaluation process involves:

  • Medical history review to understand past treatments and conditions
  • Physical examination to assess shoulder function
  • Diagnostic imaging (X-rays, MRI, CT scans) to pinpoint the source of pain
  • Nerve tests (if necessary) to evaluate nerve involvement

Post-Injection Care and Recovery

Post-injection care is crucial for optimal recovery:

  • Rest and activity modification to allow healing
  • Ice application and over-the-counter pain medication to manage discomfort
  • Physical therapy and rehabilitation to restore mobility
  • Follow-up appointments for monitoring progress
  • Potential need for additional injections or alternative treatments based on response

FAQ Section

Who is a good candidate for shoulder injections?

Individuals with chronic shoulder pain unresponsive to conservative treatments, such as arthritis, bursitis, and tendonitis.

How long does the pain relief from injections typically last?

Pain relief can last from several weeks to several months, depending on the individual and the type of injection.

Are there any age restrictions for receiving shoulder injections?

Generally, there are no strict age restrictions, but overall health and specific conditions are considered.

Can injections be combined with other treatments like physical therapy? 

Yes, combining injections with physical therapy can enhance overall outcomes.

How many injection sessions are typically required for optimal results?

Most patients require 3-6 injections per year, depending on their condition and response.

What is the recovery time after receiving a shoulder injection?

Recovery time is typically short, with most patients resuming normal activities within a day, but avoiding strenuous activities for 24-48 hours.

Are there any long-term risks associated with shoulder injections?

Long-term risks are rare but can include cartilage breakdown with repeated injections.

How do I find a qualified provider for shoulder injections near me? 

 Consult with your primary care physician or contact NASPAC for experienced providers.

Are shoulder injections covered by insurance?

Many insurance plans cover shoulder injections; check with your provider for specifics.

Can injections be an alternative to surgery for shoulder conditions?

Yes, injections can be a viable alternative to surgery for many shoulder conditions, providing significant pain relief and improved function.

Call to Action

If you're experiencing shoulder pain and seeking relief, consult with the experts at NASPAC. Our providers specialize in administering shoulder injections to help you regain mobility and improve your quality of life. Contact us at (855) 862-7767 to schedule a consultation. Take the first step toward a pain-free life and enhanced mobility with NASPAC's advanced pain management solutions. 

Our Services

Radiofrequency Ablation

Also known as a rhizotomy, radio frequency ablations can provide long-term relief by ‘turning off’ nerve endings connected to arthritic facet joints. Overtime, the nerve endings will naturally heal, and the procedure can be performed as needed to give repeated relief.

Lumbar Epidural Injections

Lumbar Epidural Injections treat pain in the lower back or sciatica. The procedure reduces inflammation and allows for improved mobility and of the lower back and legs, so the patient can progress with their rehabilitation.

Cervical Epidural Steroid Injections

Cervical epidural steroid injections are aimed at treating neck pain derived from inflammation to cervical nerve roots. This can cause radicular pain down the arm and into the hand. CESI’s can provide short-term relief to help the patient with a rehabilitation or exercise regimen to progress further.

Lumbar Medial Branch Blocks

Lumbar medial branch blocks are used to determine the source of the patient’s lower back pain. If the patient experiences significant relief after the injection, then the procedure has successfully determined the source of the pain, and the patient can proceed with their rehabilitation regimen/additional procedures to achieve long term relief.

Cervical Medial Branch Blocks

Cervical epidural steroid injections are aimed at treating neck pain derived from inflammation to cervical nerve roots. This can cause radicular pain down the arm and into the hand. CESI’s can provide short-term relief to help the patient with a rehabilitation or exercise regimen to progress further.

Sacroiliac Injection

SI joint injections are aimed at treating lower back pain or sciatica. Sacroiliac joint dysfunction can be diagnosed after an SI injection if the patient reports immediate significant pain relief.

Biacuplasty

Biacuplasty is aimed at treating chronic disc-related pain. The procedure is a type of radiofrequency ablation (RFA) that uses two thin electrode probes which are inserted into the disc. While producing the electrodes, the probes and tissue are actively cooled, and provide for less discomfort.

Celiac Plexus Block

The celiac plexus is a nerve group surrounding the aorta. The block will stop the nerves from carrying pain information to your brain, and give you relief. This procedure is commonly performed on patients who experience abdominal pain linked to or derived from cancer.

Discogram

Discograms evaluate back pain by injecting a small amount of die into the soft center of the disc. An x-ray or CT scan can identify cracks and some spots of wear and tear.

Ganglion of Impar Block

Aimed at treating pain in and round the pelvic or groin area, a ganglion of impar injection is a sympathetic block to determine if the pain is derived from the injection site or is sympathetically medicated. This procedure is typically performed twice for confirmation.

Genicular Nerve Ablation

Another type of RFA , genicular nerve ablations are used to treat osteoarthritis in the knee. The procedure is minimally invasive and can provide adequate relief for patients.

Hypogastric Plexus Block

The hypogastric plexus is a bundle of nerves at towards the bottom of your spinal cord. Blocking these nerves is typically aimed at preventing pain derived from the lower digestive or reproductive systems, or sometimes cancer. Some patients will report immediate relief after the procedure, and long-term relief after a few days.

Joint Injections

A steroid joint injection is a common injection performed directly into the area the patient is reporting pain. The length of relief is different for each patient, but long-term relief is more likely with a working physical therapy or exercise regimen.

Intercostal Nerve Block

An INB is used for treating chest pain caused by a surgical incision or shingles (herpes zoster infection). When the steroid is injected into the intercoastal nerves, located under each rib, the inflammation of the tissue is reduced, providing relief. It is advised patients do not do heavy lifting or significant physical activity in the 24 hours after the injection.

Kyphoplasty

Kyphoplasty is necessary for patients who have a fracture from osteoporosis. A small balloon is surgically inserted into the vertebrae and inflated, which returns the structure to a more normal and more compact position.

Lumbar Sympathetic Block

Sympathetic blocks to the lumbar spine help relieve sciatica and/or chronic pain that radiates down the leg and into the foot.

Microdisectomy

Herniated discs create pressure on a spinal nerve root. A microdiscectomy removes the ‘bulge’ that is identified as the reason for lower back pain, sciatica and leg pain.

Minimally Invasive Lumbar Decompression

Spinal stenosis in the lower back is when the spinal canal is narrowed and nerve fibers compressed, which causes pain and numbness. MILD removes excess bone tissue and/or ligaments compressing on the spinal cord and causing the pain. Patients are advised to rest without heavy lifting or significant activity for a few days after this procedure.

Occipital Nerve Block

Migraines or chronic headaches are usually related to occipital nerve irritation. The occipital nerves are injected through the back of the head or neck, and patients can experience relief almost immediately.

Spinal Cord Stimulation Trial

A spinal cord stimulator is a device that is sends electrical impulses through electrodes placed where the patient would typically receive an epidural for their pain relief. When the patient experiences pain, they can use a remote control to activate the stimulator.

Vertiflex

Vertiflex is a implanted device that is used to treat patients with lumbar spinal stenosis. If pressure is being applied to the nerve roots, the vertiflex implant is placed within the spine to relieve the pressure, and relieve back and leg pain.

Stellate Ganglion Block

Pain traveling through sympathetic nerves in or around the neck can be treated with a stellate ganglion block. This injection is used for patients who experience causalgia, shingles, reflex sympathetic dystrophy or decreased blood flow to the heart.

Dorsal Root Ganglion (DRG SCS)

The dorsal root ganglion nerves connect the dorsal horn of the spinal cord, which contain sensory neurons, to the rest of the nervous system. Stimulating these nerves allows for greater precision when dealing with lower body pain.

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