- Upper Body Conditions
- Brachial Plexus Block (Infraclavicular Approach, Ultrasound-guided)
- Brachial Plexus Block (Supraclavicular Approach, Ultrasound-guided)
- Caudal Epidural Steroid Injection
- Celiac Plexus Nerve Block
- Costovertebral Joint Injection
- Epidurals Injections
- Facet Joint Injections
- Facet Nerve Blocks
- Fluoroscopic Guided Piriformis Injection
- Interscalene Brachial Plexus Block
- Intracapsular (Glenoid) Injection
- Joint Injection (Therapeutic, Shoulder)
- Kyphoplasty
- Lumbar Epidural Steroid Injection (With and Without Contrast)
- Lumbar Radiofrequency Neurotomy
- Lumbar Sympathetic Block
- Lumbar Transforaminal Epidural Steroid Injection
- Medial Branch Blocks
- Multimodal Anesthesia & Pain Control
- Myofascial Release
- Neuromuscular Re-education Therapy
- Neurostimulation Therapy (Spinal Cord Simulation)
- Peripheral Joint Injections
- Radial Nerve Block
- Radiofrequency Nerve Ablation
- Regenerative Injection Therapy
- Soft Tissue Injection: Shoulder
- Steroid Injections
- Subacromial Injection
- Tenex Health TX (Minimally Invasive Chronic Tendonitis Treatment)
- Thoracic Epidural Steroid Injection
- Thoracic Facet Radiofrequency Neurotomy
- Thoracic Transforaminal Epidural Steroid Injection
- Trigger Point Injections
- Ultrasound Guided Joint Injections
- Ultrasound Guided Ilioinguinal Nerve Block
- Ultrasound Guided Injection for Knee Pain
- Vertebral Augmentation
- Vertebroplasty
- Visco-Supplementation for Arthritis of the Knee
About Procedure
Shoulder pain is primarily the result of rotator cuff disorders, impingement syndrome, and adhesive capsulitis. Both conditions cause the individual chronic pain as well as inflammation, damage, or in some cases, both inflammation and damage to the shoulder structures that lie in the subacromial space between the head of the humerus and the acromion.
Subacromial injections help to treat both chronic conditions. It is a non-surgical procedure that involves the use of a combined medication of anesthesia and anti-inflammatory medicine. Depending on the condition, the injection can be applied either in the rear, side, or front of the shoulder. This procedure can be done either diagnostically or therapeutically. Diagnostically, it can help to diagnose the cause of the shoulder pain and differentiate the impingement syndrome from other possible conditions of the shoulder. Should the procedure treat the pain, it can be ascertained that the pain attributed to either the subacromial bursa or rotator cuff experiencing inflammation.
Prior to the beginning of the procedure, the patient is positioned in an upright seated manner that is comfortable for the patient and the arm positioned in a hanging, unsupported position. The surface area of the shoulder is sterilized using antiseptic solution or alcohol. A local anesthetic is then applied to help numb the area around the injection site. A needle is then carefully inserted into the joint space beneath the acromion. Once the needle is properly placed, the medication mixture is then injected into the space, helping to provide pain relief as well as reduced inflammation within the shoulder joint.
Once the medication has been applied, the needle is then carefully withdrawn and a bandage is applied to the site of the injection. The patient is advised to apply ice to the injection site immediately following the procedure. The patient is further advised to avoid the need for any strenuous activity that involves the use of the shoulder for the duration of the day. Generally, this procedure is not to be done more than 4 times in a given year.
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Frequently Asked Questions (FAQ's)
A combination of local anesthetics (to numb pain) and opioids (to provide stronger pain control) is commonly used. The mix is tailored according to each patient’s condition and level of pain.
Doctors may recommend an epidural when oral or intravenous pain medicines are no longer providing adequate relief, or when side effects from systemic medications become difficult to manage.
Most patients feel only mild pressure or discomfort during the procedure. Risks are minimal when performed by a trained pain specialist, though possible complications include infection, bleeding, or temporary numbness.
In some cases, patients can manage a portable epidural pump at home under close supervision by a healthcare team. Regular follow-ups ensure proper functioning and safety.
- Upper Body Conditions
- Brachial Plexus Block (Infraclavicular Approach, Ultrasound-guided)
- Brachial Plexus Block (Supraclavicular Approach, Ultrasound-guided)
- Caudal Epidural Steroid Injection
- Celiac Plexus Nerve Block
- Costovertebral Joint Injection
- Epidurals Injections
- Facet Joint Injections
- Facet Nerve Blocks
- Fluoroscopic Guided Piriformis Injection
- Interscalene Brachial Plexus Block
- Intracapsular (Glenoid) Injection
- Joint Injection (Therapeutic, Shoulder)
- Kyphoplasty
- Lumbar Epidural Steroid Injection (With and Without Contrast)
- Lumbar Radiofrequency Neurotomy
- Lumbar Sympathetic Block
- Lumbar Transforaminal Epidural Steroid Injection
- Medial Branch Blocks
- Multimodal Anesthesia & Pain Control
- Myofascial Release
- Neuromuscular Re-education Therapy
- Neurostimulation Therapy (Spinal Cord Simulation)
- Peripheral Joint Injections
- Radial Nerve Block
- Radiofrequency Nerve Ablation
- Regenerative Injection Therapy
- Soft Tissue Injection: Shoulder
- Steroid Injections
- Subacromial Injection
- Tenex Health TX (Minimally Invasive Chronic Tendonitis Treatment)
- Thoracic Epidural Steroid Injection
- Thoracic Facet Radiofrequency Neurotomy
- Thoracic Transforaminal Epidural Steroid Injection
- Trigger Point Injections
- Ultrasound Guided Joint Injections
- Ultrasound Guided Ilioinguinal Nerve Block
- Ultrasound Guided Injection for Knee Pain
- Vertebral Augmentation
- Vertebroplasty
- Visco-Supplementation for Arthritis of the Knee
