Dorsal scapular nerve (DSN) entrapment syndrome is an under-recognized cause of neck and shoulder pain. DSN injuries can be the origin of a well-defined chronic pain syndrome, often referred to as DSN syndrome. DSN syndrome is often characterized by a dull ache along the medial border of the scapula.
What is shoulder pain?
Definition. Shoulder pain that comes from the joint usually worsens with activities or movement of your arm or shoulder. Various diseases and conditions affecting structures in your chest or abdomen, such as heart disease or gallbladder disease, also can cause shoulder pain. Shoulder pain that arises from another structure is called referred pain.
What is dorsal scapular nerve syndrome?
DSN syndrome is often characterized by a dull ache along the medial border of the scapula. The dorsal scapular nerve may be injured in the neck (at the scalenes) or in the thoracic back at the level of the rhomboids. Dorsal scapular nerve entrapment is a very under-recognized cause of neck and shoulder pain.
What are differential diagnoses for dorsal scapular nerve entrapment?
Differential diagnosis includes: Patients with dorsal scapular nerve entrapment mainly complain of pain over the medial border of the scapula. Patients may also experience interscapular pain, shoulder and arm pain, weakness of arm abduction, and/or winged scapula.
Can gallbladder cause shoulder pain?
Shoulder pain that comes from the joint usually worsens with activities or movement of your arm or shoulder. Various diseases and conditions affecting structures in your chest or abdomen, such as heart disease or gallbladder disease, also can cause shoulder pain.
What can be done to alleviate shoulder pain?
Anti-inflammatory medication. Nonsteroidal anti-inflammatory medications (NSAIDS) help to relieve pain and lower inflammation. Over-the-counter drugs include aspirin, ibuprofen, and naproxen. Cold compress. Cold compresses can help reduce swelling in the shoulder. Cooling also helps to numb sharp pain. Compression. Wrap the shoulder with an elastic medical bandage to help reduce swelling and pain. Use a cold compression bandage or a regular ACE bandage. Heat therapy. Heat helps to relax tense muscles and soothe a stiff shoulder. It can help with muscle pain and arthritis in the shoulder. Muscle relaxants. Muscle relaxants may help treat pain if you have muscle tension or spasms around the shoulder joint. Pain medication. Medications such as acetaminophen and aspirin can help ease pain. This helps you cope with the injury and get better sleep as you recover. Rest and activity modification. Stop or change the activity that may have caused the shoulder pain. It’s important to move the shoulder gently.
What you should know about shoulder pain?
Causes Outside of the Shoulder. The most common cause of pain over the outside of the shoulder is a rotator cuff problem. Front of the Shoulder. Pain in the front of the shoulder is most commonly related to the biceps tendon-that which attaches deep inside the shoulder. Top of Shoulder. All Over the Shoulder.
What is the best pain killer for shoulder pain?
The treatment of soft tissue neck and shoulder pain often includes the use of anti-inflammatory medication such as ibuprofen (Advil or Motrin) or naproxen (Aleve or Naprosyn). Pain relievers such as acetaminophen (Tylenol) may also be recommended. Depending on the source of pain, drugs like muscle relaxers and even antidepressants might be helpful.
What is the best treatment for shoulder injury?
The best treatment in case of mild shoulder pain is rest. Resting the injured area allows it to undergo healing. Two or three days of rest is adequate and may then be followed by light exercise of the area. Ice compresses are also beneficial in alleviating sprains and strains.