Interscalene brachial block

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At the Pain Management Clinic of Dr. Patrice Langlois, our goal is to improve your quality of life. We achieve this through effective pain management strategies such as an interscalene brachial block. This treatment aims to relieve pain and discomfort in the shoulder and upper arm regions. This procedure offers considerable relief, particularly for those suffering from chronic pain and shoulder stiffness. Our emphasis is on attentive care, and our dedicated team is committed to ensuring your comfort and well-being.

What conditions can be treated with interscalene brachial block?

Interscalene brachial block injections work by interrupting pain signals to the brain. They can be particularly beneficial for pain management in the following cases:

  • Shoulder ankylosis
  • Elbow ankylosis
  • Capsulitis
  • Upper limb neuralgia
  • Upper limb neuropathy
  • Complex regional pain syndrome (CRPS) of the upper limb

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Does chronic pain prevent you from enjoying life’s simple pleasures?

Our clinic uses a diverse range of medications, products and modalities to effectively manage and treat your pain.

The interscalene brachial block uses the following medication:

Bupivacaine

Bupivacaine is a long-acting local anesthetic that numbs the targeted area for several hours, providing immediate pain relief.

Technique

The interscalene brachial block technique involves direct injection into the interscalene space, using ultrasound guidance.

Goals

The main aim of this treatment is to reduce pain rapidly and considerably, while encouraging the physiotherapy often associated with it.

Success

The success of interscalene brachial block treatment varies according to the type of pathology and the patient’s pain history.

What can I expect after an interscalene brachial block?

The interscalene brachial block offers relief to patients suffering from shoulder and upper arm pain. The procedure reduces pain intensity and improves range of motion and overall mobility of the affected areas. It is used in conjunction with a physiotherapy and rehabilitation program. Patients generally enjoy relief lasting several hours or even days. By specifically targeting the nerve roots of the brachial plexus, interscalene brachial blocks help manage chronic pain and offer a tailor-made solution for improved function.

Chronic pain isn't just physical, it's emotional too. You're not alone, and we're here to help.

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FAQ

Visit our FAQ section to find out more about our procedures. You will find answers to many of your questions.

What is an interscalene brachial block?

An interscalene brachial block is a procedure in which a local anesthetic is injected near the brachial plexus in the neck to relieve pain and discomfort in the shoulder, arm and hand regions.

Who can have an interscalene brachial block?

Patients suffering from chronic pain, such as capsulitis of the shoulder or arm, may be good candidates for an interscalene brachial block.

How is an interscalene brachial block performed?

During the procedure, the patient is made comfortable and the injection site is numbed using a local anesthetic. Using ultrasound or palpation, a needle is inserted close to the nerve roots of the brachial plexus, and a local anesthetic solution is injected to block pain signals.

How long does pain relief last?

The duration of pain relief after interscalene brachial block can vary, but many patients experience relief for several hours or days after the procedure.

What are the risks or side effects of interscalene brachial block?

Interscalene brachial block is generally very safe. However, as with any procedure, there are risks such as temporary numbness, infection at the injection site or allergic reactions.

How often can I receive interscalene brachial block injections?

Interscalene brachial blocks can be repeated. Most patients require treatment every 1-2 weeks in combination with mobilization physiotherapy.

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