Suprascapular Nerve Release
Shoulder Surgery
Shoulder pain may be relieved through a suprascapular nerve release surgery. This procedure is performed by Dr Oscar Brumby-Rendell, who uses arthroscopic techniques to minimise surrounding tissue damage.
What is suprascapular nerve release?
This is a surgery that aims to relieve entrapment of the suprascapular nerve. Discomfort and pain are lessened or completely eradicated by releasing pressure on the suprascapular nerve.
What is suprascapular nerve entrapment?
The suprascapular nerve is situated from the shoulder to the brachial plexus and is a prominent nerve in the body. Irritation is caused by nerve impingement (entrapment), which can occur due to tumours, cysts or scapular bone structural changes. Individuals whose suprascapular nerve is entrapped often feel intense, aching pain around the shoulder's top, which may extend to the arm, neck and back.
Individuals who frequently partake in overhead movements, such as tradespeople and athletes, are at a higher risk of this condition. While generally considered a rare condition, suprascapular nerve entrapment is increasing in frequency.
When is suprascapular nerve release performed?
Dr Oscar Brumby-Rendell performs this surgical procedure to relieve suprascapular nerve pressure caused by nerve entrapment. Entrapment may be indicated by shoulder, arm, upper back or neck weakness and pain, which has remained severe despite the implementation of non-surgical management techniques.
The suprascapular nerve can be impinged along multiple points; however, the suprascapular notch (positioned at the scapula's top) is the most common location. Imaging to verify the diagnosis and the location of impingement may be required before you undergo an arthroscopic suprascapular nerve release.Â
What does this procedure involve?
This surgical procedure is conducted with the patient under local anaesthetic. Dr Oscar Brumby-Rendell makes a small incision at the shoulder's top and inserts a small camera into this cut, allowing for visualisation of the surgical site without creating a large open wound. This visual is used to verify the impingement and surgical techniques required to release the pressure.
Dr Brumby-Rendell also makes small incisions in the shoulder's front, providing access points for small surgical instruments. Such are used to relocate or remove damaged tissue, tumours, cysts, bone spurs or other impingement-causing structures.
When the surgical procedure is completed, the instruments are removed, and the wounds are sealed with surgical tape or sutures.
What risks are involved?
Being a surgical procedure, there are specific risks associated with arthroscopic suprascapular nerve releases. Some risks are reduced by arthroscopic techniques as tissue disruption is minimised; however, some remain. These may include:
- Suprascapular nerve damage
- Tissue damage surrounding the shoulder
- Wound infection post-operation
- Anaesthesia reactions
- Blood clots
- Continued weakness and/or pain
- Incomplete healing
Severe outcomes may arise if complications occur during the recovery process. It is important that you discuss any concerning post-surgery symptoms with Dr Brumby-Rendell as soon as possible to promote optimal recovery outcomes.
Recovery
For comfort, your arm will be immobilised with a sling after the operation. However, gentle arm movements are permitted after surgery as pain allows. Medication will be prescribed for pain relief, and it is recommended that you place a pillow under your affected shoulder for more comfortable sleeping.
Approximately 3 weeks after your surgery, you will attend a check-up with Dr Oscar Brumby-Rendell. Here, Dr Brumby-Rendell will perform a physical examination to monitor your recovery, evaluate possible complications, and provide medical advice with regard to everyday activities and work recommencement.
Dr Brumby-Rendell will also organise a tailored rehabilitation plan to increase your shoulder's movement capacities and strength. Generally, you will be able to perform light activities after approximately 6 weeks.
More post-operative information
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