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Original Article
The Triscapular Block: A New Application of Therapy of Periscapular Pain and Glenohumeral Restriction
  1. Jim Long, MD, DABA*,
  2. Gerald Peer, MD† and
  3. John Cwik, MD, DABA‡
  1. From the Departments of Anesthesiology, WVU Medical Center, Morgantown, West Virginia, and SUNY at Buffalo, Buffalo, New York
  2. * Assistant Professor, Director of Pain Clinic, Department of Anesthesiology, WVU Medical Center, Morgantown, WV.
  3. †Co-director of Pain Clinic, Department of Anesthesiology, SUNY at Buffalo, Combined Anesthesia Residency, Buffalo General Hospital, Buffalo, NY.
  4. ‡Clinical Professor, Department of Anesthesiology, WVU Medical Center, Morgantown, WV.

Abstract

After a series of 1-10 triscapular nerve blocks, significant subjective pain relief lasting longer than 1 month was verified by chart review in 30 of 50 patients with chronic pain who had periscapular myofascial pain syndromes. The triscapular block is the combination of suprascapular and infrascapular nerve blocks with subscapular infiltration of local anesthetic. The triscapular block provides shoulder capsule analgesia and offers relief of arm and chest wall pain. When impaired, glenohumeral range of motion is often improved, especially when the block is combined with physical therapy.

  • Atypical chest pain
  • frozen shoulder
  • impingement syndrome
  • periscapular myofascial pain
  • scapulocostal syndrome
  • shoulder-hand syndrome
  • shoulder pain
  • Tietze's syndrome

https://doi.org/10.1136/rapm-00115550-198712020-00002

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