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What Does Severe Pain Radiating To Arm After Shoulder Surgery Indicate?

Posted on Thu, 7 May 2015

Question: Before shoulder surgery i was given an inter scalene block..about 20 hours later i had severe pain radiating down my arm to my finger tips foe 3 hours...was the needle in the wrong placement?

Answered by Dr. Dr. Muhammad Sareer Khalil (12 minutes later)

Brief Answer:
Injection Neuropathy , possible

Detailed Answer:
Hello and Welcome

I appreciate your concern

Yes, it could impinged upon a nerve. This condition is termed as Injection neuropathy. However , it could also be due to the surgical procedure. If appropriate , Please specify which surgical procedure was performed.

Wishing you best of health

Thanks

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Muhammad Sareer Khalil (18 minutes later)

Shoulder Arthrosocopy for rotator cuff repair.

My procedure was shoulder Arthroscopy for rotator cuff repair...

Answered by Dr. Dr. Muhammad Sareer Khalil (9 hours later)

Brief Answer:
Electroneuromyography if the pain persists

Detailed Answer:
Hello again,

Inter scalene brachial plexus block performed with a standardized technique is associated with a very low incidence of complications. carpal tunnel syndrome, complex regional pain syndrome and plexus neuropathy are some of the possibilities based on your presentation. Electroneuromyography should be advised if the pain worsens or is associated with persistent Paresthesia and dysesthesias and does not respond to NSAIDs and other pain medication, in consult with a neurologist.

Thanks.

Let me know if you have any query

Dr. M.S. Khalil

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj