Role of ultrasound as a guiding modality for suprascapular nerve block in a stroke patient with evaluation of pain alleviation in sub-acute and chronic shoulder Pain

Hemiplegic shoulder is one of the most common forms of presentation in individuals suffering from stroke. They present with severe pain as well limited range of movements in the affected shoulder. This case report demonstrates the use of high-resolution ultrasound guidance to facilitate blockade of the suprascapular nerve which supplies sensation to the shoulder joint. Upon targeted administration of a small dose of medication (local anaesthetic mixed with a corticosteroid) in real time under ultrasound guidance, the patient reported significant reduction in pain as well as improvement in his shoulder movements and function immediate post-procedure and on follow-up at 12-weeks.