# Transcapular Nerve Block and Subacromial Bursa Injection in Shoulder Pain in Fibromyalgia in a Female Patient: A Case Report

## TL;DR

A 53-year-old woman with fibromyalgia and shoulder pain improved significantly after receiving transcapular nerve blocks and subacromial bursa injections with local anesthetic.

## Contribution

This case report suggests that combining transcapular nerve blocks and subacromial bursa injections may effectively reduce shoulder pain in fibromyalgia patients.

## Key findings

- The patient's pain score decreased from 9 to 2 on the VAS after treatment.
- The patient's shoulder range of motion returned to normal following the injections.
- The treatment combination showed significant improvement in pain and function.

## Abstract

This case report investigates the use of transcapular nerve blocks and subacromial bursa injections with a local anesthetic to manage shoulder pain in a 53-year-old female patient with fibromyalgia. The patient, who was diagnosed with fibromyalgia, bilateral rotator cuff tendinosis, and subacromial bursitis after a fall, showed improvement in pain and function after 8 weeks of treatment with the combined injections. Her visual analogue scale (VAS) score was reduced from 9 to 2, and her range of motions returned to normal. This significant improvement supports the hypothesis that combining the administration of a local anesthetic with transcapular nerve blocks and subacromial bursa injections may effectively reduce shoulder pain in fibromyalgia patients. Future large-scale observational and randomized controlled trials are needed to validate these results.