Our Patient
Our patient presented with persistent neck and interscapular pain lasting more than five years, with a history of overhead sports and a prior car accident. The patient had been unsuccessfully treated elsewhere.
The Challenge
Pain had begun prior to the patient’s car accident. The patient had received a brachial plexus hydrodissection, which failed to alleviate pain. An apparent misunderstanding of the underlying issue led to suboptimal treatment outcomes. During our assessment, the patient exhibited sporadic and involuntary scapular twitching, making for a complex diagnosis. Previous treatments had exacerbated the condition.
Our Diagnosis
We conducted a thorough examination to identify physical abnormalities, muscle imbalances, nerve entrapments, and structural irregularities. MRI indicated small disc bulges in the C4-C6 region, with mild degenerative facet arthropathy. We concluded that the patient was experiencing bilateral scalene syndrome, dorsal scapular nerve entrapments, periscapular fascial distortion, and other musculoskeletal issues.
Our Treatment Approach
To alleviate pain, we used focused shockwave therapy to address specific muscle attachments. DNS therapy was used for scapular stabilization, and hydrodissection was performed to target nerve entrapments.
Our Results
Following our treatment plan, the patient experienced significant pain relief, and the involuntary scapular twitching decreased. The patient’s overall function substantially improved.
Request Telehealth 
