What are short-term options for nonsurgical treatment of spinal accessory nerve (SAN) injury?

Updated: Feb 09, 2018
  • Author: Rohan R Walvekar, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Short-term options for nonsurgical therapy include the following:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)

  • Transcutaneous nerve stimulation

  • Regional nerve-blocking procedures with local anesthetics

These options may have short-term benefits for relieving shoulder pain and improving function. The major drawbacks of short-term treatment options are that the efficacy is highly variable and short lived and nerve-blocking procedures require frequent repeat injections. This makes nerve-blocking procedures unfeasible for long-term management. [42]


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