When something compresses or pinches a nerve in the shoulder, a person may experience pain, numbness, or tingling. Pinched nerves typically heal without treatment.
A ‘pinched nerve’ is a colloquial term, not a medical one. Compression to nerves across the shoulder and into the spine can all cause pain, numbness, and tingling in the shoulder.
Acute injuries, tissue growth, and changes to bone formation can cause a pinched nerve in the shoulder. This article will identify common symptoms, causes, and treatments for the condition.
A person may also have other symptoms, which include:
- changes in feeling on the same side as the shoulder that hurts
- muscle weakness in the arm, hand, or shoulder
- numbness and tingling in the fingers or hand
Nerve pain in the shoulder is often due to damage in the brachial plexus, a network of nerves that carry signals from the spine down the arm. The shoulder is a complex working system of bone, muscle, and ligament, meaning that nerves in this area are often at risk of mechanical compression.
In particular, the suprascapular nerve travels deep through the trapezius muscles toward the scapula, passing several potential compression points. Compression of the suprascapular nerve is a
Direct injury to the shoulder, repeated movements, and cysts can all cause shoulder nerve compression.
Shoulder pain originating in the neck
People often experience shoulder pain due to a pinched nerve in the neck. This can
Shoulder pain, tingling, or numbness may occur due to nerve compression in the cervical spine specifically. This is the first seven vertebrae.
Some common causes of a pinched nerve in the neck include disc herniation, degeneration, or direct injury.
Doctors will start diagnosis by taking a history and doing a physical examination.
To rule out other potential causes and confirm a diagnosis, they may order imaging tests, including:
- X-ray or computed tomography (CT) scan
- magnetic resonance imaging (MRI)
- electrodiagnostic studies
Most people with a pinched nerve will see symptoms resolve without treatment. However, in cases where symptoms do not resolve independently, medical intervention will be necessary.
A doctor will usually recommend nonsurgical treatments first. If a person’s pain does not respond to these treatments or gets worse, the doctor may then recommend surgery.
Nonsurgical treatments for a pinched nerve include:
- nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen
- oral or injectable corticosteroids
- physical therapy
If the above treatments no longer relieve pain, a doctor may recommend surgery. This may involve decompression of the suprascapular or other identified nerve.
The surgical approach will depend on a person’s symptoms and where nerve compression is occuring.
When a person is experiencing intense symptoms, they may wish to try the following:
- use cold or warm compresses
- gently stretching to lessen stiffness
- take anti-inflammatory or pain-relieving medications
When a person’s symptoms start to get better, they may want to try doing the following to help prevent further episodes of pain:
- Focusing on proper postures when sleeping and sitting at a desk. Adjusting chair and keyboard height may also reduce strain on the back.
- Engaging in regular exercise to reduce stiffness and help maintain a healthy weight.
- Having massages that can boost circulation to inflamed areas can aid healing. Massages can also relieve muscle tension.
A physical or occupational therapist can help recommend exercises and give advice on how to improve posture at home and at work.
A pinched nerve in the shoulder can be a painful problem that can lead to weakness, tingling, and numbness in the hand and arm.
Over-the-counter measures can usually help to reduce symptoms. If these methods do not work, surgical options are available.
People should always talk with their doctor when they have shoulder pain that lasts beyond a few days.