813-533-6259 ✉ breakthrupain@gmail.com   

There are a multitude of causes for shoulder pain. Patients who typically come to Breakthru Clinic have already seen an orthopedic surgeon and have exhausted all available options. Patients have had rotator cuff repair or shoulder arthroscopy or frozen shoulder or total shoulder replacement and continue to have pain despite surgery or are deemed not to be candidates for surgery. Dr. Kalava can treat Shoulder Pain caused by nerve irritation by using his exceptional ultrasound skills.

What are the three main nerves that sense pain in the shoulder?

  • Suprascapular Nerve

  • Axillary Nerve

  • Lateral Pectoral Nerve

Steps in Diagnosing & Managing your Shoulder Pain:

  1. Clinical Examination

  2. Diagnostic Nerve Block(Ultrasound Guided): To identify which nerve is irritated

  3. Therapeutic Options: Radio Frequency Ablation/Peripheral Nerve Stimulation (https://stimrouter.com/)

Unlike regular pain doctors, Dr. Kalava only focuses on extremities, joints, pelvic and truncal pain and only utilizes ultrasound to perform any required procedures eliminating harmful radiation (X-ray) exposure.

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Article By Dr. Kalava on Suprascapular Nerve Block

Kalava A, Arslan OE, McClain RL. Supraspinatus plane block: A novel approach to suprascapular nerve block for rotator cuff repair. J Clin Anesth. 2019 Mar 6;57:20-21

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