Rethinking Shoulder Analgesia: Beyond the Interscalene Block

Rethinking Shoulder Analgesia: Beyond the Interscalene Block

From Anesthesia Updates by NYSORA

April 20, 2026 · 12 min · Season 1 · Episode 81

About this episode

This episode explores the limitations of traditional shoulder blocks and discusses advanced techniques for achieving effective joint analgesia.

Why do both traditional and diaphragm-sparing shoulder blocks fall short? This episode explores the role of articular branches, mechanoreceptors, and capsular targeting in achieving true joint analgesia. Based on Chong et al., 2026 , examining the functional anatomy of the axillary nerve. Read more about this on NYSORA.com . =========================================== Where else to find us: Web - ⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠LINK⁠⁠⁠ Instagram - ⁠⁠⁠LINK⁠⁠⁠ LinkedIn - ⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠LINK⁠⁠⁠ Facebook - ⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠LINK⁠⁠⁠ Twitter - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LINK⁠⁠⁠ TikTok - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LINK⁠⁠⁠ --------------------------------------------------------- ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠#nysora⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠#regionalanesthesia⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ #anesthesia⁠⁠ Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any…

People in this episode

Host: NYSORA

Topics covered

  • shoulder analgesia
  • interscalene block
  • regional anesthesia
  • functional anatomy
  • axillary nerve

Keywords

  • shoulder blocks
  • analgesia
  • mechanoreceptors
  • capsular targeting
  • articular branches

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