Pinched Nerve in Shoulder: Causes, Symptoms and Treatment

Pinched Nerve in Shoulder: Causes, Symptoms and Treatment

A pinched nerve in shoulder occurs when a nerve is compressed by surrounding tissues such as bones, cartilage, or muscles. This compression, also known as nerve root compression, can disrupt the nerve’s function, leading to discomfort, numbness, or weakness. This condition is relatively common, impacting approximately 85 out of 100,000 Americans every year, which equates to slightly less than 1% of the population.

Ignoring pinched nerve shoulder blade pain or associated symptoms like shoulder to hand pain can lead to chronic discomfort and limited mobility. Addressing the issue early with effective treatments, such as physical therapy or therapeutic exercises, is essential for preventing long-term complications.

What Causes a Pinched Nerve in the Shoulder

Understanding the causes of a pinched nerve in the shoulder is essential for identifying potential risk factors and preventing future issues. Various structural problems, lifestyle habits, and injuries can contribute to nerve compression, leading to discomfort and mobility limitations.

  • Herniated Discs and Disc Degeneration: When a disc in the cervical spine bulges or ruptures, it can press against nearby nerve roots, causing a pinched nerve in the shoulder. Over time, disc degeneration due to aging or wear and tear can exacerbate this condition.
  • Bone Spurs: Bone spurs, which are bony growths that develop along joints, can narrow the spinal canal and compress the brachial plexus or other nerves near the suprascapular nerve. This compression can lead to shoulder blade pain or tingling in the arm.
  • Poor Posture: Sitting or standing in an upright position is critical for maintaining healthy shoulders. Poor posture, especially while working at a desk or using an unsupportive chair, places undue stress on the neck and shoulder muscles, leading to nerve compression.
  • Repetitive Motions: Frequent overhead movements, as seen in sports like tennis or professions involving heavy lifting, can lead to shoulder injuries and nerve pain. Over time, repetitive motions can inflame the surrounding tissues, worsening the condition.
  • Acute Injuries: Trauma to the shoulder, such as falls or sports-related impacts, can result in nerve compression. Research shows that nerve injuries occur in roughly 6% of patients with shoulder dislocations. Such acute injuries can lead to complications like nerve root compression, further exacerbating the issue. Recognizing and addressing these injuries promptly can prevent long-term consequences.

Symptoms of a Pinched Nerve in the Shoulder

Recognizing the symptoms of a pinched nerve in the shoulder is crucial for early diagnosis and treatment. Symptoms can range from mild discomfort to debilitating pain, often affecting not just the shoulder but also radiating to the arm and hand.

Numbness

Numbness often begins in the shoulder and may extend to the arm or fingers, indicating that the nerve roots are compressed.

Tingling or Pins-and-Needles Sensation

The pins-and-needles sensation, also known as paresthesia, often affects areas from the trapezius muscles to the hands and signals poor nerve function.

Muscle Weakness

Compression of the brachial plexus or suprascapular nerve can weaken muscles in the shoulder and arm, making everyday tasks like lifting or gripping objects challenging.

Sharp Pain

Pain from a pinched nerve in the shoulder is often sharp, stabbing, or burning. It can radiate along the arm and into the hand, mimicking symptoms of cervical radiculopathy.

Symptoms Radiating from the Shoulder to the Hand

Radiating pain, tingling, or numbness from the shoulder to the hand often points to a pinched nerve caused by herniated discs or bone spurs.

How to Diagnose a Pinched Nerve in the Shoulder

How to Diagnose a Pinched Nerve in the Shoulder

Accurate diagnosis is the foundation of effective treatment for a pinched nerve in the shoulder. By combining a detailed medical history, physical examinations, and advanced imaging techniques, healthcare professionals can pinpoint the source of the problem and recommend the best course of action.

Medical History Review

Doctors will review your symptoms, lifestyle habits, and history of shoulder injuries, repetitive strain, or acute trauma to pinpoint potential causes.

Physical Exam

During the exam, a healthcare provider will check for reflexes, muscle strength, and range of motion in the shoulder, neck, and arm.

Imaging Tests

Imaging tests play a crucial role in accurately diagnosing a pinched nerve in the shoulder. These advanced tools provide detailed visuals of the bones, nerves, and surrounding tissues, helping healthcare professionals identify the exact location and cause of the nerve compression. By using imaging tests, doctors can develop a targeted and effective treatment plan to address the condition.

  • X-rays or Computerized Axial Tomography (CT scans): These help identify bone spurs or structural abnormalities compressing the nerves.
  • MRI Scans: MRI scans provide detailed images of soft tissues, such as discs and nerves, to diagnose conditions like herniated discs.
  • Electromyography (EMG): This test measures electrical activity in muscles, helping to locate the specific site of nerve pain or dysfunction.

Treatment for a Pinched Nerve in the Shoulder

Treating a pinched nerve in the shoulder involves a range of options, from simple self-care measures to more advanced medical interventions. Knowing how to release a pinched nerve in the shoulder is crucial to alleviating symptoms and restoring function. Whether addressing pinched nerve shoulder blade pain with stretches or opting for physical therapy, these treatments can help reduce discomfort, improve mobility, and prevent long-term complications.

Applying Ice or Heat

Using ice and heat packs can reduce inflammation and relieve pain. Ice is ideal for acute swelling, while heat promotes circulation and muscle relaxation.

Gentle Stretches

Gentle stretches are a key component of relieving a pinched nerve in the shoulder. These movements help to reduce pressure on the affected nerve, improve flexibility, and promote better circulation to support healing. Incorporating these stretches into your routine can enhance recovery and prevent further complications.

Nonsteroidal Anti-inflammatory Drugs (NSAIDs)

NSAIDs are a common treatment for reducing inflammation and managing the pain associated with a pinched nerve in the shoulder. These over-the-counter medications, such as ibuprofen, can provide significant relief and allow for greater mobility during recovery. Proper usage is essential to ensure safety and effectiveness.

Oral Corticosteroids

Oral corticosteroids are a more potent option for managing severe inflammation caused by a pinched nerve in the shoulder. These medications reduce swelling and irritation around the nerve, relieve pain, and improve functionality. They are typically prescribed for short-term use under a doctor’s supervision.

Steroid Injections

Steroid injections deliver targeted relief to the site of nerve compression. These injections can alleviate pain and improve mobility by reducing inflammation around the pinched nerve in the shoulder. This minimally invasive treatment is often recommended for cases where other therapies have not provided adequate relief.

Physical Therapy

Physical therapy is a cornerstone treatment for addressing a pinched nerve in the shoulder. It combines therapeutic exercises, posture correction, and strengthening techniques to relieve pain, improve mobility, and prevent recurrence. Guided by a trained therapist, these sessions are tailored to individual needs for optimal results.

Exercises to Release a Pinched Nerve

Targeted exercises can play a significant role in relieving a pinched nerve in the shoulder. Incorporating pinched nerve shoulder blade pain stretches into your routine can effectively reduce tension and alleviate discomfort. These simple, therapeutic movements are designed to reduce pressure on the nerve, restore mobility, and promote long-term shoulder health.

Head Turn

The head turn exercise is a simple yet effective way to relieve tension in the neck and shoulder, helping to alleviate symptoms of a pinched nerve in the shoulder. This stretch gently mobilizes the cervical spine and improves flexibility, supporting long-term nerve health.

Shoulder Roll

Shoulder rolls are designed to release tension in the upper back and neck while improving posture. This exercise helps reduce pressure on the affected nerve and is particularly effective for addressing pinched nerve shoulder blade pain.

Chin Tuck

The chin tuck is a therapeutic exercise that strengthens neck muscles and enhances posture. By aligning the cervical spine, this stretch helps to reduce compression on the nerve and prevent recurring issues related to a pinched nerve in the shoulder.

How to Prevent a Pinched Nerve in the Shoulder

How to Prevent a Pinched Nerve in the Shoulder

To prevent a pinched nerve in the shoulder, adopting proactive measures is key to avoiding conditions like cervical radiculopathy or shoulder injuries. Maintaining good posture by sitting or standing in an upright position minimizes strain on the neck and shoulders. Setting up an ergonomic workstation with supportive chairs and screens positioned at eye level can further reduce stress on these areas. Incorporating movement snacks, such as regular breaks and stretches, helps counteract the effects of repetitive motions that contribute to nerve compression.

Additionally, engaging in a proper warm-up and cool-down routine before physical activity prepares the muscles for exertion and prevents unnecessary strain. For those at risk, incorporating physical therapy treatment into their routine can further enhance muscle strength and flexibility, reducing the likelihood of nerve compression.

Relieve Shoulder Nerve Pain with Continuous Motion Physical Therapy

Continuous Motion Physical Therapy specializes in providing personalized, evidence-based treatment plans to address conditions like a pinched nerve in the shoulder. Our expert team utilizes innovative techniques to reduce pain, restore mobility, and improve overall function. With a focus on tailored therapeutic exercises and advanced physical therapy methods, we empower you to overcome challenges like pinched nerve shoulder blade pain and regain an active, pain-free lifestyle. Trust Continuous Motion Physical Therapy for compassionate care and lasting results.

Continuous motion therapy involves gentle exercises and stretches designed to relieve nerve compression, strengthen muscles, and improve mobility. Working with a skilled physical therapist can accelerate recovery and help prevent future nerve-related issues.

Conclusion

A pinched nerve in the shoulder can lead to significant discomfort, from numbness and tingling to shoulder to hand pain. By recognizing the symptoms early and seeking proper care—whether through physical therapy, therapeutic exercises, or medical interventions—you can alleviate pain and improve quality of life.

FAQs

How do I get rid of a pinched nerve in my shoulder?

Combine gentle stretches, such as head turns or shoulder rolls, with ice and heat packs and anti-inflammatory pain relievers. Consult a healthcare professional for persistent symptoms.

How long will a pinched nerve in the shoulder last?

Mild cases can resolve in a few weeks with self-care measures, but severe cases, such as those caused by herniated discs or bone spurs, may require months of treatment.

Do pinched nerves go away on their own?

While some cases improve naturally, lifestyle changes and physical therapy often expedite recovery and prevent complications.

A man in a suit and tie smiling.
Author

Dr. Cameron Moore

PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

Helping active people STAY active

Want To Get Relief Faster?

Choose which option works best for you
Scroll to Top

Dr. Khristian McGinley, PT, DPT Cert. DN

therapy in pregnancy

Dr. Khristian McGinley, physical therapist, grew up here in Phoenix, as a competitive softball player with a longtime passion for health and wellness. After sustaining an elbow injury in high school and attending PT herself, she knew that she wanted to pursue a career helping people recover from injuries and getting back to doing what they love. She eventually received her B.S in Nutritional Sciences from the University of Arizona in 2013, then earned her Doctorate in Physical Therapy from Franklin Pierce University in 2017.

Dr. McGinley began her career with a passion in pediatrics and orthopedics, undergoing coursework to treat diagnoses such as torticollis, developmental delay, and toe walking. She also became certified in Dry Needling in 2017, and since then has been additionally trained in Dry Needling for Pelvic Rehabilitation. After the challenging birth of her first child, she developed a passion for treating the pregnant and postpartum population. She became specialty training in Pelvic Floor Rehabilitation in 2021 and since then has focused her practice on helping moms achieve pain free pregnancy, peaceful childbirth, and complete postpartum recovery. She specializes in diagnoses such as urinary incontinence, diastases recti, pelvic organ prolapse, and pelvic pain.

Outside of the clinic, Dr. McGinley enjoys hiking, running, camping, weight lifting, and playing slow pitch softball. She loves spending as much time as she can outside with her husband and two children.

Dr. Khristian McGinley’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)
  • Specialty-trained in Pelvic Floor Therapy

Renée Ruchala - CSCS

Renée Ruchala, Strength and Conditioning Specialist grew up in Chicago, IL. Growing up as a dancer, she developed a deep passion for fitness, sports, and health. After hitting a plateau in her ballet, she realized the benefits of strength training for dancers and all athletes. She knew she wanted to pursue a career in coaching athletes. 


She earned her Bachelor’s degree in Exercise Science from Grand Canyon University in 2023. Renée was a sports performance intern at the University of Utah, Arizona State University, and Grand Canyon University. She worked alongside collegiate strength and conditioning coaches with both men’s and women’s Olympic sports teams in the weight room. 


In addition to sports performance, Renée is also a professional dancer with the Arizona Rattlers Indoor Football Team and a Coach at F45 Training GSQ.


Renée’s Certifications:

  • Certified Strengthen and Condition Specialist (CSCS) 

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

skilled thrapist

Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

weightlifting in physical therapy

Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified