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Seems like a better history and physical exam would be the best way to answer that question. Is pain more neuropathic or mechanical? Does it hurt more to move the neck or the shoulder? As a last resort, I’d inject the should as a diagnostic test rather than the neck. Much lower risk and more likely to give a clear diagnostic picture. A good SNRB will also partially anesthetize the shoulder.What's the injectate volume/concentration. Do you start with lidocaine/numbing medication?
Also, how does this help surgeon?
Question posed was is this her shoulder causing pain or coming from neck at C4-C5 where there was severe narrowing - not sure if injection would help answer that?