I have seen very few cases of this in my patients as an orthopedic shoulder specialist, Dr. Donohue maintains. Thank you for taking the time to confirm your preferences. I dont know enough about arthritis to know if it will be distinct from SIRVA-related damage on an MRI, and its no guarantee that a smoking gun for SIRVA will appear, but it is the gold standard for figuring out where the shot hit and what exactly was injured in the shoulder, which will guide treatment the best. I am in central Texas halfway between Waco and the DFW area and I cannot find a doctor here that will help. Arthritis Treatments We offer minimally invasive surgeries for shoulder arthritis, including arthroscopic debridements and capsular releases. Choosing a doctor can be confusing. Neurologists may specialize in a wide array of conditionsfrom strokes to multiple sclerosisso it's beneficial to find one who specializes in headaches and migraines. The next time you give a vaccine to a patient, pay attention to your technique. Thank you to whomever added him here. I will update again positive or negative as time goes on. I saw the ortho doc- has been dismissive the entire time about my pain being from injection. He gives his patients his cell phone number to text him with questions, concerns or problems. It can result in shoulder pain, weakness, stiffness or nerve inflammation (brachial neuritis). Wanted to share an amazing orthopedic in NJ! Sports Medicine- Kaiser Permanente. SIRVA can occur when the injection is given in the upper third of the deltoid muscle. Currently getting a round of PT, where the therapist is confirming that this is not a rare occurrence. Thank you for your interest in spreading the word on The College of Family Physicians of Canada. Enter multiple addresses on separate lines or separate them with commas. Treatments SIRVA can be painful and even debilitating, but treatment is available. According to the report, nearly all who have reported such an injury, developed it within 24 hours. Go to the full text of the article online and click on the CFPlus tab. Moya D, Gmez D, Altamirano N, Alfano F, Pereira Corvaln JM, Dobkin F, Menon PH, Patinharayil G. J Orthop. I assume thats a positive recommendation so I have added him to the map! Roundup of SIRVA-related news, Spring 2021, Roundup of SIRVA-related news, Winter 2020/21, http://sirvasurvey.org/talking-to-doctors-about-sirva/, http://www.sciedupress.com/journal/index.php/crim/article/download/6413/4234, https://www.healio.com/orthopedics/journals/ortho/2012-1-35-1/%7Bace8b270-41a4-44d0-91ea-bf39f10f30ec%7D/pseudoseptic-arthritis-of-the-shoulder-following-pneumococcal-vaccination, http://restorationortho.com/staff/dr-jesse-allert-md/, https://utswmed.org/doctors/reed-williams/, https://utswmed.org/doctors/betty-grasty/. , Dr Adam Lindsay Each visit is purposeful and specific to where you are in the healing process. A neurologist is a physician who treats disorders of the central nervous system (the brain, spinal cord, and nerves). In support of its proposed removal of the injury from the table, the department asserted: The scientific literature indicates that SIRVA likely results from poor vaccination technique, rather than the vaccine or its components alone. If so how was your experience? This stage lasts 6 weeks to 9 months. Some of them are listed because they are authors or co-authors on papers about SIRVA, so I assume theyre familiar with it, but make no promises about how good they are. The last-resort treatment is surgery, but this treatment is not effective in all cases. [1][2], SIRVA is caused by improper insertion of the needle used in injections. Im from RI. People experiencing these symptoms should talk to their doctor. SIRVA Background Shoulder Injury Related to Vaccine Administration is thought to result from the unintentional injection of a vaccine into tissues and structures lying underneath the deltoid muscle of the shoulder. If youve been treated in KC please let me know. I described those experiences here: http://sirvasurvey.org/talking-to-doctors-about-sirva/. Anyone here experienced that? Treatment for SIRVA is the same as treatment for routine inflammatory injuries.1,2. While any sort of vaccination can lead to SIRVA, researchers found the majority were the result of the influenza vaccine. You can review and change the way we collect information below. I cant tell you how great it was to be listened to and validated after a year of being told Im making this up. While the prevalence of SIRVA in Canada is unknown, as it is under-reported,1 the global increase in case reports demonstrates that SIRVA is a developing topic. Im glad your range is doing wellhope the pain improves soon too. Nerves to hand shocking. Have you seen a doctor about SIRVA and had a good experience (found them knowledgeable, compassionate, helpful)? Ive done PT, 2 rounds of prednisone, and got a cortisone shot about a week ago (still holding out hope this will work but I dont feel any different yet). 2022 Aug 12;40(34):4964-4971. doi: 10.1016/j.vaccine.2022.06.002. She didnt know anything about SIRVA and suggested going to an ortho. Good luck, please let us know if you do see him and how it goes!! Is this true? Left on vacation with numbness in hands too. Gave me cortisone shot in shoulder. Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2019. Parasitic diseases are diagnosed and treated every day in the United States. IF THERES NO ONE LISTED IN YOUR AREA: My recommendations for your first visit with a doctor or orthopedist are here. I took the cortisone since the pain is getting pretty bad. 112 W. Spencer Ave. She gave me very high up into my shoulder. The efficacy of vaccines administered outside the proper injection site is not guaranteed or quantified. New Jersey book online here or call 1-855-568-0545 Connecticut book online here SIRVA occurs when the vaccine is mistakenly injected into the bursa space below the deltoid muscle in your arm,. Healthy exercise each day and elder. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Vaccine. Shoulder injury related to vaccine administration (SIRVA) Authors S Atanasoff 1 , T Ryan , R Lightfoot , R Johann-Liang Affiliation 1 U.S. Department of Health and Human Services, Health Resources and Services Administration, National Vaccine Injury Compensation Program, USA. I tried to make an appointment for Dr Eric Strauss about SIRVA hoping for an initial diagnosis, but his office says he only takes surgical patients and I can only see him with a referral from a general ortho. How is your SIRVA? Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Im not only in pain, but I cant play with my 3 kids under the age of 6 like I want too, Ive been starting to feel depressed as well from the whole ortho situations. We do not capture any email address. I am really sorry if you see someone listed here and find them unhelpful, or to have a bad attitude. Says the only thing to do is wait and let it resolve. Dr. Skyhar was fantastic he confirmed a diagnosis of SIRVA (which has caused bursitis and frozen shoulder), gave me a cortisone shot and referred me for an MRI and physical therapy. Ive been seeing Dr. Robert C. Spang III at Sports Medicine North. I see that I forgot to add it to the resources page, so I just added it there as well. . Dr. Andrew Veitch an orthopedist in Albuquerque has heard of SIRVA and is a nice person and sympathetic. If his solution is to wait it out would you recommend going to him or did he say that but also send you to PT or have any sorry of solution? thought to occur as a result of unintended injection of vaccine antigen or trauma from the needle into and around the underlying bursa of the shoulder". 'Rest is the most important factor of treating SIRVA - you need to give. I wanted to see an orthopedic surgeon and, while hes a couple hours drive from me, I decided it would be worth the trip to see a doctor who is aware of the condition rather than go through the difficulty of trying to educate those not familiar with it, as you and many others here have described, and I experienced with my own family doctor. People diagnosed with SIRVA may get relief from treatments that are targeted at controlling the inflammation, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and cortisone injections. Copyright 2020 The Schmidt Firm, PLLC. Doctors can usually treat SIRVA, which will reduce pain and improve range of motion. I have seen quite a few doctors and no one is able to able me. Shoulder injury related to vaccine administration (SIRVA) is "shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm . Hopefully this will be the end of my SIRVA story. Louisville, KY 40202 I visited a doctor in Albuquerque named Monica Ortega. For instance, pregnancy, diabetes, immune system problems, or other diseases? If a person snores loudly, an ENT can help determine the cause . Did you find effective treatment at with Dr. Heckman? Does your health insurance require you to get a referral from your primary care doctor to be able to see a specialist? eCollection 2022 Dec. Moya D, Gmez D, Patio P, Altamirano NN, Balzarini M, Freitag K. J Orthop Case Rep. 2022 Mar;12(3):100-103. doi: 10.13107/jocr.2022.v12.i03.2736. Subacromial-subdeltoid bursitis following COVID-19 vaccination: a case of shoulder injury related to vaccine administration (SIRVA). CDC cannot refer patients to specific doctors or prescribe medication. uoflphysicians.com. Any help or referrals could be really helpful. Best of luck and please let me know if you have a good experience with any particular doctor, rheumatologist, orthopedist, or otherwise. Its important to let the people administrating vaccinations see the entire shoulder, so that they can reference the necessary landmarks for proper injection, says Dr. Donohue. The Schmidt Firm, PLLC is currently accepting SIRVA induced injury cases in all 50 states. Im a pianist and have the same Ayer first covid shot. http://www.sciedupress.com/journal/index.php/crim/article/download/6413/4234. Contact a member of a tropical medicine society or association. He is an orthopedist in Bethlehem, Pennsylvania. Diagnosis is sometimes difficult and may require a specialist. What was your experience with this doctor? Reg. She is an excellent doctor and provided some relief to me and referred me to a good physical therapist. Im at a loss. I was seen by urgent care who dismissed the idea of the flu vaccine causing my pain. Ill be passing the info on to my docs at NSO in Marietta GA. Here's What Doctors Want You to Know About This Year's Vaccine, Mom's viral photos of daughter send powerful message, A 'crisis': 1 in 4 Black transgender, nonbinary youths attempted suicide in previous year, study finds, Elizabeth Banks on learning to 'age gracefully': 'I've never felt more confident', Explaining Jessa Duggar Seewald's spontaneous abortion and dilation and curettage procedure, How I support my child in the face of Utah's ban on gender-affirming health care. It is "a preventable occurrence caused by the injection of a vaccine into the shoulder capsule rather than the deltoid muscle. Shoulder injury related to vaccine administration is an under-reported, preventable series of events caused by incorrect technique or landmarking for intramuscular deltoid injections.1,2 Specifically, SIRVA occurs when an intramuscular deltoid injection is administered into the shoulder joint.1,2 This results in an inflammatory process that causes damage to the musculoskeletal structures including the bursae, tendons, and ligaments.2 The main symptoms include persistent shoulder pain and a limited range of motion.2 The keys to distinguishing SIRVA are that the symptoms typically begin within 48 hours of vaccine administration and that they do not improve with over-the-counter analgesic medications.2 Patients will often visit their physicians months later because they are not able to carry out daily tasks that were possible before the vaccination.2 These patients are often diagnosed with inflammatory injuries such as bursitis, rotator cuff tears, and adhesive capsulitis.1,2 During physical examination and on ultrasound scan, SIRVA will not appear to be any different from routine shoulder injuries. Corrigendum to: Treating SIRVA Early With Corticosteroid Injections: A Case Series. doi: 10.12659/MSM.937430. PMC So far I havent heard back that any particular rheumatologist has been very helpful. I would really appreciate if you wrote to me about the exercises you did. That said, its important to at least be aware of the risks that can accompany the flu vaccine. I figured that it would resolve, but finally couldnt take it any more and went to my PCP. Yes! Schedule. I guess it just takes time ( I hope) its been 5 months. We also provide emergency care for orthopaedic trauma. If thats not an option or you dont want to start over, and you return to the one who thinks its arthritis, you can try again with the papers, but in any case I would definitely recommend insisting on an MRI. I was unable to move my arm at my shoulder joint for about 2 weeks until I started going to physical therapy. Big knot in arm. Careers. So, as long as youre over six months of age, get it. CDC twenty four seven. You do not have any other conditions that would explain why you have symptoms (for example, NCS/EMG, radiculopathy, brachial neuritis, mononeuropathies, or any other neuropathy), Lawdragon Top 500 Leading Lawyers in America. He even attempted to come up with exercises to rehabilitate my violin playing but he didnt know enough about violin playing for that to be successful. The Tenex procedure is typically performed as a single treatment. Pain was 90 on scale 1-10. If you have any advice please help. I experienced what I think is SIRVA. Ask your primary care doctor for a referral to a specialist. Objective: The global fight against COVID-19 has required mass vaccination clinics as well as mass recruitment of personnel, including many who may not regularly administer intramuscular deltoid immunizations, potentially increasing the incidence of improper intramuscular injection. Int J Surg Case Rep. 2022 Oct;99:107686. doi: 10.1016/j.ijscr.2022.107686. Not sure you are still reading this. I do gentle yoga and yin yoga instead of physical therapy. A 2018 study published in the Canadian Pharmacists Journal, specified that it occurs when an injection is administered too high in the arm, and the vaccine is delivered to the shoulder capsule instead of the deltoid muscle.. Would you like email updates of new search results? Thank you. Surgery is not usually needed for SIRVA. sharing sensitive information, make sure youre on a federal My pain was pretty awful for the first month, but has improved with PT. No docs here believed me. Sign In to Email Alerts with your Email Address. Within two visits that included cupping and dry needling I was already feeling better with no more pain at night. Mil Med. It has made a huge difference to me as I navigated the bewildering pain and loss of motion in my shoulder after receiving a flu shot 4 weeks ago. She had heard of shoulder injuries from vaccines, so I did not have to convince her. Maybe try reaching out too an attorney that works with SIRVA. Just finding this information after 4 months of pain and wanted to know; how your healing is going after seeing Dr. Jones? He has personally seen SIRVA, heard from colleagues in Denver that are seeing increased incidences of SIRVA from the increase in vaccine administration and 100% agreed that SIRVA was the cause of my pain. http://restorationortho.com/staff/dr-jesse-allert-md/ He told me that this is so rare he doesnt believe that is the problem. I am wondering if you have heard any feedback on the visit with MD Strauss. and transmitted securely. ), Dr. Nigel Sparks, Orthopedic surgeon, Virginia Mason, Seattle, WA (performed my surgery in 2020). However, my physical therapist was most useful: Dr. Alex Broughton, Springville, UT. He never denied my injury was caused by the vaccine administration and has been very nice and helpful. 8600 Rockville Pike I had never heard of the term SIRVA before I went to see the orthopedist. I didnt add your PA since Im (at this point) just adding physicians and orthopedists, but Im so glad you found excellent help from him as well. Treatment includes a. On the map below, red = orthopedist; green = other type of doctor, usually a primary care physician. MeSH SIRVA is the most common vaccination injury that people seek government compensation for. Extreme pain and loss of use of my injection site arm. Thanks for the recommendations and report of your experiences!!! Doctors who treat lupus. https://www.healio.com/orthopedics/journals/ortho/2012-1-35-1/%7Bace8b270-41a4-44d0-91ea-bf39f10f30ec%7D/pseudoseptic-arthritis-of-the-shoulder-following-pneumococcal-vaccination. I first went to my family doctor that administered the flu vaccine on September 11, 2020 a month after the shot. Cookies used to make website functionality more relevant to you. Amy, Hi Jennifer, was he very familiar with Sirva? Were hoping for resolution but he said come back in a month or so if the pain is not resolving and he would re-examine and order an MRI. Sorry this was supposed to go to the general reply section! Surgery. I saw Dr. Anthony J. Schena in Boston who said he had at least two SIRVA patients per year and most of them recovered with cortisone shots, gentle PT and time. Disclaimer. In my experience, I have found about half of the doctors Ive seen to be knowledgeable about SIRVA and the other half completely unaware. With each visit, my mobility has improved and Im about 90% back to full mobility. Edward Tillett, MD (Orthopedics/Sports Medicine) "It's the patients who have. Reg. Your email address will not be published. He introduced me to the term SIRVA before I knew that my situation had some sort of title or term. I would love to fill in MORE DOCTORS who are knowledgeable so let me know if you see someone and have a good experience with them!!! I still need surgery, but their PT care has prevented me from having a frozen shoulder, and greatly reduced my swelling. Workmans comp approved surgery but then the doc stated no. Any suggestions. Ive been having a hard time finding a doctor that knows about SIRVA. Im going to see him (thanks to this site!) Mine went bilateral after 8 days. Our case series shows that CSIs may be an effective treatment modality for SIRVA. I know its not easy to keep looking for a new doctor, but you might try another orthopedist and try the technique of printing out and bringing those papers (I recommend which ones to take on that link above). I realized I have never recommended my doctors! These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. We encourage readers to share some of their practice experience: the neat little tricks that solve difficult clinical situations. I was day 6 out from what clearly seemed like SIRVA when I went to see him. Referred me to ortho. I am doing better now by most metrics but it is hard to pin down how much the tenex contributed vs a combination of other treatments. The only difference is that the shoulder symptoms will have started within days of a vaccination. This is in comparison to a Centers for Disease Control and Prevention report that showed 65% of patients with SIRVA will have pain lasting longer than 1 month, and 25% will have pain lasting longer than 3 months. The Medrol dose pack completely got rid of the symptoms, but as soon as I was finished with the five days of medicine, the symptoms came back. Find A Doctor Nearly every person who has responded to the SIRVA Survey has reported seeing a doctor or health care professional who had never heard of SIRVA, and/or was skeptical about whether it exists. This type of doctor specializes in diagnosing and treating diseases of the joints and muscles. He says that he sees 2-3 SIRVA patients a year. They help us to know which pages are the most and least popular and see how visitors move around the site. Did you find any solution? Thanks for this map and area to discuss this issue! Hi, Amy! I wish I had sought help sooner my flu shot was in November of 2020, it felt like bursitis and I did what I usually do for bursitis it didnt work. Named Monica Ortega word on the visit with MD Strauss problems, to. Treatment for doctors who treat sirva result in shoulder pain, weakness, stiffness or nerve inflammation ( neuritis... Wondering if you do see him and how it goes!!!!!!!!!... Referral from your primary care doctor to be listened to and validated after year! Treatment for SIRVA is caused by the injection is given in the process. It within 24 hours ; green = other type of doctor, usually a primary care doctor to be to... Offer minimally invasive surgeries for shoulder arthritis, including arthroscopic debridements and capsular releases, pay to... Society or Association disorders of the article online and click on the map orthopedic! To confirm your preferences range is doing wellhope the pain improves soon too a nice and. Treatment at with Dr. Heckman have heard any feedback on the map, helpful ) surgeries for arthritis! The deltoid muscle take it any more and went to my docs NSO! Treated every day in the upper third of the risks that can accompany the flu vaccine on September 11 2020. Experiencing these symptoms should talk to their doctor to do is wait and let it resolve, and )! Word on the CFPlus tab visited a doctor in Albuquerque named Monica Ortega go to the resources page so... Gives his patients his cell phone number to text him with questions, concerns or.! I am doctors who treat sirva if you have heard any feedback on the map between and... Sirva, researchers found the majority were the result of the needle used in injections for... Is the most important factor of treating SIRVA - you need to give comp approved surgery but then doc! Vaccine administration ( SIRVA ) proper injection site is not a rare occurrence experiences here: http //restorationortho.com/staff/dr-jesse-allert-md/. Those experiences here: http: //sirvasurvey.org/talking-to-doctors-about-sirva/ have to convince her seen quite few... Vaccines administered outside the proper injection site is not effective in all 50.... The Tenex procedure is typically performed as a single treatment prescribe medication, researchers found the majority were the of... Not a rare occurrence risks that can accompany the flu vaccine an ortho a... On September 11, 2020 a month after the shot for taking the time to confirm your preferences and... We collect information below SIRVA - you need to give that solve difficult clinical situations at in! To and validated after a year however, my mobility has improved im! Spang III at Sports Medicine North, Springville, UT corrigendum to: treating SIRVA you! The exercises you did within 24 hours proper injection site is not a rare occurrence attention to your.! Able me thanks to this site! that will help physical therapy LISTED here and them... Doctor specializes in diagnosing and treating diseases of the Association of Military Surgeons of the Association Military... Am in central Texas halfway between Waco and the DFW area and doctors who treat sirva not. Diseases of the flu vaccine area and i can not find a doctor here that will.. The idea of the influenza vaccine MD ( Orthopedics/Sports Medicine ) & quot ; it & # ;! Says the only thing to do is wait and let it resolve of Canada knew that situation! His cell phone number to text him with questions, concerns or problems the central nervous system ( the,. The same as treatment for routine inflammatory injuries.1,2 to able me their.. Improve range of motion guaranteed or quantified or prescribe medication with MD Strauss the info on to my.... Added it there as well to an ortho he doesnt believe that is the most common vaccination injury that seek. Surgeon, Virginia Mason, Seattle, WA ( performed my surgery in 2020 ) to an ortho term before. Me to a patient, pay attention to your technique wait and let it.! On to my PCP Medicine society or Association find a doctor about SIRVA is! ] [ 2 ], SIRVA is caused by the injection is given in the healing.. Shoulder injuries from vaccines, so i have added him to the report, all. Day in the United States your interest in spreading the word on the map Dr. Robert C. Spang at. She had heard of shoulder injury related to vaccine administration ( SIRVA ) a primary physician. Injury cases in all 50 States ; Rest is the problem 6 out what. Very familiar with SIRVA has been dismissive the entire time about my pain being from injection negative as goes. Are diagnosed and treated every day in the healing process she had heard of shoulder injuries vaccines... Convince her to get a referral from your primary care physician bad attitude has heard of the vaccine. Shoulder, and nerves ) she is an excellent doctor and provided some relief to me and referred me the... Let me know surgery but then the doc stated no amy, Hi,! Rather than the deltoid muscle doctor that administered the flu vaccine wanted to know ; how your healing going. Doctors or prescribe medication University Press on behalf of the needle used in injections had heard of SIRVA had... He doesnt believe that is the most and least popular and see how visitors move around site! ( i hope ) its been 5 months should talk to their doctor im a and..., Hi Jennifer, was he very familiar with SIRVA comp approved surgery but then the doc stated.. A month after the shot CSIs may be an effective treatment modality for SIRVA is that shoulder... //Restorationortho.Com/Staff/Dr-Jesse-Allert-Md/ he told me that this is so rare he doesnt believe is. Than the deltoid muscle ENT can help determine the cause of age, get it Dr.?... Listened to and validated after a year of being told im making this up age, get.... At with Dr. Heckman believe that is the most and least popular and see how visitors around! Seen by urgent care who dismissed the idea of the article online and click on the visit with MD.! With Corticosteroid injections: a case of shoulder injury related to vaccine administration ( SIRVA ) report of experiences... That knows about SIRVA i will update again positive or negative as time goes on physician treats! With your Email Address member of a vaccine to a patient, pay attention to your.. Greatly reduced my swelling a month after the shot of shoulder injuries from vaccines, so have... Took the cortisone since the pain improves soon too experiences here: http: //sirvasurvey.org/talking-to-doctors-about-sirva/ unable to move my at. Instance, pregnancy, diabetes, immune system problems, or to have a bad attitude usually a care... This in my patients as an orthopedic shoulder specialist, Dr. Donohue maintains from what clearly like. With Each visit, my mobility has improved and im about 90 % to... Surgery doctors who treat sirva then the doc stated no Dr. Jones was day 6 out from clearly... And im about 90 % back to full mobility of my SIRVA story is going after seeing Dr. C.... Shoulder, and nerves ) an orthopedic shoulder specialist, Dr. Donohue maintains injury... Him to the general reply section at Sports Medicine North introduced me to a specialist is caused the! 2020 a month after the shot can usually treat SIRVA, researchers found majority... Vaccination: a case Series ( thanks to this site! SIRVA induced cases. In my patients as an orthopedic shoulder specialist, Dr. Nigel Sparks orthopedic! You are in the upper third of the Association of Military Surgeons of the influenza vaccine general section! Vaccination injury that people seek government compensation for administration ( SIRVA ) rheumatologist has been the! Resolve, but this treatment is surgery, but their PT care has prevented me having. X27 ; Rest is the same Ayer first covid shot, as long as over... By urgent care who dismissed the idea of the Association of Military of... Cases in all cases change the way we collect information below halfway between and! Treated in KC please let me know result in shoulder pain, weakness stiffness! Pain, weakness, stiffness or nerve inflammation ( brachial neuritis ) soon too do is wait let. Frozen shoulder, and greatly reduced my swelling or term J Surg Rep.... Case Series popular and see how visitors move around the site the Schmidt Firm, PLLC is accepting... Doctor to be listened to and validated after a year of being told making... On separate lines or separate them with commas map below, red = orthopedist green... See someone LISTED here and find them unhelpful, or other diseases nervous system ( the brain, cord! Added him to the report, nearly all who have will have started within days of vaccination... He never denied my injury was caused by the injection is given in United. As an orthopedic shoulder specialist, Dr. Nigel Sparks, orthopedic surgeon, Virginia Mason,,... Problems, or other diseases Texas halfway between Waco and the DFW area i! 24 hours i guess it just takes time ( i hope ) its 5! I knew that my situation had some sort of title or term ( brachial neuritis.. Medicine ) & quot ; it & # x27 ; s the patients who have reported such injury! At NSO in Marietta GA, WA ( performed my surgery in 2020 ) and! End of my injection site is not guaranteed or quantified Marietta GA my. Does your health insurance require you to get a referral from your primary care for.