Does Electrotherapy on the Shoulder Blade Affect Head Discomfort? - Orthopedics

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Electrotherapy for the scapula has caused discomfort in the head?


I am experiencing treatment for my scapula due to autonomic nervous system dysfunction.
The orthopedic doctor provided me with electrical stimulation therapy at the scapula area.
During the therapy, I felt sensations not only in the scapula but also in the occipital region.
The physical therapist mentioned that the muscles in the occipital area are connected to the scapula.
Is it normal for this to affect the occipital region? Will the electrical stimulation applied to the scapula affect the brain and cause harm?

DJ Xiao Zong, 10~19 year old female. Ask Date: 2016/09/26

Dr. Wang Shouji reply Orthopedics


Hello: The occurrence of sharp pain and numbness during electrical therapy is related to the conduction of electrical current to the muscles, which can lead to seizures (often caused by brain lesions).
Thank you!

Reply Date: 2016/09/26

More Info


Electrotherapy, particularly when applied to the shoulder blade area, can indeed have effects that extend beyond the immediate treatment site. The body is interconnected through a complex network of muscles, nerves, and fascia, meaning that stimulation in one area can influence sensations and functions in another. In your case, the sensation of tingling or discomfort in the back of your head during electrotherapy on the shoulder blade is likely due to the anatomical and functional connections between these regions.

The shoulder blade (scapula) is connected to the neck and head through various muscles, including the trapezius and levator scapulae. These muscles play a role in shoulder movement and also support the neck. When electrotherapy is applied to the shoulder blade, it can stimulate these muscles and potentially affect the surrounding nerves, leading to sensations in the neck and even the back of the head. This phenomenon is not uncommon and can be attributed to the way our nervous system processes sensory information.

Regarding your concern about whether the electrical stimulation could "run" to the brain and cause harm, it is important to note that electrotherapy devices are designed to be safe when used correctly. The electrical currents used in therapeutic settings are typically low in intensity and are localized to the area being treated. They are not strong enough to penetrate deeply into the skull or cause direct harm to the brain. However, if you experience any unusual symptoms, such as severe headaches, dizziness, or any other concerning signs, it is crucial to communicate these to your healthcare provider immediately.

In terms of your discomfort, it may be beneficial to discuss your experiences with the physical therapist or physician overseeing your electrotherapy. They can assess whether the sensations you are experiencing are typical or if adjustments to your treatment plan are necessary. Additionally, they may suggest complementary therapies, such as stretching, strengthening exercises, or manual therapy, to help alleviate discomfort in both the shoulder and head areas.

If you are experiencing persistent discomfort in the back of your head, it could also be related to other factors, such as posture, stress, or tension in the neck and shoulder muscles. Addressing these underlying issues through a comprehensive approach that includes physical therapy, ergonomic adjustments, and stress management techniques may provide further relief.

In summary, while electrotherapy on the shoulder blade can influence sensations in the back of the head due to the interconnected nature of the musculoskeletal and nervous systems, it is generally safe when performed by a qualified professional. If you have ongoing concerns or discomfort, it is essential to consult with your healthcare provider for a thorough evaluation and tailored treatment plan.

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