The scapulothoracic bursa is a small fluid-filled sac between the shoulder blade and the rib cage. It reduces friction and helps the shoulder blade move smoothly. When it becomes inflamed, it causes pain and a grinding or snapping sensation in the upper back, also known as scapulothoracic bursitis.
A scapulothoracic bursa injection delivers a local anesthetic and a steroid directly into the bursa. The anesthetic relieves pain, while the steroid lowers inflammation over time.
It’s used for upper back pain, shoulder blade pain, and the painful snapping sensation that comes with inflamed bursa tissue, especially when physical therapy and oral medications haven’t done enough.
You’ll be positioned lying face-down or seated, whichever gives Dr. Tymouch the best access. The upper back is cleaned, and the skin is numbed.
Because the bursa sits in a deep, narrow space, ultrasound guidance is used to place the needle correctly. Once it’s in the right spot, the scapulothoracic bursitis injection itself takes just a few seconds. Most patients feel mild pressure, nothing more.
The whole appointment usually takes 20-30 minutes. You’ll head home shortly after.
Upper back pain that grinds, snaps, or just won’t go away has a source. Finding it is the first step, and the most important one. And we do it the right way.
Dr. Tymouch reviews each case in Chicago, IL, before recommending anything. That might lead to a steroid injection to calm down inflammation, a Botox injection for muscle-driven pain, or maybe something else, depending on your case. The scapulothoracic bursitis treatment plan follows the diagnosis.
As a pain management clinic in Chicago, IL, our focus is on getting you better, not keeping you coming back indefinitely for quick, short relief. Book an appointment and let us help you feel your best.









A scapulothoracic bursa injection is a treatment for inflammation in the bursa located between the shoulder blade and rib cage. It involves injecting a local anesthetic to relieve pain and a steroid to reduce inflammation, helping with conditions like upper back pain and scapulothoracic bursitis.
It treats pain in the upper back, shoulder blade area, and the grinding or snapping sensation caused by an inflamed scapulothoracic bursa. It is especially useful when physical therapy and oral medications have not provided sufficient relief.
People experiencing upper back pain, shoulder blade discomfort, or the grinding/snapping sensation associated with scapulothoracic bursitis who haven’t found relief with physical therapy or oral medications may benefit from this injection.
Most patients can resume normal activities immediately after the injection, although strenuous physical activity should be avoided for 24 hours to ensure optimal results.
