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Not to be confused with PCA (patient controlled analgesia) pumps which deliver narcotic pain medications subcutaneously or intravenously to post op patients, these intra-articular shoulder pain pumps deliver anesthetic medication such as lidocaine (xylocaine) or bupivacaine (Marcaine) directly into the shoulder joint to essentially numb the pain. These medications are sometimes mixed with epinephrine to enhance the anesthetic pain management.

According to the studies, the hyaline cartilage in the shoulder joint can be badly damaged or destroyed by these medications leaving patients with limited range of motion in the joint and increased or constant pain.

PAGCL

The condition caused by directly injecting these medications into the joint is known as PAGCL or postarthroscopic glenohumeral chondrolysis. According to one study published in the October 2007 issue of The American Journal of Sports Medicine, nearly 63% of patients using these shoulder pain pumps are at risk of developing PAGCL. The study recommends that patients avoid using these pumps, especially those delivering Marcaine with epinephrine, until the safety of these pumps can be determined.

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