iarjaccIARJACCIARJACC2709-188010.47310/iarjacc.2025.v06i01.002Suprascapular Nerve Block with Intra-articular Steroid Injection for Shoulder Pain: A Case Series Using Meier’s Technique in a Resource-limited Setting at Zonal Hospital DharamshalaBackground: Shoulder pain is a common clinical issue and suprascapular nerve block (SSNB) is a well-known intervention for its management. In resource-limited settings where ultrasound is unavailable, Meier’s technique for SSNB offers an effective alternative. This case series aims to evaluate the efficacy of SSNB combined with intra-articular steroid injections for managing shoulder pain in such settings.In settings lacking ultrasound guidance, anatomical landmark-based techniques like Meier’s offer a safe alternative [1]. Methods: We conducted a retrospective case series included 30 patient’s at Zonal Hospital, Dharamshala, where SSNB was performed using Meier’s anatomical landmark technique, with intra-articular steroid injections for patients suffering from chronic shoulder pain.Pain was assessed via VAS scores pre-procedure and at 4 weeks post-procedure. ROM, complications and satisfaction were documented. Results: Thirty patients with chronic shoulder pain were treated with SSNB and intra-articular steroid injections. Significant pain relief was observed in 90% of the cases, with a reduction in Visual Analog Scale (VAS) scores from a mean of 8.2 to 3.1. ROM gains included abduction (+50°), external rotation (+30°) and flexion (+40°). No major complications like pneumothorax or neurovascular injury were observed. Two patients reported mild, self-limited shoulder ache. Eleven of twelve patients expressed high satisfaction. Conclusion: SSNB using Meier’s technique, along with intra-articular steroid injection, is an effective and feasible intervention for shoulder pain in resource-limited settings. It provides significant pain relief and functional improvement without the need for ultrasound guidance.