I have a case for everyone: Lady with moderate supraspinatus tendinosis of the shoulder and full thickness tear. Ortho doesn't want to touch her, and she hasn't responded to physio. She has had minimal response to meds / long acting opioids / elavil / NSAIDs etc. I just started her on Lyrica. To complicate matters, she is about to undergo radiation therapy to her upper chest / lung for a questionable cancer. She has severe pain. The advisability of attempting ( i.e. in the setting of rad Tx ) a suprascapular nerve block ? The primary concern here would be that of increased risk of bleeding.