Managing painful shoulder after neurological injury

Shoulder pain is common after neurological injury and can be disabling, lead to poor functional outcomes and increase care costs. Its cause is multifactoral and several pathologies contribute to the presentation. Astute diagnostic skills and a multidisciplinary approach are required to recognise wha...

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Bibliographic Details
Published in:	Practical neurology Vol. 23; no. 3; p. 229
Main Authors:	Lakra, Celine, Higgins, Rachel, Beare, Benjamin, Farrell, Rachel, Ajina, Sara, Burns, Sophia, Lee, Marcus, Swayne, Orlando
Format:	Journal Article
Language:	English
Published:	England 01-06-2023
Subjects:	Hemiplegia - etiology Hemiplegia - rehabilitation Humans Pain Management Shoulder Pain - diagnosis Shoulder Pain - etiology Shoulder Pain - therapy Stroke - complications STROKE HEMIPLEGIA REHABILITATION PAIN CLINICAL NEUROLOGY
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Summary:	Shoulder pain is common after neurological injury and can be disabling, lead to poor functional outcomes and increase care costs. Its cause is multifactoral and several pathologies contribute to the presentation. Astute diagnostic skills and a multidisciplinary approach are required to recognise what is clinically relevant and to implement appropriate stepwise management. In the absence of large clinical trial data, we aim to provide a comprehensive, practical and pragmatic overview of shoulder pain in patients with neurological conditions. We use available evidence to produce a management guideline, taking into account specialty opinions from neurology, rehabilitation medicine, orthopaedics and physiotherapy.
ISSN:	1474-7766
DOI:	10.1136/pn-2022-003576