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Managing painful shoulder after neurological injury
  1. Celine Lakra1,
  2. Rachel Higgins1,
  3. Benjamin Beare1,
  4. Rachel Farrell1,2,
  5. Sara Ajina1,
  6. Sophia Burns3,
  7. Marcus Lee3,
  8. Orlando Swayne1,4
  1. 1 Department of Therapy and Rehabilitation, National Hospital for Neurology and Neurosurgery, London, UK
  2. 2 Department of Neuro-inflammation, Queen Square Institute of Neurology, University College London, London, UK
  3. 3 Department of Orthopaedics, University College London, London, UK
  4. 4 Department of Clinical and Movement Neurosciences, Queen Square Institute of Neurology, University College London, London, UK
  1. Correspondence to Dr Celine Lakra, Department of Therapy and Rehabilitation, National Hospital for Neurology and Neurosurgery, London, WC1N 3BG, UK; celine.lakra{at}nhs.net

Abstract

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.

  • PAIN
  • CLINICAL NEUROLOGY
  • HEMIPLEGIA
  • REHABILITATION
  • STROKE

Data availability statement

All data relevant to the study are included in the article.

https://doi.org/10.1136/pn-2022-003576

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    Data availability statement

    All data relevant to the study are included in the article.

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    Footnotes

    • Collaborators Not applicable

    • Contributors The authors of this paper have all contributed fairly to the writing and/or editing of this paper. All authors approved the final submission.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests There are no directly competing interests. Full disclosures have been made and submitted via ICMJE forms.

    • Provenance and peer review Commissioned. Externally peer reviewed by Stephen Kirker, Cambridge, UK.

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