Deans' stroke musings: Managing painful shoulder after neurological injury

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, November 24, 2023

Managing painful shoulder after neurological injury

Immediately notice how useless this is: 'manage' NOT CURE OR RECOVER!

Managing painful shoulder after neurological injury

Celine Lakra1,
Rachel Higgins1,
Benjamin Beare1,
Rachel Farrell1,2,
Sara Ajina1,
Sophia Burns3,
Marcus Lee3,
Orlando Swayne1,4

Correspondence to Dr Celine Lakra, Department of Therapy and Rehabilitation, National Hospital for Neurology and Neurosurgery, London, WC1N 3BG, UK; celine.lakra@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.

Data availability statement

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

http://dx.doi.org/10.1136/pn-2022-003576

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