Managing painful shoulder after neurological injury

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

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. 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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Data availability statement

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

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