Articles

Concurrent Peripheral Pathologies and Complex Regional Pain Syndrome Type 1 as Contributors to Acute Post-Stroke Shoulder Pain: A Case Report

Abstract

Post-stroke shoulder pain is associated with either a peripheral or central pathology. However, most of the time, it is challenging to establish a cause-and-effect relationship between the suggested pathology and shoulder pain reported. We report a 66 year-old man who developed a right hemiplegic shoulder pain two months post stroke with initial investigations suggestive of peripheral pathologies. Pharmacological and non-pharmacological treatment did not improve his shoulder pain. Later he developed complex regional pain syndrome (CRPS) of the right hand and the initial shoulder pain subsequently relieved following resolution of the CRPS.

Roy CW, Sands MR, Hill LD. Shoulder pain in acutely admitted hemiplegics. ClinRehabil 1994;8(4):334-40.

Ratnasabapathy Y, Broad J, Baskett J, Pledger M, Marshall J, Bonita R.Shoulder pain in people with a stroke: a population-based study.ClinRehabil2003;17(3):304-11.

Gamble GE, Barberan E, Laasch HU, Bowsher D, Tyrrell PJ, Jones AK.Poststroke shoulder pain: a prospective study of the association and risk factors in 152 patients from a consecutive cohort of 205 patients presenting with stroke. Eur J Pain 2002;6(6):467-74.

Wanklyn P, Forster A, Young J. Hemiplegic shoulder pain (HSP): natural history and investigation of associated features. Disabil Rehabil 1996;18(10):497-501.

Roosink M, Renzenbrink GJ, Buitenweg JR, van Dongen RT, Geurts AC, Ijzerman MJ. Somatosensory symptoms and signs and conditioned pain modulation in chronic poststroke shoulder pain. J Pain 2011;12(4):476-85.

Aras MD, Gokkaya NK, Comert D, Kaya A, Cakci A.Shoulder pain in hemiplegia: results from a national rehabilitation hospital in Turkey. Am J Phys Med Rehabil 2004;83(9):713-9.

Lo SF, Chen SY, Lin HC, Jim YF, Meng NH, Kao MJ. Arthrographic and clinical findings in patients with hemiplegic shoulder pain. Arch Phys Med Rehabil 2003;84(12):1786-91.

Dromerick AW, Edwards DF, Kumar A. Hemiplegic shoulder pain syndrome: frequency and characteristics during inpatient stroke rehabilitation. Arch Phys Med Rehabil 2008;89(8):1589-93.

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IssueVol 50, No 4 (2012) QRcode
SectionArticles
Keywords
Stroke Shoulder pain Complex regional pain syndrome

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Akhavan Hejazi SM, Mazlan M. Concurrent Peripheral Pathologies and Complex Regional Pain Syndrome Type 1 as Contributors to Acute Post-Stroke Shoulder Pain: A Case Report. Acta Med Iran. 1;50(4):292-294.