title: 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.
authors.affiliation: Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. dr.majid.hejazi@gmail.com
authors.forename: Seyed Majid
authors.initials: SM
authors.lastname: Akhavan Hejazi
authors.forename: Mazlina
authors.initials: M
authors.lastname: Mazlan
mesh_terms: D059787:Acute Pain / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000368:Aged; D000700:Analgesics / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D006801:Humans; D008297:Male; D010147:Pain Measurement; D012019:Reflex Sympathetic Dystrophy / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D020069:Shoulder Pain / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D020521:Stroke / Q000150:complications*; D004561:Transcutaneous Electric Nerve Stimulation; D016896:Treatment Outcome
chemical_list: D000700:Analgesics; D000893:Anti-Inflammatory Agents