title: [The principles of pharmacotherapy of poststroke shoulder pain].
abstract: OBJECTIVE
  To analyze the results of examination and treatment of patients with poststroke shoulder pain.
  
  
  METHODS
  The study included 213 patients who have had a stroke, including 16.4% patients with poststroke shoulder pain in early recovery period and 35.9% patients with poststroke shoulder pain in late recovery period. Therapeutic efficacy of amitriptyline, lidocaine (intravenously), pregabalin, tizanidine and non-steroid anti-inflammatory drugs was assessed.
  
  
  CONCLUSIONS
  Dysfunction of nervous system plays the main role in this pain syndrome. The efficacy of the drugs in the early/late recovery period was estimated as follows: nonsteroidal anti-inflammatory drugs - 33%/12%, amitriptyline - 24%/42%, gabapentin - 10%/13%, lidocaine - 95%/100%, tizanidine - 29%/33%. Seventy-six percent of patients were free of pain after treatment using a regimen suggested by the authors.
authors.affiliation: Kazan State Medical Academy, Kazan; Hospital for war veterans.
authors.forename: R G
authors.initials: RG
authors.lastname: Esin
authors.affiliation: Hospital for war veterans.
authors.forename: M A
authors.initials: MA
authors.lastname: Sitnova
authors.affiliation: Kazan (Volga Region) Federal University, Kazan.
authors.forename: O R
authors.initials: OR
authors.lastname: Esin
mesh_terms: D000588:Amines / Q000008:administration & dosage / Q000627:therapeutic use; D000639:Amitriptyline / Q000008:administration & dosage / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use; D003000:Clonidine / Q000008:administration & dosage / Q000031:analogs & derivatives / Q000627:therapeutic use; D003509:Cyclohexanecarboxylic Acids / Q000008:administration & dosage / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D000077206:Gabapentin; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage / Q000627:therapeutic use; D008297:Male; D000069583:Pregabalin; D020069:Shoulder Pain / Q000188:drug therapy* / Q000209:etiology*; D020521:Stroke / Q000150:complications*; D005680:gamma-Aminobutyric Acid / Q000008:administration & dosage / Q000031:analogs & derivatives / Q000627:therapeutic use
chemical_list: D000588:Amines; D000893:Anti-Inflammatory Agents; D003509:Cyclohexanecarboxylic Acids; D000639:Amitriptyline; D000069583:Pregabalin; D005680:gamma-Aminobutyric Acid; C023754:tizanidine; D000077206:Gabapentin; D008012:Lidocaine; D003000:Clonidine