What is the role of injections in the diagnosis and treatment of hemiplegic shoulder pain?

Updated: Feb 08, 2019
  • Author: Robert Gould, DO; Chief Editor: Stephen Kishner, MD, MHA  more...
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Injections can be used for both diagnosis and therapy. They may help to alleviate shoulder pain and inflammation associated with bursitis and/or tendonitis. Motor point blocks and neurolysis are other procedures that may be used. Suprascapular nerve block has been successfully used for hemiplegic shoulder pain. [42, 43]  For example, a study by Picelli et al reported that suprascapular nerve blocks benefit long-term chronic stroke patients with hemiplegic shoulder pain. Patients in the study received 1 mL of 40 mg/mL methylprednisolone and 10 mL 0.5% bupivacaine hydrochloride, with significant improvements seen in the visual analogue scale score at 1 hour and 1 week after injection. Moreover, significant improvement in the American Chronic Pain Association Quality of Life Scale score was seen at 1 month. [44]

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