What is the role of surgery in the treatment of hemiplegic shoulder pain?

Updated: Feb 08, 2019
  • Author: Robert Gould, DO; Chief Editor: Stephen Kishner, MD, MHA  more...
  • Print
Answer

Answer

In the past, surgical release of tendons and muscle was commonly performed on patients experiencing prolonged spasticity and synergy. For patients experiencing a painful spastic shoulder, surgical transection of the subscapularis and pectoralis tendons was performed to eliminate internal rotation and adduction forces.

Hecht reported that following treatment, up to 88% of these patients had improved pain and increased ROM, with some developing active abduction. [51] Today, this form of treatment rarely is used.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!