M.A. SITNOVA^1,3, O.R. ESIN², R.G. ESIN³

¹Hospital for war veterans, Kazan city, 5 Isayev St., Kazan, Russian Federation, 420039

²Kazan (Volga Region) Federal University, 18 Kremlyovskaya St., Kazan, Russian Federation, 420008

³Kazan State Medical Academy, 11 Mushtari St., Kazan, Russian Federation, 420012 

Sitnova M.A. — neurologist of Hospital for war veterans of Kazan city, correspondence postgraduate student of the Department of Neurology and Manual Therapy of Kazan State Medical Academy, tel. +7-960-034-98-78, e-mail: marinotchka@mail.ru^1,3

Esin O.R. — Candidate of Medical Sciences, Assistant of the Department of Morphology and General Pathology of the Institute for Fundamental Medicine and Biology of Kazan (Volga Region) Federal University, tel. +7-917-899-63-36, e-mail: olegesin@gmail.com²

Esin R.G. — Doctor of Medical Sciences, Professor of the Department of Neurology and Manual Therapy, tel. +7-917-399-06-05, e-mail: radyesin@gmail.com³ 

The article presents the results of examination and treatment of 213 patients with ischemic stroke. 16.4% patients had post-stroke shoulder pain in early recovery period and 35.9% patients had post-stroke shoulder pain in late recovery period. It is stated that the dysfunction of nervous system plays the main role in this pain syndrome, which is manifested as neuropathic pain in 71 and 83% patients in the early and late recovery period accordingly. This is associated with deterioration of vibration perception (component of antinociceptive defense), increase of lidocaine effect (80 mg intravenously) and decrease of nonsteroidal anti-inflammatory drugs effect. The treatment regimen of post-stroke shoulder pain was proposed. The pain was completely eliminated in 76% patients after our treatment.

Key words: shoulder pain, stroke.

 

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