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Shoulder pain after stroke — DGM MCQ

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ModerateStroke and rehabilitationShoulder pain after strokeDGM

A 79-year-old woman develops shoulder pain during transfers after a dense hemiplegic stroke. The arm is flaccid and unsupported when sitting. There is no fever or fracture. Current medicines include clopidogrel and atorvastatin. What is the most appropriate management?

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Correct answer: DPositioning, handling advice and therapy review

Hemiplegic shoulder pain should be managed with correct positioning, handling and therapy input to prevent traction injury. Forceful overhead movement, ignoring pain, unsupervised sling-only management and antibiotics are not appropriate. Shoulder care is part of early stroke nursing and rehabilitation.

Reference: NICE NG236