Постинсультная боль в области плеча: патогенез, принципы лечения

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.