Shoulder Pain After Stroke: What Doctors Don’t Tell You (But Should)

NeuroRehab Team
Thursday, August 21st, 2025


 

Shoulder pain affects up to 72% of stroke patients during their first year of recovery. This pain usually develops on the stroke-affected side of the body. The condition can lower a patient’s quality of life by a lot and leads to depression and sleep problems.

Doctors tend to focus on basic stroke rehabilitation. The treatment of post-stroke shoulder pain needs more attention since it can start just two weeks after a stroke. Most cases develop within 2-3 months. On top of that, shoulder subluxation affects three out of four patients during recovery. This condition often triggers the debilitating pain. Let’s explore what causes this pain, its types, and available treatments. We’ll also look at key prevention strategies that healthcare providers should emphasize but often miss.

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Pain After Stroke

Dorothee Zuleger, MOT, OTR/L, DRS
Monday, May 21st, 2018


Central Pain Syndrome (CPS) is a dysfunction of the pain-conducting pathways of the central nervous system (CNS). The CNS includes the brain, brain stem, and spinal cord. CPS occurs when there is damage to an area of the brain that carries lots of sensory pathways. People often experience CPS as the result of a stroke, traumatic brain injury, multiple sclerosis, Parkinson’s disease, or spinal cord injury. CPS is commonly referred to as neuropathic pain or sometimes as thalamic pain syndrome by medical professionals.

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