ModuleDraft
Shoulder pain after stroke — positioning, OT/PT strategies, and when to escalate
Survivor module on hemiplegic shoulder pain: why it happens, safe positioning, what NOT to do (don’t pull), OT/PT referral triggers, and a daily comfort plan.
Recovery & RehabCaregiver, SurvivorIntermediate16 minPlain (6–8)
Educational only
Educational only — pain evaluation/treatment should be guided by clinicians.
Get help now
Seek urgent help for severe sudden pain after a fall, deformity, or if you suspect injury. For new stroke-like symptoms: call your local emergency number.
Key takeaways
- Explain why shoulder pain happens after stroke
- Use positioning strategies to reduce pain
- Know what not to do and when to escalate
Why shoulder pain happens
- Weak muscles
- Subluxation risk
- Spasticity
- Poor positioning
What NOT to do
- Don’t pull on the arm
- Avoid painful overhead moves
Positioning basics
- Support the arm
- Pillow setup
- Sling only if prescribed
Daily comfort plan
- Gentle range of motion
- Heat/ice if approved
- Scheduled breaks
When to escalate
- Sudden severe pain
- Swelling/redness
- Loss of function
Practice check
What you’ll practice
These questions are untimed. After you answer all of them, you’ll see your score and a clear next lesson or reference step.
0 of 4 answered