Neuro

Shoulder Band Syndrome

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Shoulder Band Syndrome

  • Pathophysiology
  1. Reflex Neurovascular Dystrophy
  2. Related to reflex Sympathetic stimulation
  3. Associated with recent acute medical illness
    1. Myocardial Infarction
    2. Cerebrovascular Accident (CVA)
    3. Respiratory disease
  • Epidemiology
  1. Age over 50 years more commonly affected
  • Symptoms
  1. Shoulder Pain and swelling
  2. Shoulder stiffness
  3. Vasomotor phenomena in involved extremity
  • Differential Diagnosis
  • Management
  1. Active Exercise program
    1. Shoulder Range of Motion Exercises
    2. Physical Therapy
  2. Analgesics
  3. Short trial of Prednisone 10-20 mg/day
  4. Stellate Ganglion block
  • Prognosis
  1. Resolves spontaneously over several months
  • Complications
  1. Frozen Shoulder (common)