What recommendation can be made for alleviating shoulder pain in a patient with hemiplegia?

For a patient with hemiplegia experiencing shoulder pain, the recommendation to use a sling can be particularly effective. A sling can help support the affected arm, reducing strain on the shoulder joint and surrounding tissues. This support is crucial as shoulder pain in hemiplegic patients often results from muscle imbalance, subluxation of the shoulder joint, or improper positioning of the arm.

Incorporating a sling helps maintain proper alignment of the shoulder by preventing the arm from hanging unsupported, which can exacerbate pain or discomfort. It enables the patient to have improved postural control and limits the risk of further injury by stabilizing the arm during activities.

While other options like a wrist brace or custom orthotic device might provide localized support, they do not directly address shoulder pain. Heat therapy, while beneficial for muscle relaxation, may not provide the structural support necessary to alleviate pain associated with shoulder subluxation or muscle imbalance. Therefore, using a sling is a targeted approach to providing the required support and reducing shoulder pain in a hemiplegic patient.