The purpose of this study is to compare suprascapular nerve block with therapeutic ultrasound in stroke patients who have shoulder pain in weak side.

Shoulder pain is a common complication after a cerebrovascular accident.Hemiplegic shoulder pain has been shown to affect stroke outcome in a negative way.It interferes with recovery after stroke:it can cause distress and reduced activities and can markedly hinder rehabilitation.Suprascapular nerve block has been shown to be effective as an analgesic for different indications such as shoulder capsulitis.The purpose of this study was to evaluate the effectiveness of this technique conjunction with a rehabilitation program to reduce shoulder pain in hemiplegic patients.

Inclusion Criteria:

• Stroke patients who develope shoulder pain at weak limb.
• Good conscious and able to access pain score.
• No history of drug reaction with xylocaine
• No history of fracture,tumor or blood tendency.
• Willing to enrolled to study and signs inform consent.

Exclusion Criteria:

• Patients who do not meet the inclusion criteria.