After an MCA stroke, stiffness in the paralysed hand is common due to muscle tightness (spasticity). Gentle daily physiotherapy, regular range-of-motion exercises, and proper hand positioning or splints can help prevent worsening stiffness. Warm compresses, gentle stretching, and encouraging her to move the hand with support are useful. Please consult a neurologist or physiotherapist; early rehab and, if needed, medicines can help improve comfort and function.

Pain in the shoulders and arms after a brain hemorrhage with paralysis is quite common and is usually due to muscle stiffness, weak support of the shoulder, or nerve involvement. Regular physiotherapy, gentle stretching, proper arm support (like a sling or pillows), and pain-relief measures can help. Please consult your doctor or physiotherapist, as early treatment can reduce pain and prevent further stiffness.