Demystifying Poststroke Pain: From Etiology to Treatment

PM R. 2017 Jan;9(1):63-75. doi: 10.1016/j.pmrj.2016.05.015. Epub 2016 Jun 16.

Abstract

Pain after stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This situation occurs in part because of the esoteric nature of poststroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who experience pain include central poststroke pain, complex regional pain syndrome, and pain associated with spasticity and shoulder subluxation. Each disorder carries its own intricacies that require specific approaches to treatment and understanding. This review aims to present and clarify the major pain syndromes that affect patients who have experienced a stroke in order to aid in their diagnosis and treatment.

Publication types

  • Review

MeSH terms

  • Chronic Pain / etiology*
  • Chronic Pain / physiopathology
  • Complex Regional Pain Syndromes / etiology*
  • Complex Regional Pain Syndromes / physiopathology
  • Humans
  • Muscle Spasticity / etiology
  • Muscle Spasticity / physiopathology
  • Pain Measurement
  • Shoulder Pain / etiology*
  • Shoulder Pain / physiopathology
  • Stroke / complications*
  • Stroke / physiopathology