Demystifying Poststroke Pain: From Etiology to Treatment.
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.
Division of Neurology, Department of Neuroscience, University of California, San Diego, 200 West Arbor Drive, MC 8465, San Diego, CA 92103-8465(∗). Electronic address: andrewtreister@gmail.com.
Andrew K
AK
Treister
Long Beach VA, SCI/D Healthcare System, Long Beach, CA(†).
Maya N
MN
Hatch
Department of Neurobiology and Anatomy, University of California, Irvine, CA; Department of Neurology, University of California, Irvine, CA(‡).
Steven C
SC
Cramer
Division of Pain Medicine, Department of Anesthesiology and Perioperative Care, Reeve-Irvine Research Center for Spinal Cord Injury, University of California, Irvine, CA; Department of Physical Medicine and Rehabilitation, School of Medicine, University of California Irvine Medical Center, Irvine, CA(¶).
Eric Y
EY
Chang
D059350:Chronic Pain / Q000209:etiology* / Q000503:physiopathology; D020918:Complex Regional Pain Syndromes / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D009128:Muscle Spasticity / Q000209:etiology / Q000503:physiopathology; D010147:Pain Measurement; D020069:Shoulder Pain / Q000209:etiology* / Q000503:physiopathology; D020521:Stroke / Q000150:complications* / Q000503:physiopathology