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Updates in the Treatment of Post-Stroke Pain

Authors
  • Plecash, Alyson R.1
  • Chebini, Amokrane1
  • Ip, Alvin2
  • Lai, Joshua J.1
  • Mattar, Andrew A.1
  • Randhawa, Jason1
  • Field, Thalia S.1, 3
  • 1 University of British Columbia, Division of Neurology, Faculty of Medicine, S169-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada , Vancouver (Canada)
  • 2 University of British Columbia, Division of Physical Medicine and Rehabilitation, Vancouver, BC, Canada , Vancouver (Canada)
  • 3 Vancouver Coastal Health, Vancouver Stroke Program, Vancouver, BC, Canada , Vancouver (Canada)
Type
Published Article
Journal
Current Neurology and Neuroscience Reports
Publisher
Springer-Verlag
Publication Date
Nov 13, 2019
Volume
19
Issue
11
Identifiers
DOI: 10.1007/s11910-019-1003-2
Source
Springer Nature
Keywords
License
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Abstract

Purpose of ReviewTo provide an overview of the current treatment strategies for common subtypes of post-stroke pain.Recent FindingsThere is growing research interest in non-pharmacological treatment approaches for chronic pain, including neurostimulation as well as lifestyle and psychosocial interventions. Newer pharmacotherapy research includes cannabinoids and NMDA-receptor antagonists as well as bee venom. Persistent post-stroke headache is an increasingly appreciated entity, though the role of novel chronic migraine treatments for post-stroke headache is not known.SummaryOverall, most treatment approaches to post-stroke pain lack high-quality evidence. Stroke survivors are in need of effective treatments based on methodologically sound evidence. To address the interplay of clinical and psychosocial factors that contribute to post-stroke pain, it may be reasonable to adopt a multimodal treatment strategy incorporating both lifestyle interventions and conventional therapies.

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