Peer Reviewed
Feature Article Neuropathic and neurological pain

Pain after stroke: challenges in assessment and management

Michael Pollack, Christopher Chan
Abstract

Pain following stroke is common, but accurate assessment of the nature and intensity of pain can be challenging. Awareness of possible pain sources, both peripheral and central, can help clinicians advocate for patients to ensure they receive appropriate management.

Key Points
    • Pain following stroke is very common, and can develop in the months after stroke onset, making GPs often the first and vital point of contact for patients.
    • As stroke can result in communication and sensory changes, assessment and diagnosis can be complex, and a high index of suspicion with careful history and examination is required.
    • Peripheral sources of post-stroke pain are more common than central post-stroke pain, although both can be present simultaneously.
    • Central post-stroke pain as a diagnosis of exclusion helps reduce the risk of missing peripheral causes of pain.
    • Individual patient risks and goals must be considered when planning investigations and management of post-stroke pain.

      Picture credit: © BillionPhotos.com/Dollar Photo Club. Model used for illustrative purposes only.

Get full access
Subscribe for full access to all articles
Buy this article

Single article purchases are temporarily unavailable due to site maintenance.

If you would like to purchase an article during this time, please email us at [email protected] with the article details and we'll assist you directly. We'll also let you know when online purchasing is available again.

Thank you for your patience and understanding.

Already a subscriber?