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Updates in the Treatment of Post-Stroke Pain

  • Stroke (H.C. Diener, Section Editor)
  • Published:
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Abstract

Purpose of Review

To provide an overview of the current treatment strategies for common subtypes of post-stroke pain.

Recent Findings

There 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.

Summary

Overall, 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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Acknowledgments

The authors thank Chaitali Randhawa for creating Fig. 1.

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Authors and Affiliations

  1. Division of Neurology, Faculty of Medicine, University of British Columbia, S169-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada

    Alyson R. Plecash, Amokrane Chebini, Joshua J. Lai, Andrew A. Mattar, Jason Randhawa & Thalia S. Field

  2. Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, BC, Canada

    Alvin Ip

  3. Vancouver Stroke Program, Vancouver Coastal Health, Vancouver, BC, Canada

    Thalia S. Field

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  1. Alyson R. Plecash
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Correspondence to Thalia S. Field.

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Alyson R. Plecash, Amokrane Chebini, Alvin Ip, Joshua J. Lai, Andrew A. Mattar, and Jason Randhawa each declare no potential conflicts of interest.

Thalia S. Field is supported by the Canadian Institutes for Health Research, the Michael Smith Foundation for Health Research, the Heart and Stroke Foundation of Canada, and the Vancouver Coastal Health Research Institute.

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Plecash, A.R., Chebini, A., Ip, A. et al. Updates in the Treatment of Post-Stroke Pain. Curr Neurol Neurosci Rep 19, 86 (2019). https://doi.org/10.1007/s11910-019-1003-2

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