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Long-term pain conditions after a stroke.

Marita Widar1, Lars Samuelsson, Susanne Karlsson-Tivenius

  • 1Department of Medicine and Care, Faculty of Health Sciences, Linköping University, Sweden. marita.widar@ivo.oru.se

Journal of Rehabilitation Medicine
|August 31, 2002
PubMed
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This study classified post-stroke pain into central, nociceptive, and tension-type headache. Findings highlight distinct characteristics and triggers for each pain type, informing better management strategies for stroke survivors.

Area of Science:

  • Neurology
  • Pain Medicine
  • Clinical Research

Background:

  • Stroke survivors frequently experience long-term pain, impacting quality of life.
  • Accurate classification of post-stroke pain is crucial for effective treatment.
  • Existing classifications may not fully capture the diverse pain phenotypes.

Purpose of the Study:

  • To classify and characterize different long-term pain conditions following a stroke.
  • To identify discriminating and common pain descriptors for each pain type.
  • To investigate factors influencing pain and current treatment adequacy.

Main Methods:

  • Clinical examination and validated pain assessment tools (Pain-O-Meter, questionnaire).
  • Classification of pain into central post-stroke pain, nociceptive pain, and tension-type headache.

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  • Analysis of pain onset, intensity, descriptors, triggers, and treatment status.

    • Main Results:

    • Identified 15 cases of central post-stroke pain, 18 nociceptive pain, and 10 tension-type headaches.
    • Pain onset typically occurred within 1-6 months post-stroke.
    • Distinct descriptors (e.g., burning for central, cramping for nociceptive) and triggers (e.g., cold for central, movement for nociceptive, stress for headache) were observed.
    • Over one-third received no pain treatment, with inadequate treatment common in central pain.

    Conclusions:

    • Clinical findings support the classification of distinct post-stroke pain conditions.
    • Characterizing pain phenotypes aids in understanding and managing post-stroke pain.
    • Inadequate treatment highlights a significant unmet need in stroke pain management.