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Condition: Stroke
Therapy: Pain Management

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Total 1121 results found since Jan 2013.

Although pharmacological treatment may have beneficial effects in central post-stroke pain, it does not abolish the symptoms
Abstract The management of central post-stroke pain is challenging. Amitriptyline is considered the first-line pharmacological choice, with lamotrigine, gabapentin and pregabalin used as alternative therapies. If the therapeutic response with monotherapy is insufficient, combination therapy (e.g. an adrenergic antidepressant plus an antiepileptic) may be considered.
Source: Drugs and Therapy Perspectives - February 4, 2015 Category: Drugs & Pharmacology Source Type: research

OnabotulinumtoxinA Improves Pain in Patients with Post-Stroke Spasticity: Findings from a Randomized, Double-Blind, Placebo-Controlled Trial
Patients with post-stroke spasticity (PSS) commonly experience pain in affected limbs, which may impact quality of life.
Source: Journal of Pain and Symptom Management - March 28, 2016 Category: Palliative Care Authors: Jörg Wissel, Vaidyanathan Ganapathy, Anthony B. Ward, Jörgen Borg, Per Ertzgaard, Christoph Herrmann, Anders Haggstrom, Mohamed Sakel, Julia Ma, Rozalina Dimitrova, Antony Fulford-Smith, Patrick Gillard Source Type: research

OnabotulinumtoxinA Improves Pain in Patients With Post-Stroke Spasticity: Findings From a Randomized, Double-Blind, Placebo-Controlled Trial
Patients with post-stroke spasticity (PSS) commonly experience pain in affected limbs, which may impact quality of life.
Source: Journal of Pain and Symptom Management - March 28, 2016 Category: Palliative Care Authors: J örg Wissel, Vaidyanathan Ganapathy, Anthony B. Ward, Jörgen Borg, Per Ertzgaard, Christoph Herrmann, Anders Haggstrom, Mohamed Sakel, Julia Ma, Rozalina Dimitrova, Antony Fulford-Smith, Patrick Gillard Tags: Original Article Source Type: research

Randomized clinical trial of deep brain stimulation for post ‐stroke pain
This article is protected by copyright. All rights reserved.
Source: Annals of Neurology - April 5, 2017 Category: Neurology Authors: Scott F. Lempka, Donald A. Malone, Bo Hu, Kenneth B. Baker, Alexandria Wyant, John Ozinga, Ela B. Plow, Mayur Pandya, Cynthia S. Kubu, Paul J. Ford, Andre G. Machado Tags: Research Article Source Type: research

Thalamic stroke resulting in rheumatoid appearances in the hand
The patient, a 72-year-old woman, presented with joint deformities for 3 years. She did not notice any joint pain or swelling, but the fingers of the left hand as well as the toes of the left foot gradually became deformed, with all the joints on the right side totally spared. The fingers of the left hand exhibited a swan-neck deformity, and the left thumb demonstrated a thumb-in-palm deformity (Fig. 1A). In her past medical history, she experienced a right thalamic infarct 4 years ago, 1 year before the occurrence of joint deformity (Fig. 1B). She denied any paraesthesia or obvious weakness of the left extremities. The la...
Source: Rheumatology - December 21, 2016 Category: Rheumatology Source Type: research

Establishing Goals of Care for Patients with Stroke and Feeding Problems: An Interdisciplinary Trigger-Based Continuous Quality Improvement Project
Few patients with dysphagia due to stroke receive early palliative care to align treatment goals with their values, as called for by practice guidelines, particularly before enteral access procedures for artificial nutrition.
Source: Journal of Pain and Symptom Management - June 25, 2018 Category: Palliative Care Authors: Franchesca Hwang, Christine Boardingham, Susanne Walther, Molly Jacob, Andrea Hidalgo, Chirag D. Gandhi, Anne C. Mosenthal, Sangeeta Lamba, Ana Berlin Source Type: research

Post-stroke Spasticity: A Review of Epidemiology, Pathophysiology, and Treatments
Publication date: Available online 19 June 2018 Source:International Journal of Gerontology Author(s): Chih-Lin Kuo, Gwo-Chi Hu Spasticity is a common condition in stroke survivors, and may be associated with pain and joint contracture, leading to poor quality of life and increased caregiver burden. Although the underlying mechanisms are not well-understood, it may be due to disruption of the balance of supra-spinal inhibitory and excitatory sensory inputs directed to the spinal cord, leading to a state of disinhibition of the stretch reflex. The treatment options include physical therapy, modality and pharmacological tre...
Source: International Journal of Gerontology - June 28, 2018 Category: Geriatrics Source Type: research

Perfusion Assessment in Critical Limb Ischemia: Principles for Understanding and the Development of Evidence and Evaluation of Devices: A Scientific Statement From the American Heart Association.
Abstract There are >12 million patients with peripheral artery disease in the United States. The most severe form of peripheral artery disease is critical limb ischemia (CLI). The diagnosis and management of CLI is often challenging. Ethnic differences in comorbidities and presentation of CLI exist. Compared with white patients, black and Hispanic patients have higher prevalence rates of diabetes mellitus and chronic renal disease and are more likely to present with gangrene, whereas white patients are more likely to present with ulcers and rest pain. A thorough evaluation of limb perfusion is important in the ...
Source: Circulation - August 11, 2019 Category: Cardiology Authors: Misra S, Shishehbor MH, Takahashi EA, Aronow HD, Brewster LP, Bunte MC, Kim ESH, Lindner JR, Rich K, American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; and Council on Cardiovascular and Stroke Nursing Tags: Circulation Source Type: research

Appraisal of Health States Worse than Death in Patients with Acute Stroke (S714)
Goals of care discussions are frequently indicated after acute stroke. Many of these conversations happen without direct patient participation secondary to aphasia or encephalopathy.
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Elyse Everett, William Everett, Matthew Brier, Patrick White Source Type: research

Electro-acupuncture for post-stroke spasticity: results of a pilot pragmatic randomized controlled trial
People with spasticity which occurred between 30 days and one year after stroke onset with a baseline Modified Ashworth Scale (MAS) ≥ 1.
Source: Journal of Pain and Symptom Management - August 4, 2020 Category: Palliative Care Authors: Yiyi Cai, Claire Shuiqing Zhang, Anthony Lin Zhang, Cliff Da Costa, Charlie Changli Xue, Zehuai Wen Tags: Original Article Source Type: research

Acetic Acid Iontophoresis in The Management Of Heterotopic Ossification in an Individual Post-Stroke: A Case Report
To determine if 2% acetic acid iontophoresis (transdermal application of medication by voltage gradient on skin) reduces pain and increases passive range of motion (PROM) and functional mobility in an individual with heterotopic ossification (HO) following stroke.
Source: Archives of Physical Medicine and Rehabilitation - October 24, 2020 Category: Rehabilitation Authors: Allison Harris, Lauren Greenfeld Tags: Research Poster Source Type: research

Analgesic hypnotic treatment in a post-stroke patient
Am J Clin Hypn. 2021 Jan;63(3):192-201. doi: 10.1080/00029157.2020.1797622.ABSTRACTIn recent years, hypnotic suggestions have been used in several clinical conditions. This treatment is often used for anxiety treatment, somatization, and post-traumatic stress disorder. Hypnotic analgesia is one of the most clinically useful phenomena of hypnosis. The article describes the case of a patient who underwent hypnotic treatments for hypersensitivity and chronic pain. Results showed an improvement of pain control and a decrease of pain hypersensibility. In addition, during rehabilitative treatments, the patient reported a high le...
Source: The American Journal of Clinical Hypnosis - February 22, 2021 Category: Complementary Medicine Authors: Caterina Formica Katia Micchia Emanuele Cartella Simona De Salvo Lilla Bonanno Francesco Corallo Francesca Antonia Arcadi Roberto Giorgianni Angela Marra Placido Bramanti Silvia Marino Source Type: research