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Suggest remedies for post stroke pain syndrome

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Posted on Mon, 3 Oct 2016
Question: I've been suffering from Post Stroke Pain Syndrome for about 6 months and have finally rad this article wih some treatment suggestions in it.
I tried
a mirror box
functional electrical stimulation
Lyrica
Going off the Lithium for my Bi Polar - I started in Toprimate
I'm still feeling the burning and tingling pain up my arm my hand an in my neck and face and my leg and foot
Any suggestions woul be appreciated.

I see a Psychiatrist, GP and Psychologist an Rehab pracitioners


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Answered by Dr. Olsi Taka (1 hour later)
Brief Answer:
Read below.

Detailed Answer:
I read your question carefully and I understand your concern. I would also like to thank you about that honest account; it’s nice to read things from a patients perspective and thank you for staying such a positive person.

In terms of medication since an anticonvulsant like Lyrica hasn’t worked the other class which could be tried would be antidepressants, the most effective of which for central post stroke pain is amitriptyline. So it could be tried in your case. There is also Gabapentin, another anticonvulsant, it could be tried, but since Lyrica wasn’t effective it is less likely to work.

In resistant cases where the pain is severe deep brain stimulation is used, where small electrodes are placed in your brain. However that is done only in some centers and for really intense pain.

I am afraid apart from these there isn’t much available for post stroke pain, many tried methods but none to have shown any significant results. But 70% of patients do improve with either anticonvulsants or Amitriptyline, hopefully that will be your case as well.

I remain at your disposal for other questions.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3674 Questions

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Suggest remedies for post stroke pain syndrome

Brief Answer: Read below. Detailed Answer: I read your question carefully and I understand your concern. I would also like to thank you about that honest account; it’s nice to read things from a patients perspective and thank you for staying such a positive person. In terms of medication since an anticonvulsant like Lyrica hasn’t worked the other class which could be tried would be antidepressants, the most effective of which for central post stroke pain is amitriptyline. So it could be tried in your case. There is also Gabapentin, another anticonvulsant, it could be tried, but since Lyrica wasn’t effective it is less likely to work. In resistant cases where the pain is severe deep brain stimulation is used, where small electrodes are placed in your brain. However that is done only in some centers and for really intense pain. I am afraid apart from these there isn’t much available for post stroke pain, many tried methods but none to have shown any significant results. But 70% of patients do improve with either anticonvulsants or Amitriptyline, hopefully that will be your case as well. I remain at your disposal for other questions.