Challenges in Managing A Patient With Central Post-Stroke Pain

Abstract

Objective: This is a case illustration of the challenges in managing a patient with central post stroke pain secondary to right thalamic bleed. We describe in detail the events of this case management and the challenges that we had encountered. Method: We report a case of a 68-yearold lady who had right thalamic bleed secondary to hypertensive crisis in 2015 and was further complicated with central post stroke pain over the hemiparetic side. In our report, we describe in detail the challenges in managing the patient to improve her function to achieve a better quality of life. Conclusion: This article illustrates the importance of a multidisciplinary approach and knowledge of various methods in managing a patient with central post stroke pain.

Efficacy of the Otago exercise programme as a supplementary intervention to exercise classes: On falls, balance, physical function and mobility in a patient with chronic lower back pain: A case report.

“…Patients with lower back pain have been observed to have changes in lumbosacral proprioceptive alertness 1 , dysfunction in trunk muscle control, altered postural balance with a potential to falling 2 . The underlying mechanisms of all these weaknesses in patients with chronic low back pain is still unclear 2,3 . Pain could be a confounding factor for variability in postural tasks and may induce a loss of normal variability of the postural strategy in patients with chronic lower back pain (CLBP).…”