In response to Treatment of central post-stroke pain with oral ketamine by Pamela G. Vick and Tim J. Lamer

A Comprehensive Review of Central Post-Stroke Pain

“…Accordingly, a comprehensive intervention involving a combined pharmacologic and nonpharmacologic approach is needed. Although psychosocial interventions have been used adjunctively, interventions that combine psychosocial and medical factors have been consistently reported to increase patients' abilities to control chronic pain (Schott, 1995;Webster & Edwards, 2002). In addition, there is evidence that combined interventions may alter negative pain-related behaviors, such as inactivity, and improve the consistency of medication use for pain relief (Webster & Edwards, 2002).…”