Central post-stroke pain is a chronic neuropathic pain condition that occurs after a stroke due to damage in the central nervous system, particularly in areas like the thalamus that process sensory signals. Patients often experience abnormal sensations such as burning, stabbing, tingling, or electric shock-like pain on the affected side of the body. This pain may develop weeks or even months after the stroke and can significantly impact quality of life, sleep, and emotional well-being. It is often difficult to treat because it does not respond well to typical painkillers and requires a specialized, multi-disciplinary approach.

Symptoms & Management of Central Post-Stroke Pain

Central post-stroke pain presents with complex sensory disturbances and requires long-term management focusing on symptom control and improving daily functioning.

• Persistent burning or aching pain, often on one side of the body
• Increased sensitivity to touch, temperature (especially cold), or pressure
• Tingling, numbness, or “pins and needles” sensation
• Pain triggered by normally non-painful stimuli (allodynia)
• Managed through medications (like antidepressants or anticonvulsants), physical therapy, and psychological support