Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, April 4, 2013

Chronic pain common complication of clot-caused strokes

I'm sure if you were one of the 1665 in the study that had chronic you didn't care that you were among the 10.6 percent that had chronic pain. You wanted relief which these researchers weren't doing anything about. More laziness.
Grant-makers really shouldn't feed lazy researchers.
http://www.sciencecodex.com/chronic_pain_common_complication_of_clotcaused_strokes-109821
Chronic or persistent pain is a common — and likely under-recognized — complication of ischemic strokes (caused by a blocked blood vessel) according to new research in the American Heart Association journal Stroke.
In a large trial of treatments to prevent a second stroke, researchers found that 10.6 percent of more than 15,000 stroke survivors developed chronic pain.
"Chronic pain syndromes are common, even following strokes of mild to moderate severity," said Martin J. O'Donnell, M.D., lead author and professor of translational medicine at the National University of Ireland in Galway and associate clinical professor at McMaster University in Hamilton, Ontario, Canada. "It is associated with greater decline in physical and cognitive function, making it an important medical complication after stroke."
Researchers examined data on 15,754 people who had survived mild to moderate strokes and were followed for an average 30 months in PRoFESS (Prevention Regimen for Effectively Avoiding Second Strokes), the largest study to determine the prevalence of chronic pain after ischemic stroke.
Of the 1,665 stroke survivors reporting chronic pain beginning after their stroke:
  • 431 (2.7 percent) were classified as having central stroke pain, which is due to injury to the brain caused by stroke that can present as touch, temperature or other sensations being perceived as pain. Previous research has shown that central post-stroke pain may not manifest for many months after stroke has occurred, O'Donnell said.
  • 238 (1.5 percent) had peripheral neuropathic pain, a tingling, burning or shooting pain due to damage to nerves outside the brain and spinal cord
  • 208 (1.3 percent) reported pain from continuously tight or stiff muscles also called spasticity
  • 136 (0.9 percent) experienced shoulder pain caused by stroke-related weakness or spasticity
  • 86 (0.6 percent) said they had more than one type of pain
  • 739 (4.7 percent) reported other causes of pain, or had unclassified pain syndromes.
Significant risk factors for post-stroke pain included increased severity of stroke; female gender; greater alcohol intake; recent symptoms of depression; diabetes and vascular disease of blood vessels supplying the lower limbs.
Patients who developed post-stroke chronic pain were more than twice as likely to become more dependent during the follow-up period, than those whose recovery wasn't complicated by pain. Patients with non-central causes of pain were more likely to experience cognitive decline.
"We suspect that some of the association between chronic pain and decline in cognitive test performance may be related to the use of medications to treat pain, but this was not evaluated in our study" said O'Donnell. "Our study emphasizes the importance of evaluating interventions to prevent post-stroke pain in high-risk individuals."

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