How is central pain syndrome from a stroke treated?

Natalia S. Rost, MD

Neurology

Central pain syndrome results from damage to sensory pathways caused by a stroke. The brain overcompensates for the damage, misinterpreting normal sensory input as painful sensations. Over-the-counter and prescription pain medications do not effectively treat central pain syndrome. However, tricyclic antidepressants such as nortriptyline or amitriptyline and anticonvulsants such as gabapentin may help. Managing stress may also help reduce pain.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.

Pain Treatment

Pain treatment varies depending on the severity of an injury or cause of the pain. Analgesics, or pain relievers, may be your first step. Over-the-counter painkillers like ibuprofen and aspirin can treat mild to moderate pain. Stronger pain medication may be prescribed after surgery or more severe injuries. For chronic pain that persists, your doctor can help determine the best course of treatment or give you a referral for a pain specialist. Learn more about treating pain with expert advice from Sharecare.

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