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Article ID	#662
Title	Thalamic Pain Syndrome (Central Post-Stroke Pain) in a patient presenting with right upper limb pain: a case report
URL	http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2485464/
Journal	J Can Chiropr Assoc. 1999 Dec;43(4):243-248
Author(s)	Tuling JR Tunks E
Subject(s)	Cerebrovascular Disorders Osteoarthritis Thalamic Diseases
Peer Review	No
Publication Type	Case Report
Abstract/Notes	In the elderly, pain of a widespread nature can often be debilitating. It is not uncommon to attribute this widespread pain to osteoarthritis within the spinal column structures and peripheral joints or to other musculoskeletal etiology. However, chiropractors should remain wary regarding pain experienced by the elderly, especially if pain is widespread and exhibits neuropathic features. Common features of neuropathic pain involve the presence of allodynia, hyperpathia and hyperalgesia. This characteristic widespread pain can sometimes be the sequelae of a central nervous system lesion such as a “Thalamic Pain Syndrome”, or “Central Post-Stroke Pain”, which are terms commonly used to describe pain that originates in the central nervous system. Following is the case of a 90-year-old patient presenting with widespread pain attributed to Thalamic Pain Syndrome or Central Post-Stroke Pain. Discussion of the characteristics of neuropathic pain and bedside testing techniques are presented to help the chiropractor identify a patient who may be presenting with Central Post-Stroke Pain. This abstract is reproduced with the permission of the publisher; click on the above link for free full access.

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