Submissions from Readers

Severe pain and hypersensitivity in affected UE

by Anita Robbins
(Louisville, Kentucky )

Question: What can be done to reduce or eliminate severe pain and hypersensitivity in affected UE after a stroke? Pain is so intense that patient will not allow PROM and sensitivity is so severe, she will not let anyone touch her hand. Because of these factors, weight bearing activities, etc are completely out of the question. Also, the patient has little to no voluntary muscle contraction in the UE.


Answer: It sounds like the individual has developed Complex Regional Pain Syndrome (CRPS). You can read more about symptoms and treatment at https://www.mayoclinic.org/diseases-conditions/complex-regional-pain-syndrome/basics/definition/con-20022844. Graded motor imagery and mirror therapy has had positive outcomes with CRPS. You can find out more at www.gradedmotorimagery.com.

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