Treatment of acute and chronic pain in neurological rehabilitation (Part II) Pain Management of spasticity after stroke, multiple sclerosis, Parkinson’s disease, spinal cord injury, in depression, in the early rehabilitation and in geriatric patients R. H. van Schayck¹, C. Weiller² ¹Neurologisches rehabilitation center clinics Schmieder Stuttgart-Gerlingen ²Neurologische Clinic, University Medical Center Hamburg-Eppendorf Summary Typical pain disorders of neurological rehabilitation are the shoulder-arm pain after stroke, the painful spastic syndrome, as well as pain syndromes in multiple sclerosis, spinal cord injury and Parkinson’s disease. The patient neurological early rehabilitation, the depressed pain patient and the geriatric patient make special demands on a professional pain treatment. Thus the acute herpes zoster infection and postherpetic neuralgia is typically found in the elderly. In the second part of the survey the various pain therapeutic concepts for the treatment of pain disorders are referenced that are for neurological rehabilitation typical and thus of particular therapeutic interest.
Keywords: shoulder-arm syndrome, postinfarzieller pain, spasticity, multiple sclerosis, Parkinson’s disease, pain and depression, geriatric pain Management of acute and chronic pain in neurological rehabilitation (Part II) – Pain treatment of spasticity, poststroke pain, multiple sclerosis, Parkinson’s disease, spinal cord lesion, depression, and geriatric pain R. H. van Schayck, C. Weiller Abstract Pain syndromes Commonly found in neurological rehabilitation include the shoulder-hand syndrome, the post-stroke pain, the painful spasticity, and pain in multiple sclerosis, spinal cord lesions, and Parkinson’s disease. Treating vegetative states, depressive, and geriatric patients needs additional effort for a qualified pain therapy. The acute herpes zoster infection and the postherpetic neuralgia are very common in the elderly. The second part of the review presents different pain therapies of pain syndromes frequently encountered in neurological rehabilitation. Key words: shoulder-hand syndrome, post-stroke pain, spasticity, multiple sclerosis, Parkinson’s disease, depression, geriatric pain Neurol Rehabil 2002; 8 (2): 65-79