Greetings.
Following pain management modalities are advised in right CVA patient (hemiplegics);
1) Medications;
a) Gabapentin (Neurontin)
b) Ibuprofen (Advil, Motrin)
c) Ketoprofen (Oruvail, Orudis)
d) Amitriptyline (Elavil)
e) Tizanidine (Zanaflex, Sirdalud)
2) Neuromuscular electrical stimulation; improves pain and disability
3) If pain due to spasms; Botox injection
4) Intra-articular triamcinolone acetonide injection in the painful joints
5) For painful muscles and joints; phenol motor point blocks and neurolysis of mixed nerves.
Please feel free for your follow up questions.
Dr. Arun
Doctor (MD)
MBBS, MS (General Surgery), Post-doctoral Fellowship in Sports Medicine