Because strokes oftentimes affect the nervous system, it ordinarily causes chronic pain syndromes. This is called neuropathic pain.
The brain’s pathways are sometimes damaged. They cause the transmission of false signals that result in the sensation of pain in a limb or in one particular side of your client’s body that is affected by the sensory deficit.
“Thalamic Pain Syndrome” is the most common of the pain syndromes. It is caused by a stroke to the thalamus; the midline symmetrical structure of two halves, within the vertebrate brain. It is situated in the cerebral cortex and the midbrain. The thalamus controls a person’s sensory and motor signals to the cerebral cortex and the regulation of consciousness, sleep and alertness.
It may be quite difficult to treat the thalamus with medications because of what it controls. Also, the nervous system is not the sole factor that may contribute to the pain after a stroke occurs, but may in fact be due to the mechanical difficulties your client is experiencing because of weakness due to the stroke.
“Frozen” joints occur when there is lack of movement for a prolonged period of time; immobilized so that the joints become fixed in one position. If this occurs, your client will have to see a therapist so that they will be able to allow easy movement if and when voluntary motor strength returns.
You will just have to show them that With Age Comes Respect.