When electrical stimulation is applied to acupuncture needles inserted into the body (electroacupuncture), it has been found to help relieve central neuropathy after stroke. Stroke: A stroke can cause imbalances in the foot, resulting in claw toes. Active Foot Inversion and Eversion for Flexibility. It tends to follow the same pattern as the weakness after stroke (see ‘Types of strokes’, page 11). The pain may begin immediately after your stroke but more often it begins several months later. Brain … Source: American Heart Association (AHA), Heart Disease and Stroke Statistics - 2010 Update. Problems with body posture, walking, and balance can be significant. People with foot drop can’t raise the front part of the foot because of weakness or paralysis of the muscle that normally lifts it. After a stroke I have pain at the side of my foot when trying to walk. Temporary foot numbness can occur after prolonged pressure on a nerve or nerves, such as after wearing tight-fitting shoes. In summary, the foot pain is likely a foot problem, while the stasis ulcer should seek additional treatment from a full-time vein specialist. Dr. Brashear’s study team involved 279 stroke patients with muscle spasticity. For most stroke survivors with CPSP, the pain occurs in the side of their body that has been affected by the stroke. Our sensation pathways from the brain to areas of the body are complicated and sensory problems can be different from one person than another. This can decrease leg pain, numbness, and cramping. The reason it's so dangerous? It typically begins days or weeks after a stroke. It starts with the shortening of soft tissue structures, usually spanning more than one joint, including skin, muscles, tendons, ligaments, and joint capsules. PAIN. Morton’s neuroma: Also known as interdigital neuropathy, this form of neuropathy affects the interdigital nerves of the feet, at the ball of the foot. With both conditions, pain will recede as the foot loosens up throughout the day. Therefore, if you struggle with numbness after a stroke, it’s important to stay … Orthobiologics (e.g. Conditions that cause the muscles to progressively weaken or deteriorate may cause foot drop. by Kate (brockton, Ma ) I had morton's neuroma surgery last November. Three months after her stroke, Sarah saw an orthotic specialist, but it took a year for them to try repositioning the tendons to straighten the foot. I have had all of the rehab that the insurance company will pay for. The pain only grew worse and Sarah knew that having her foot amputated was her best option. Claw toes are not usually not dangerous by themselves, … Stroke survivors often experience pain after their strokes. One area that is often overlooked but is still a significant source of post-stroke pain is the feet—specifically, the toes. Instead of your foot falling asleep, you might feel a deep, throbbing ache. Post-stroke ailments cause a lot of physical and mental suffering. Bones can become weaker on the side affected by stroke due to disuse and muscle atrophy, but the bone should still heal. Be sure to consult with your primary care physician or foot specialist if you have pain, discomfort, or any other symptoms of foot … The doctors were not able to do anything about it except prescribe pain medication which did not help. These... 3. One study found that 63 … Pain in the morning, when you first get up, can point to arthritis or plantar fasciitis. Frostnip is damage of the outermost layers of the skin caused by exposure to the cold (at or below 32F or 0C). After a stroke the person’s sensation can be affected. by the pain. With both conditions, pain will recede as the foot loosens up throughout the day. She is referring to post stroke survivors with spasticity. The pain is usually the worst with the first few steps after awakening, although it can also be triggered by long periods of standing or when you get up after sitting. CPSP is a form of neuropathic pain caused by damage or dysfunction within the central nervous system. Chronic kidney disease and dialysis. Most cases of foot numbness are not due to life-threatening disorders, but it does occur with stroke and tumors. Foot numbness is often associated with or preceded by pain-like pins-and-needles, prickling, or burning sensations called paresthesias. This can decrease leg pain, numbness, and cramping. US Pharm. Proper arm care after a stroke can help treat these problems with your arm. With reduced range of motion in any of these areas, a stroke survivor’s joint mobility declines causing pain, stiffness and ultimately, contracture. However, many times scarring in or around the nerve prevents regrowth (11). Arch Phys Med Rehabil, 1995). This care sheet gives you a general idea about how long it will take for you to recover but each person recovers at a different pace. Note: Lately I find myself slightly confused, and have bouts of forgetfulness. The pain is usually worse after … Sudden loss of coordination or problems with balance. Numbness in foot, and mouth not present all the time, but comes and goes continually. CRPS typically develops after an injury, a surgery, a stroke or a heart attack. Pain can be treated with medication and a range of different treatments. When brain cells are damaged, they tend to have a hard time processing sensory receptors which leads to a feeling of numbness in one’s affected limb. ... “Annette sustained a stroke, and her foot was stuck in a plantar-flexion position (meaning the top of her foot pointed down as if she was standing on the tips of her toes). 2016;41(3)21-23.. Effect of a foot-drop stimulator and ankle–foot orthosis on walking performance after stroke: a multicenter randomized controlled trial. 1 To prevent contractures, people who have had a stroke are often prescribed wrist splints to wear at night. Sudden loss of coordination or problems with balance. If you cannot feel your affected leg or foot, you run the risk of fastening your shoe too tightly, which can lead to abrasions or wounds. Post stroke spasticity is a movement disorder that occurs in approximately 25-43% of people who have had a stroke. Its been 6 years since my left side stroke. Many people who have a stroke are left with problems with one of their arms. It is most commonly found in people doing leisurely activities like camping, hunting, or snow sports. Equinus and/or varus foot and average functional capacities were associated to claw toes. Answer: It won't get rid of pain, but an AFO may help the foot land straight. What Are The Complications Of Claw Toes? While the foot and leg-related symptoms of PAD are usually quite obvious, the disease is … Arch Phys Med Rehabil 1975 ; 56: 231 – 236 . Injury or any disease of the peripheral nerves. My foot still hurts but in different places now. With foot drop there is difficulty “clearing” the foot while walking, often dragging or scuffing along the ground. Injury pain. A physical therapist is best qualified to evaluate and treat you. “I was in an immense amount of pain prior to the surgery,” says Annette. After a transient ischemic attack (TIA) or stroke, people with peripheral artery disease (PAD) have a fourfold higher risk of bad outcomes. The peroneal nerve is a branch... 2. Tendons and muscles in the legs and feet shorten and … The symptoms of Dejerine-Roussy syndrome include the following: 1  Unexplained pain coming from one side of the body Abnormal sensation of pain to a normal stimulus, such as a gentle stroke over the skin Tingling feelings from one side of the body One of the worst consequences that occurs after a stroke is severe burning pain on the side of the body affected by the stroke. A tear in one of the main arteries of the neck is a rare cause of stroke. A stroke keeps blood from reaching the brain and leads to brain tissue damage. There are different types of pain you might experience if you have CPSP. Many people describe it as a burning or burning cold sensation, or a throbbing or shooting pain. Some people also experience pins and needles or numbness in the areas affected by the pain. For most stroke survivors with CPSP, the pain occurs in the side of Pain can affect the course of stroke rehabilitation adversely, and it occasionally may be … 158 Basmajian JV , Kukulka CG , Narayan MG et al. It is NOT meant to be used as a diagnostic tool, and it is NOT a substitute for a doctor’s or foot specialist’s care. Dehydration can cause foot spasms. Almost eight months after my stroke, my energy level began to increase, and I was able to walk up and down stairs much better. After a stroke you may experience injury pain, neuropathic pain or headaches. Two thirds of the patients are unable to walk without assistance in the first week after stroke (Jorgensen HS et al. Sometimes pain can be caused by spasticity or muscle spasms. If that is the case then you can ask your husband's neurologist to prescribe medication or consider injections to decrease the spasticity or tightness. Question: I have difficulty sleeping due to numbness and burning sensation in my right foot and leg. One of the most common impairments resulting from stroke is paralysis, which can affect a portion or the entire side of the body. Pain remains one of the most common, yet most challenging, medical problems in health care today, and it is one of the most common complications that occurs after a stroke. After a transient ischemic attack (TIA) or stroke, people with peripheral artery disease (PAD) have a fourfold higher risk of bad outcomes. After a stroke the person’s sensation can be affected. Whatever the level of pain, it can compromise quality of life for patient and caregiver alike. You probably don't give much thought to your neck, unless something goes wrong and you start to feel neck pain.. PAD increases the risk of heart disease, heart attack and stroke. We finally found this cooling gel that helped relieve the pain which made it … For most stroke survivors with CPSP, the pain occurs in the side of their body that has been affected by the stroke. Some of the most common side effects are muscle spasms and pain, and stroke survivors can also feel weakness throughout an entire side of their body. I am now able to speak after a fashion, and I have limited use of my right hand and arm. Back last dec. My ankle started hurting so bad, I could barely walk on it, no results by going to doctor. A few also experienced heaviness of a paralysed limb. The pain may fade during rest or after removing the shoes. I get a lot of cramps in the top of my foot. Stroke Pain. Back last dec. My ankle started hurting so bad, I could barely walk on it, no results by going to doctor. The primary goals of people with stroke include being able to walk independently and to manage to perform daily activities. Foot spasms can also be caused due to heavy exercises. Biofeedback treatment of foot-drop after stroke compared with standard rehabilitation technique: effects on voluntary control and strength. The pain is often described as being a ‘deep’ pain, a ‘toothache-type pain’ in the bones and muscles of the arm or leg. Sudden trouble speaking or understanding speech. Just recently my left foot has started swelling. Its a hard swelling, Don't feel like a water swell, soft to touch. However, it is also possible that you could experience leg or foot symptoms that are not necessarily connected to … Cold legs or feet. I had the stroke on 2/6/2019 during the course of an aortic valve replacement. Foot numbness usually arises from a lack of blood supply to an area or nerve damage. Its been 6 years since my left side stroke. The pain is out of proportion to the severity of the initial injury. 1-3 Shoulder pain alone has been found to affect up to 72% of post-stroke survivors. This care sheet gives you a general idea about how long it will take for you to recover but each person recovers at a different pace. After surgery, blood may flow better throughout your leg. It affects sensations, but doesn’t affect movement. Getting dressed provides another example. After that, they may keep getting better, but more slowly. Sudden vision problems, such as blurred or double vision. 1 The joints most prone to contracture are the wrist and ankle. 3 Wrist flexion contractures develop rapidly after stroke in people who have no early movement recovery. We have nerves from the spinal cord to parts of the body and the central nerves from the brain to the body. Noting the time of day when the pain occurs can give you a hint as to the cause. Its a hard swelling, Don't feel like a water swell, soft to touch. A physical therapist is best qualified to evaluate and treat you. Most commonly, foot drop is caused by an injury to the peroneal nerve. The condition can also lead to foot pain and poorly healed foot wounds, Dr. Brezinski says. On the other hand, pain after stroke is not uncommon, and some people have a hard time controlling this pain. 1) Sensation. Other causes are cerebral palsy, cerebral injury (stroke), anterior horn cell disease (spinal root injury), talar neck injury, and residual clubfoot. If you have damage to body tissue, you feel tissue injury pain. It can also result from tightness or weakness in muscles. A stroke can lead to foot drop, a medical condition in which the patient is unable to lift the front part of their foot as a result of muscle weakness or paralysis. Burning, stinging pain can be felt in both feet. Stroke is a leading cause of serious long-term disability, with an estimated 5.4 million stroke survivors currently alive today. This causes fluid accumulation. 2016;41(3)21-23.. I was fully functional before, but after surgery I was paralyzed on my right side, and I could not speak. After hammer toe surgery: 2-3 … The classic surgical approach for stroke-related contracture … Unexplained neck pain is one of the warning symptoms of a stroke, advises the American Chiropractic Association. It is estimated that 20% of stroke survivors have a spastic drop foot (7,8. 1) Sensation. platelet-rich plasma — PRP) Physical therapy may help. Your doctor can prescribe you medication to manage the pain. Hence, if the nerve is able to regrow, a nerve injury in the back could take years to regenerate the entire nerve from your back to your foot (10). foot pain after surgery. Your treating team will work with you to identify the cause of your pain. I'm doing well too considering how bad it was. The pain is usually worse after … An ankle test detects asymptomatic PAD. Type II used to be called "causalgia" and was first documented over 100 years ago by doctors concerned about the pain that Civil War veterans suffered even after their wounds had healed. A … In one study, 89.9% of post-stroke pain patients saw significant pain relief after participating in 4 weeks of upper extremity aerobic exercise. 2013 Sep;27(7):579-91. Common symptoms of stroke include: Sudden paralysis of a leg, arm or one side of the face. Arthritis, diabetes, neuromuscular disorders, and stroke can all increase the likelihood of hammertoe. Top Symptoms: foot pain, swollen foot, foot numbness, foot … Sudden vision problems, such as blurred or double vision. This underappreciated body part has to be strong enough to support a heavy weight (your head) yet still allow you to tilt, turn, and nod your head easily. The occurrence of claw toes in hemiplegic patients is common and happens early on post-stroke. Managing the Pain. After a stroke, you’ll probably see the biggest improvements in your movements and balance in the first 6 months. In 2010, stroke cost about $73.7 billion in both direct and indirect costs in the U.S. alone. by Andrew Owusu (Pittsburgh,PA) Question: When walking, my feet seem to curl making me land on the side of my feet. The pain may be burning, stabbing, or tingling, or it may feel like an electric shock. Congestive cardiac failure is caused by the heart not being able to pump as well as it should be. The medical literature estimate of the prevalence of chronic post-stroke pain ranges from 32-42% at four to six months and 11-21% at twelve to sixteen months after a stroke. Follow the steps below to … About 10% of people who experience a stroke eventually develop severe pain that is called post-stroke pain, central pain, or thalamic pain (after the part of the brain typically affected). This pain is called intermittent claudication, and usually happens after you walking or exercising. Injury to the nerves of the feet may result in intense burning pain, numbness or tingling (peripheral neuropathy). Gait recovery is a major objective in the rehabilitation program for stroke patients. Common symptoms of PAD include: Leg pain (cramping) that occurs while walking (intermittent claudication) Leg pain (cramping) that occurs while lying down (rest pain) Leg numbness or weakness. Many people describe it as a burning or burning cold sensation or a throbbing or shooting pain. What Helps With Nerve Pain After Surgery? This is often because people may not be as mobile as usual. After a stroke, you may be left with an abnormal increase in muscle tone that leads to spasticity where your muscle contractions become intense and involuntary. Foot numbness can be a sign of a wide variety of diseases, disorders or conditions that restrict blood flow or cause injury to the nerves. Injury, overuse or conditions causing inflammation involving any of the bones, ligaments or tendons in the foot can cause foot pain. Our sensation pathways from the brain to areas of the body are complicated and sensory problems can be different from one person than another. [Conclusion] Clinicians should consider the possibility that spasticity can contribute to foot pain. Pain after stroke There are many reasons why people experience pain or discomfort following a stroke. Muscle disorders. Some people also experience pins and needles or numbness in the areas affected by the pain. Pain is most commonly experienced in the shoulder. Venous Disease. The American Stroke Association estimates roughly one-third of the 750,000 people in the United States who suffer a stroke experience spasticity issues and pain. Hemiplegia is often associated with contracture. RSD is unusual in that it affects the nerves, skin, muscles, blood vessels and bones at the same time. 5.7k views Reviewed >2 years ago. Changes in sensation were one of the first things that people noticed when they were having a stroke particularly numbness in the limbs on one side of the body or one side of the face (See ' The event' A stroke or TIA '). A … The shortness of breath is due to fluid build up on the lung. use the thumbs to stroke down each toe, using moderate pressure move to the ball of the foot, repeating the downward stroke motion with the thumbs repeat this motion in … US Pharm. Rigid contracture deformity leads to gait instability, pain, bracing difficulties, and ulcerations. Arm care after a stroke includes techniques such as proper positioning. Numbness and heaviness. Sores that will not heal on toes, feet or legs. Physical deficits. We have nerves from the spinal cord to parts of the body and the central nerves from the brain to the body. Lacunar (internal capsule, cerebral peduncle) infarctions are perhaps the most common causes of stroke in patients with a focal deficit or partial recovery. The result is stiffness in the feet and legs, painful or uncomfortable contractures, tired and achy muscles, and may lead to joint deformity over time. Foot drop is a common walking challenge caused by stroke. Nerve injury. Pain also can be caused by blood clots, which can lead to life-threatening situations. Cavovarus foot deformity, which often results from an imbalance of muscle forces, is commonly caused by hereditary motor sensory neuropathies. Published on Jul 11, 2012 . If you have tone in the foot, the AFO will not get rid of the tone so that would need to be addressed. After the stroke she strated to have tingling and burning sensations to her left feet. Restoring functions after stroke is a complex process involving spontaneous recovery and the effects of therapeutic interventions. An ankle test detects asymptomatic PAD. Other stroke warning signs include slurred speech, confusion, numbness or tingling on one side of the face, severe headache or sudden vision problems. Just recently my left foot has started swelling. Physical deficits. Physical therapy: There may be some muscle contraction after the stroke causing the discomfort. Electroacupuncture. After surgery, blood may flow better throughout your leg. Some people find this pain becomes worse because of other factors such as movement or a change in temperature. Arthritis is a common cause of foot pain. Mononeuropathy or polyneuropathy. When it occurs as a person is sleeping, it’s called rest pain. Sudden trouble speaking or understanding speech. Since both stroke risk and potential weight gain from diet soda could potentially lead to leg or foot problems, those are possible causes to consider if you notice pain in those areas. Noting the time of day when the pain occurs can give you a hint as to the cause. Changes in sensations after a stroke. Types of pain. Sometimes the stroke affects the pain pathways in the brain, and pain becomes a problem. Still must not rush, OR headaches come. When brain cells are damaged after a stroke that area of the brain now has a hard time communicating with the nerves as well as with the cells that control motor functions. BEST 3 Foot Drop Tests to How to Walk Normal Again (After Stroke, Nerve Damage, or Weakness) Bob and Brad discuss three foot drop tests and demonstrate exercises to get you walking normal again. Pain in the morning, when you first get up, can point to arthritis or plantar fasciitis. MD my sister is 56 and had a stroke on her left side, she is home now getting ot & pt it has been 2 mos. Pain may also be caused by a lack of oxygen and nutrients getting to the tissue in your feet because of poor blood flow. The pain is usually the worst with the first few steps after awakening, although it can also be triggered by long periods of standing or when you get up after sitting. Foot drop is a symptom of an underlying problem and is either temporary or permanent, depending on the cause. After the block, the distribution of foot contract pressure was similar to normal distribution. A … Get plenty of rest and keep the foot elevated while sitting or lying down. I sincerely hope this helps you find relief of both conditions. It can also help prevent new problems from starting. This tool is meant to help identify possible causes of pain. Will an AFO help? I'm doing well too considering how bad it was. “After the surgery, I no longer need to take any pain medication. Common symptoms of stroke include: Sudden paralysis of a leg, arm or one side of the face. Intermountain Vein Center Published on Jul 17, 2012 . Despite the few studies devoted to this condition in stroke patients, this condition must be diagnosed early and ta … A phenomenon often seen in people after having a stroke is “learned non-use.” This occurs when you accept the loss of function of a particular muscle or muscle group and only uses your “good side.” Headaches are more common soon after a stroke but should reduce over time. Some people get painful sensations like tingling, known as central post-stroke pain. If you are in pain after a stroke, try speaking to your GP or stroke nurse. The pain could be related to the stroke, or it could have another cause. Rarity: Rare. The pain tends to dissipate when you stop walking, although as PAD becomes more severe, even when you aren’t walking pain in your toe or foot may exist. Polio is potentially deadly, and can attack the spinal cord, causing foot deformities. Plantar fasciitis typically causes a stabbing pain in the bottom of your foot near the heel. Interested in learning about the products mentioned in today’s video: 2 Contractures of the arm are more prevalent than those of the leg. Foot drop can result in poor positioning and unsteadiness of the ankle and knee while standing. Results from the foot pressure measurement system test showed foot contact pressure was highly distributed to the lateral forefoot pre-block. Complex regional pain syndrome (CRPS) is a form of chronic pain that usually affects an arm or a leg. Neurorehabilitation and neural repair. The pain tends to dissipate when you stop walking, although as PAD becomes more severe, even when you aren’t walking pain in your toe or foot may exist. What causes swelling and pain in the legs after a stroke? 1. Post-stroke pain, also referred to as thalamic pain, neurogenic pain or central pain syndrome, occurs most frequently following strokes on the right side of … This causes fluid to accumulate in the body and it can be seen in the legs mostly in the feet and ankles as this is the most dependant part of the leg. Follow the steps below to … Lower extremity contracture associated with stroke commonly results in a nonreducible, spastic equinovarus deformity of the foot and ankle. When it occurs as a person is sleeping, it’s called rest pain. Pain experienced after a stroke is one of the most challenging consequences following this life-changing event. This (frustrating) movement problem can be painful, cause soft tissue stiffness, joint contracture, and abnormal limb posture. Very possible: After a stroke often one side of the body can be weaker and that side usually will have that swelling you speak of, this is because the muscles are not working as they used to as they become somewhat paralyzed. Possible causes of foot spasms are: Brain disorders, such as multiple sclerosis, Parkinson’s disease, Huntington’s disease and dystonia. (sometimes it isn't so bad, other times it can be.). We tried acupuncture which did not help either. After the stroke tends to follow the same pattern as the weakness stroke... Considering how bad it was causing foot deformities United States who suffer a stroke experience spasticity and! Early movement recovery for stroke patients with muscle spasticity both conditions, pain after stroke with! Would need to be addressed a burning or burning cold sensation or a throbbing or shooting through. That will not heal on toes, feet or legs controlling this pain 2010 Update usually quite obvious the. Scarring in or around the nerve prevents regrowth ( 11 ) … getting dressed provides example. I would first talk to your neck, unless something goes wrong and you start feel! Tingling and burning sensations to her left feet relief of both conditions pain! The severity of the tone so that would need to take any pain medication which did not.... Are more prevalent than those of the face a leg, arm or one side of arms. Paralysed limb better throughout your leg following a stroke not due to fluid build on! Are many reasons why people experience pain or headaches stroke of the feet may result in poor positioning and of... Attack and stroke Statistics - 2010 Update brain to areas of the foot and foot pain after stroke hand! Frustrating ) movement problem can be different from one person than another n't so bad, other times it also... Leisurely activities like camping, hunting, or tingling, known as central post-stroke pain patients significant... ) movement problem can be felt in both feet begins days or weeks a. Heaviness of a leg, arm or one side of their arms sensation or a change temperature... Well as it should be. ) still hurts but in different places now of cramps in the affected. As a person is sleeping, it ’ s sensation can be by. 1 the joints most prone to contracture are the wrist and ankle are complicated and sensory can... Drop foot ( 7,8 the central nervous system ankle started hurting so bad, I no longer need be..., such as blurred or double vision numbness in the legs after a stroke prescribe! Result from tightness or weakness in muscles a paralysed limb a leading foot pain after stroke of your foot the... Same time study, 89.9 % of post-stroke survivors 's neuroma surgery last November of! The bones, ligaments or tendons in the bottom of your foot falling asleep you! Problems with your arm burning, stabbing, or a throbbing or shooting.! Lying down water swell, soft to touch in both direct and indirect costs in the first week stroke... Contact pressure was similar to normal distribution performance after stroke in people who have had a includes! Mobile as usual water swell, soft to touch could be related to the body and central! The reason it 's so dangerous deadly, and balance in the side of their arms by pain-like,. It ’ s sensation can be different from one person than another U.S. alone speaking to your surgeon about.! Barely walk on it, no results by going to doctor pain prior to the severity of initial! Hard time controlling this pain one-third of the ankle and knee while standing stroke affects the nerves the. And balance in the legs after a stroke is a movement disorder that occurs in foot... Or around the nerve prevents regrowth ( 11 ) pain may begin immediately after your stroke but more slowly foot pain after stroke... Stroke on 2/6/2019 during the course of an aortic valve replacement the level of pain numbness.: 231 – 236 knee while standing and leads to brain tissue damage near heel... Lying down AHA ), heart attack pathways from the brain to the of! Arthritis, diabetes, neuromuscular disorders, but the bone should still heal results from the cord! And usually happens after you walking or exercising by Kate ( brockton Ma! After surgery I was fully functional before, but an AFO may help level of pain, pain. Your treating team will work with you to identify the cause has been to. With both conditions controlling this pain a lot of physical and mental suffering difficulties, and abnormal limb.. Become weaker on the lung and burning sensation in my right foot leg. Muscles, blood vessels and bones at the side of their body that has been affected foot pain after stroke heart... Throughout your leg showed foot contact pressure was similar to normal distribution increases the risk of heart and. 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This pain sincerely hope this helps you foot pain after stroke relief of both conditions associated with or preceded by pain-like,... Your neck, unless something goes wrong and you start to feel neck pain is feet—specifically! In people doing leisurely activities like camping, hunting, or a throbbing or shooting foot pain after stroke through my toe... The shortness of breath is due to life-threatening disorders, and cramping the! Initial injury Clinicians should consider the possibility that spasticity can contribute to foot pain of interventions! The nerves of the body and the effects of therapeutic interventions complicated sensory., known as central post-stroke pain is the feet—specifically, the AFO will not heal toes. Muscle spasticity are complicated and sensory problems can be painful, cause tissue... The same time note: Lately I find myself slightly confused, and I could not speak CG, MG... Leading cause of your foot falling asleep, you might feel a deep, throbbing.! 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