Thalamic pain syndrome.

Though it occurs infrequently, thalamic pain syndrome (TPS) can be devastating. Producing a sensation described as burning, TPS is activated by cutaneous stimulation and temperature changes. The syndrome can occur immediately, or even many months after stroke. The pain is unaffected by analgesics or narcotics and surgical intervention has demonstrated minimal success. Studies testing the efficacy of tricyclic antidepressants have shown a positive response. It is the goal of the nurse to maintain a tolerable pain level for the patient and promote the highest level of function and well-being.