Question 1

am post-stroke, read of botox for spasticity. what are the potential negatives?   should i discuss with neurologist, or another type of doctor?

Accepted Answer

Maybe beneficial: Botox has been shown to be an effective treatment for spasticity caused by a stroke. The negatives would br that it could work too well and cause weakness. If this were to be the case it would be transient. You could also have an allergic reaction to it but this is rare. Another negative is its cost and the fact that your insurance may not cover it. A neurologist or physiatrist would give it.

Question 2

am 8 months post-stroke (ich). what can botox injections do for my right side hemiparesis? how does it work in cases like this? thank you.

Accepted Answer

Reduce spasticity: Botox can reduce the spasticity of certain muscle groups or reduce the activity of antagonistic muscles. In the case of facial paresis it can improve symmetry by decreasing activity of contra lateral facial muscles

Question 3

due to a stroke, my right leg is sore one day and stiff the next. my doc gave me botox. no help.take 60 mg baclofen. any other suggestions?

Accepted Answer

Just a thought: You might consider ACUPUNCTURE...make sure that it's a LICENSED acupuncturist and hopefully approved by your PCP (Primary Care Provider)

Hope this is helpful!
Dr Z

Question 4

tips for post stroke rehab?

Accepted Answer

Go slow: Slow & steady wins this race. Continuing with a rehab plan set out by the doctor & therapist leads to the best result.

Question 5

i'm a year post stroke 100% physical recovery but have memory and focus issues. also get overwhelmed and distracted easily is there anything to help?

Accepted Answer

Help: These post stroke problems are not at all unusual. For help I would emphasize stress management techniques and avoidance of sleeping pills, tranquilizers and alcohol. Working with a psychologist or psychiatrist is worthwhile. Also with more time these problems will usually improve as well and continued improvement after strokes goes on  for months and years as brain function recovery is ongoing.

Question 6

i'm a year and a half post stroke. i'm having problems waking up in the mornings and at night. i have a job that frequently requires me to wake up randomly during the night. is there anything i can do to improve my waking up?

Accepted Answer

: We build up carbon dioxide in out system during sleep. This may lead to heavy sleep. Try getting better ventilation during the night by sleeping with an open window and open door. . Drinking some caffeinated beverage prior to bedtime may lighten your deep sleeping.

Question 7

what is the standard of care for central post stroke pain.

Accepted Answer

There is no: "standard of care" for this condition since MANY "Treatments" exists and any one of them could help! Avoidance of OPIATES is now a sort of "Standard"  as we try to reduce overuse of these medications. TENS stimulation appears to be helpful in many cases

Hope this helps!
Dr Z

Question 8

why am i so sleepy post stroke?

Accepted Answer

Fatigue: Means REST: Hi
post stroke your brain and body have a very lot of healing to do.  When the body is recovering from major trauma it can take some time to resolve all of the damage that the stroke did.  When you are fatigued in this kind of situation it is best to listen to your body and to rest.  Rest means: to not work; to not work out; to sleep.

Question 9

post stroke rehabilitation - will it be covered after 2 months?

Accepted Answer

Depends: It really depends on the insurance. In the case of medicare, rehab is covered as long as there are realistically achievable goals within a prescribed period of time and there is documentation of continued improvement towards those goals. Once a patient has "plateaued" in their rehabilitation, the physical and occupational therapist are usually obligated to discontinue treatment.

Question 10

how many aneurysms  are the most anyone had post stroke? are they operable?

Accepted Answer

: Your questions require more details. Most people have only one aneurysm at a time, sometimes in the abdomen, it can be large.

Get Virtual Care

For Businesses

About Us

HealthTap Online Primary Care Doctors Accepting New Patients

Doctor answers about:

Post-stroke read botox

A member asked:

Am post-stroke, read of botox for spasticity. what are the potential negatives? should i discuss with neurologist, or another type of doctor?

A member asked:

Am 8 months post-stroke (ich). what can botox injections do for my right side hemiparesis? how does it work in cases like this? thank you.

A member asked:

Due to a stroke, my right leg is sore one day and stiff the next. my doc gave me botox. no help.take 60 mg baclofen. any other suggestions?

A member asked:

Tips for post stroke rehab?

A member asked:

I'm a year post stroke 100% physical recovery but have memory and focus issues. also get overwhelmed and distracted easily is there anything to help?

A member asked:

I'm a year and a half post stroke. i'm having problems waking up in the mornings and at night. i have a job that frequently requires me to wake up randomly during the night. is there anything i can do to improve my waking up?

A member asked:

What is the standard of care for central post stroke pain.

A member asked:

Why am i so sleepy post stroke?

A member asked:

Post stroke rehabilitation - will it be covered after 2 months?

A member asked:

How many aneurysms are the most anyone had post stroke? are they operable?

HealthTap Online Primary Care Doctors Accepting New Patients

Telemedicine

Primary Care

Manage Your Conditions

Women's Health

Children's Health

Men's Health

Senior Health

Wellness, Prevention & Lifestyle

Sexual Health

Mental & Behavioral Health

Travel Medicine

Urgent Care

Didn't find what you're looking for?

More of what we treat

Allergies

Antibiotics

Asthma

High Blood Pressure

Prescriptions

Type 2 Diabetes

For Businesses

Company

Health Content

Join Us

Download HealthTap

Questions?