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Doctor insights on: Facial Exercises For Stroke Patients

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What exercises are for patients who lost some function in their hand due to a stroke?

What exercises are for patients who lost some function in their hand due to a stroke?

Functional: The best exercises I know for someone who still has some partial function in the hand after stroke are called functional exercises. This means that rather than doing a boring repetitious exercise, the brain will respond better if you do something that is meaningful like trying to use a fork to feed yourself or trying to use your fingers to button a button or even trying to write. ...Read more

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Is it true that having a chin implant could cause facial nerve damage? I want to have chin implant surgery to correct a weak jaw line. I've heard that this procedure sometimes causes nerve damage and patients look like they have suffered a stroke. What ar

Is it true that having a chin implant could cause facial nerve damage? I want to have chin implant surgery to correct a weak jaw line. I've heard that this procedure sometimes causes nerve damage and patients look like they have suffered a stroke. What ar

A: A chin implant placed by a well trained facial plastic surgeon should be a relatively simple procedure. While there are risks associated with this procedure--they are extremely rare. What you are describing is an injury to the facial nerve and specifically the marginal mandibular branch (causes the corner of the mouth to be pulled down such as in a frown or even slightly in a smile) which could cause some asymmetry in your smile but not so severe as to be confused with a stroke. Having said this, I have never seen or even heard of this nerve being damaged during a chin implant. There is a sensory nerve (feeling only) in the area that is more at risk. It is the mandibular branch of the trigeminal nerve and again it is only for sensation. An injury to this nerve would cause a spot of numbness to the chin and lower lip on the side that was injured. I have heard of some temporary numbness after chin implant surgery (few to several weeks) but never a permanent one. This is most likely due to the swelling and inflammation after surgery. I hope this helps! ...Read more

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What is a nurse do to help stroke patients?

What is a nurse do to help stroke patients?

Great value: A nurse presence in the home can provide support for feeding, dressing, cleaning, and other activities of daily living. Extremely helpful during the process of rehab, as many patients will be unable to take care of themselves a visiting nurse in the home setting can allow other family members to pursue their individual responsibilities. ...Read more

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What should you do to massage a stroke patient?

What should you do to massage a stroke patient?

Seek doctor's aid: See your local healthcare professional to make sure it is okay to get massages after a stroke. ...Read more

Dr. Alan Ali Dr. Ali
2 doctors agreed:
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What is the acronym used to help assess stroke patients?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
What is the acronym used to help assess stroke patients?

Stroke: FAST ;
F.......facial drooping.
A.......arm weakness.
S........speech difficulties.
T........time.

Get a more detailed answer ›
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What tips do you have for a patient recovering from a stroke?

What tips do you have for a patient recovering from a stroke?

Don't give up: It may seem obvious, but putting forth as much effort as possible in rehabilitation will yield maximum results. In addition to the physical impairments, the fight against depression is often also difficult as a patient adjusts to the results of the stroke. ...Read more

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What shall we do if the stroke patient complaint of excessive body pains?

F/u with Neurologist: Take him to the neurologist who may try medicines for neuropathic pain like lyrica, (pregabalin) Gabapentin or others. Otherwise take him to pain management to help him control the pain. Attempt to pinpoint where is the pain located, which joints, or between joints, the back, the neck, shoulders, knees, elbows, hands? May benefit fron cortisone shots. ...Read more

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For a bedridden patient after stroke, how often should be turned over by his/her family?

Every 3 - 4 hours: Preventing bed sores is extremely important in a bedridden patient. Turning every 3 - 4 hours should suffice for most patients. Watch the sacrum and the heels, which are very susceptible. There are special beds available which can help as well. ...Read more

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How common do u see young patient with stroke. Is it becoming more cpmmon in young. Also what would be most common cause?

How common do u see young patient with stroke. Is it becoming more cpmmon in young. Also what would be most common cause?

Common: I recently had a 22 yo female that developed a stroke a month after she started oral contraceptives. Young patient can develop stroke depending upon their risk factors, such as genetic predisposition, hypertension, diabetes, obesity, a combination of smoking and oral contraceptives, etc. ...Read more

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Is it common to wait more than a day to operate on a patient dianosed with a stroke? The patient was in good health a day prior to being diagnosed with a stroke and is only in his early 40's.

There: There really is't enough information in this question to answer it well. First, strokes are not usually treated surgically. If this 40+ year old person was about to have some non-neurological surgery, waiting would be sensible while the reason for the stroke was being investigated. Perhaps the person was given anticoagulants which would make any kind of surgery risky. If the patient were older and had developed a blockage in the carotid artery in the neck, surgery may be done to remove the blockage. After a completed stroke (not a tia) it has been customary to wait two weeks or more before operating because brain tissue is damaged by a stroke and the damaged tissue can bleed.
If this is not information for you please rephrase the question adding more details. ...Read more

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What % of ischemic MCA stroke patients benefit from tpa (alteplase)?

What % of ischemic MCA stroke patients benefit from tpa (alteplase)?

Depends: This is a complex question. It depends on what percent of is already showing signs of infarction (dead brain) rather than just ischemia (brain at risk).... When we see > 1/3 of territory abnormal on initial ct scan, it is a contraindication for tpa (alteplase).
It also depends on how long the symptoms have been occurring.
But to answer your question, theoretically all could potentially benefit. ...Read more

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Can you tell me is coffee good for stroke patients?

Neutral: Don't think coffee represents a risk or harmful substance to stroke patients, but unlikely to assist rehab efforts unless there is a speech issue and Ritalin (methylphenidate) is not tolerated, but caffeine really has no role in stroke therapy, good or bad. ...Read more

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What could happen if a stroke patient's language rehabilitation is sabotaged?

Stroke: You have to be more specific - sabotage? Sounds like "goldfinger" is out to get you and only "james bond" can help. If you mean not covered by insurance - then this is becoming a reality with new healthcare these days. As stroke patient are regarded as not economically viable to society and hence dollars are not spent on them. Its rationed care-the new order of the day. ...Read more

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Does the cardioemolic stroke patient (otherwise healthy) benefit from statins?!

Cardioembolic stroke: Good question. Strictly s[peaking, statin should not help cardioembolic stroke. Howevere, statin may help the cause of cardic source of emboli such as ischemic cardiomyopathy. ...Read more

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How long for a stroke patient to feel some resolution of a stroke with the use of pt?

Highly variable: Stokes come in all degrees of severity. Some people begin improving immediately. Others take longer. You should understand that improvement is possible for up to two years following a stroke so don't despair - keep trying and working with pt. ...Read more

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Is there any evidence of korean red ginseng extract helping the recovery of stroke patients?

Is there any evidence of korean red ginseng extract helping the recovery of stroke patients?

Wrong question: There is no systematic evidence that korean ginseng is good for anything, let alone stroke. Ginseng is one of those bogus "ancient wisdom" things. Its use is based on a superstition called the "doctrine of signatures:" because the root looks like a little headless man, the ancients got this delusion that it would cure things. Arm yourself with modern knowledge, not ancient superstition. ...Read more

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If a patient faces looks lopsided and he is drooling is he likely yo have a stroke or what disease might he be experiencing?

Possibly: What you describe sounds like either a stroke or bell's palsy. Patient should seek immediate medical attention. ...Read more

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Are strokes more common in patients with cancer?

Are strokes more common in patients with cancer?

Cancer stroke: There is higher risk for stroke in cancer pt due to relative hypercouglable state of cancer. Depending on chemo agent they can increase risk for strokes. Don't get caught too much on this. Talk to doctors and oncologists about your particular cancer and treatments. ...Read more

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How should a concussion affect a stroke patient?

How should a concussion affect a stroke patient?

It may worsen the sy: Any injury to the head, if severe enough, can worsen the deficits cased by the stroke. ...Read more

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What is therapy for stroke patients called?

Stroke: Stroke rehabilitation program - can involve - physical, manipulative, speech etc.. ...Read more

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Is HBOT therapy advised for stroke patients?

Hyper-baric oxygen: We use for ischemic limbs to prevent amputation, and find some utility in bad infections. Some research has been done in stroke, and occasional acute cases have responded, but oxygen treatment for stroke remains controversial and so far, not in main stream. ...Read more

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What is the result if the patient of stroke is vomiting?

What is the result if the patient of stroke is vomiting?

Vomiting: Vomiting in a stroke patient may mean increased intracranial pressure. Have the patient evaluated asap. ...Read more

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Why don't stroke patients get tpa (alteplase) therapy?

Why don't stroke patients get tpa (alteplase) therapy?

They can: If having a stroke one can receive intravenous tpa (alteplase) up to 3 hours once symptoms begin and up to 4.5 hours in certain cases. After this intra. ...Read more

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How can you reverse the process of contraction in a stroke patient?

How can you reverse the process of contraction in a stroke patient?

Two aspects: There are two aspects to a contracture in someone with a stroke. One is spasticity which is an overactivity of muscle contraction. This can be dealt with quite effectively with injections of botulinum toxin. The second aspect is the contracture of the tendons and joints if the contracture has been long standing. If this is a predominant issue, techniques such as serial casting or even surgery ...Read more

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Is it ok for a stroke patient be treated for cancer at the same time?

Yes: Having a prior stroke is not a contraindication to being evaluated and possibly being treated for cancer. ...Read more

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Can there be both gastro-bleeding and a stroke in one time at one patient?

Can there be both gastro-bleeding and a stroke in one time at one patient?

GI bleeding: Can be seen after stroke. It is a indicator of increased risk of death. ...Read more

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How quick after stroke should treatment start so that a patient can survive?

How quick after stroke should treatment start so that a patient can survive?

Soon: Survival after stroke depends on many factors, mostly on the size of stroke and complications (pneumonia, bleeding etc). Acute therapy for stroke (clot busting medication) should be given within first 4.5 hours of stroke onset. It can potentially help to halt the stroke and improve outcome. ...Read more

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Do u think stroke patient with right side paralysis would benefit from massage?

Yes: Patients will definitely benefit from massage. Also stretching exercise will help. ...Read more

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Why are stroke patients sometimes given lipitor (atorvastatin)? What does it do to help?

Cholesterol: It is a medication that lowers elevated cholesterol which is a risk factor for stroke. ...Read more

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Help please! Is an inability to swallow in a stroke patient a sign that the end is near?

No: About 50% of stroke patients have swallowing problems right after a stroke. This usually improves with time with few patients having problems long term. ...Read more

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Is HBOT safe technique. Can it harm or degrade the patient health who is suffering from stroke?

Relatively safe: About 2% can have ear trauma. There are other issues like sinus trauma, and pneumothoraces (collapsed lungs). Probably the most concerning adverse effect, are seizures, but they are rare, on the order of 1 seizure in every 10, 000-100, 000 treatments. ...Read more

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What should I be careful of when performing a massage on a stroke patient with right side paralysis

Gentle: Just must make sure you do gentle passive range of motion and that they may not feel pain so if you are too rough you may break something. Gentle is the key. ...Read more

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Is dabigatron suitable for a patient who has had a rriple bypass many years ago and has recently had a stroke?

Anticoagulant: When dabigatran is appropriate for an individual relates to a number of factors. It is a 'blood thinner' and used to minimize the risk of stroke in patients with atrial fibrillation and no valvular heart disease. There are other situaltions when it may be appropriate. You should discuss the question with the dr. That knows you best. ...Read more

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Is ceragem is ok for stroke patient. If good. Once cured will have to continue with ceragem theraphy for rest of the life?

No evidence: No reputable scientific research has proven the benefit of this modality is stroke patients. ...Read more