Doctor insights on:
Facial Exercises For Stroke Patients
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
My patient vomit and had skin rashes in face. She take glucophage (metformin) 500mg. What can I do? She is stroke patient before. She is in left paralized stage
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
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
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
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
Very fast (TPA?): Improvement can be dramatic, sometimes within 10-15 min, and even up to an hour or so. ...Read more
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
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 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
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
Melas: Teens to 20s usually depending on age of first symptom or stroke. ...Read more
Stroke: Not necessarily in ICU, if unstable certainly patient goes to icu. ...Read more
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
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
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
If a patient faces looks lopsided and he is drooling is he likely yo have a stroke or what disease might he be experiencing?
Please can drugs be given to stroke patient to heal and repair the damaged nerves and other parts, and also so help recovering process?
Drugs are usually: Given to prevent another stroke. Recovery requires time and rehabilitation. ...Read more
Vomiting: Vomiting in a stroke patient may mean increased intracranial pressure. Have the patient evaluated asap. ...Read more
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
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
GI bleeding: Can be seen after stroke. It is a indicator of increased risk of death. ...Read more
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
Cholesterol: It is a medication that lowers elevated cholesterol which is a risk factor for stroke. ...Read more
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
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
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
What is a reasonable amount of time for cardio stationary rowing workout for a cardiac patient, at 26/28 strokes/minute?
Aerobics: We use 20 to 30 minute aerobic workouts. ...Read more
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