Doctor insights on:
Hemiparesis Differential Diagnosis
PT/Baclofen or botox: To help with spasticity, things like Baclofen pumps and Botox injections into the muscle have shown to reduce the stiffness and increase function. Most of the time, a physiatrist (physical medicine and rehab physician) does these procedures. Other interventions include pt, occupational therapy, speech and behavior therapy. ...Read moreSee 1 more doctor answer
"Hemi" refers to half. "Paresis" means weakness. Hemiparesis refers to a weakness over one side (half) of body. The most common cause is from a cerebral infarction (stroke) on one side of the brain. It usually affects the opposite side of the body relative to the side of stroke, although if the face is involved, that tends to be on the same side as the brain ...Read more
One side affected: This generally refers to a disorder of strength and mobility involving one side of the body. The limbs are stiff and movement is difficult but possible. Hemiplegia would mean the side is essentially paralyzed. It is often the result of pre-natal brain injury/stroke and more often found in premature infants. ...Read moreSee 1 more doctor answer
Medication/botox: You want to maintain some degree of spasticity in your leg to assist walking. The use of oral medication may help, but will affect arm and leg-plus there may be sedation. Botox can be very helpful, different doses for arm/leg, customizing the effect. It can address specific trouble areas oral medications can't address. Would find a neurologist/ rehab doctor who does this under EMG for best result. ...Read more
Hemiparesis: The psychological effects of hemiparesis vary with the person and extent of symptoms. Many people struggle with frustration about not being able to use a whole side of their body, loss of independence -- and depression about capacity to take care of themselves, or roles they can no longer carry out. For instance, if they can no longer work/earn money they may feel there's no reason to be alive. ...Read more
Half body weakness: "Hemi" refers to half. "Paresis" means weakness. Hemiparesis refers to a weakness over one side (half) of body. The most common cause is from a cerebral infarction (stroke) on one side of the brain. It usually affects the opposite side of the body relative to the side of stroke, although if the face is involved, that tends to be on the same side as the brain injury, (opposite) to body. ...Read more
Rehab Consult: You need to consult with a rehabilitation medicine specialist for a detailed evaluation of the extent of your deficits and a proper determination of your potential to safely resume driving. Good luck. ...Read more
No.: But that doesn't mean some new form of therapy is on the horizon. Neurosciences is definitely one of the most exciting fields today; it will lead to more close understanding of how our brains get as screwed up as they are, and then hopefully how to screw them on straight. Hurrah to my daughter, arielle, who is to become chief resident of neurology at nyu. ...Read more
Degree of weakness: Hemiparesis is the term used to describe unilateral weakness. The range of power is anything less than full, to just being able to move a limb when gravity is removed. Hemiplegia describes a limb (s) that have no movement. The spectrum of power goes from full->hemiparesis->hemiplegia. The tone of a hemiparetic can be either flaccid or spastic depending on the cause. ...Read more
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.
Does perispinal etanercept injection really do wonders in stroke patients for hemiparesis etc?? I see some reseaech on government portals with evidence of good results within minutes? Are they fake??
Buyer beware: You are probably referring to the treatments offered by Dr. Edward Tobinick. From a standard medical point of view this is quite controversial with only case-reports available. I'm up for an open mind but be careful before falling for any "miracle" cures. Best of luck. ...Read more