Stroke is a medical condition in which the flow of blood towards the brain is poor and causes the death of certain cells. There are two common types of stroke: 

1. Ischemic- due to lack of blood flow
2. Hemorrhagic- due to bleeding

Signs and symptoms of stroke 

Problems with movement
Inability to feel  on one side of the body
Problems understanding or in speech
Vertigo
Loss of vision
Difficulty in carrying out everyday activities
Role of Physiotherapy for Patients with Stroke

The main focus of physiotherapy is to help you use your arms and legs to regain as much strength and movement as possible. 
If you have one-sided paralysis, correct positioning is important to prevent spasm or injury.
It helps you to sit up as this will help you avoid blood clots in your legs, improve your breathing and help you recover quickly.
If you are unable to move, you may be given chest physiotherapy to keep your lungs free of infection.
What does a Physiotherapist do?

A physiotherapist advises you on how you should be positioned when lying or sitting, and how often you need to be moved.
Motivates you to be actively involved in your physiotherapy sessions to help you relearn normal patterns of movement
Decides when you should begin to start walking and what equipment is needed to move or support you
Provides therapy to strengthen your limbs and teach you how to move again as independently as possible
Takes care of the fact that no complications should arise and you have a smooth recovery.
Treatment Techniques:

Strength Training: It is evident that strength training can improve upper-limb strength and function without increasing tone or pain in individuals with stroke.
Gaming: Goal orientated computer gaming has proven to significantly reduce upper limb impairment in stroke survivors.
Virtual Reality: Virtual reality training has been shown to be effective in restoring upper limb motor impairments and motor-related functional abilities.
Mirror Therapy: Mirror therapy has been shown to have a beneficial effect on motor control and function compared to conventional therapy.
Robot-Assisted Therapy: It has been shown to have a beneficial effect on motor recovery and function.
In the upper extremity with severe impairment and/or poor prognosis for recovery, Chedoke McMaster Stroke Assessment (CMSA) of Arm and Hand < Stage 4) treatment should focus on maintaining a comfortable, pain-free, mobile arm and hand. Engage in repetitive and intense use of novel tasks that challenge the stroke survivor to acquire necessary motor skills to use the involved upper limb during functional tasks and activities. Engage in motor-learning training including the use of imagery.

Stroke - How Physiotherapy Can Help With It?

A stroke may be called a brain attack. It may happen to any person at any time. A stroke occurs when blood supply to the brain is cut off. The brain cells become oxygen deprived due to the stroke and eventually die. Dead brain cells result in brain dysfunction due to which patients lose control over muscle and memory.

Strokes can be mild to life threatening and requires immediate medical attention. Stroke requires advanced care and should be treated by extensively qualified and experienced medical experts. 

Neurosurgery satisfies all the required clauses for treatment of stroke and accounts for being one of the best ways for management of stroke. Renowned hospitals have a dedicated neurosurgical wing and a team of neurological specialists who know how to deal with stroke the best.

Vascular Neurology
This form of neurology focuses on patients who have undergone a stroke or have experienced symptoms of stroke. A multidisciplinary approach is taken for the prevention of recurrent cerebrovascular conditions.

Types of stroke

Ischemic stroke: This kind of stroke occurs when there is a blockage in a blood vessel, which supplies blood to the brain. This form of stroke is the more common. The underlying cause of this stroke is known as atherosclerosis, which is a condition where fatty deposits occur in the walls of the blood vessels and cause blockage in them.
Hemorrhagic stroke: This type of stroke occurs when a blood vessel gets weak and ruptures into the brain. This is caused by two types of weak blood vessels known as aneurysm and arteriovenous malformation.
Transient ischemic attack: This type of stroke is also known as a mini stroke. These attacks occur because of blood clots. The blockage caused is temporary or transient in nature.
Treatment of Ischemic stroke

Tissue Plasminogen Activator: This is one of the best ways to treat ischemic strokes. This medicine is given to the patient intravenously. It dissolves the blood clot and improves blood flow to the area of the brain which is affected. The medicine should be given within three to four hours after stroke symptoms appear.
Endovascular procedure: This is a process by which the blood clot is removed using a catheter, which gets inserted into the area of the blocked blood vessel. It helps in restoring blood flow to that area. 
Treatment of Hemorrhagic stroke

Endovascular procedure: Several endovascular techniques and methods are used so that the weakening of blood vessels is reduced and less bleeding is caused.
Surgical treatment: Different modes of neurosurgery may be undertaken to stop bleeding and for relieving pressure within the skull.

Role of Neurosurgery in Management of Stroke

Lifestyle changes and unhealthy habits take a toll on one s physical and mental health resulting in many diseases. One such disease that is growing common is the stroke that occurs due to a sudden interruption of blood supply to the brain. As with any lifestyle disease, the chances of having a stroke can be reduced as well. Knowing the risk factors and taking appropriate measures can prevent you from a stroke attack. 

Read on to know the seven effective ways to prevent you from a stroke.

Opt for a healthy lifestyle: While smoking leads to an increased risk of suffering from a stroke, excessive consumption of alcohol not only triggers irregular heartbeats, but also high blood pressure, which can be a solid reason behind having a stroke. Therefore, leading a healthy lifestyle free from smoking and alcohol can help in preventing strokes.
Manage conditions: Whether it is diabetes or any other kind of illness which directly or indirectly give rise to the risk of having a stroke, dealing with one's underlying conditions is important. In case one is diagnosed with such a condition that can be responsible for a stroke, he or she must make it a point to keep that condition under control.
Lose weight: Obesity is often known to increase the complexities associated with a stroke such as diabetes and high blood pressure. Therefore, for those who are overweight, losing a few pounds can be really helpful in preventing the chances of having a stroke.
Keep blood pressure in check: High blood pressure often causes a stroke, if not controlled. It is referred to as the biggest contributor in causing a stroke by many. Lowering the high blood pressure or bringing it to normal levels can indeed be a great way of preventing a stroke.
Exercise regularly: Exercise not only contributes to lowering the blood pressure, but also helps to maintain body weight while ensuring the overall fitness of the body. Some light hand exercises or regular walking combined with proper diet can do wonders in preventing a stroke.
Have a proper sleep at night: Spending sleepless nights may increase the risk of stroke. Therefore, one must make it a point to maintain the necessary amount of sleep at night that can help in reducing stress and anxiety, while decreasing the chance of heart diseases as well as a stroke.
Never ignore the palpitations: Ignoring the palpitations is the last thing one can want to do, if he or she is willing to prevent the chances of suffering a stroke. Feelings of lightheadedness or shortness of breath, chest pain and abnormal heart beats can be warning signs for a stroke. Therefore, you must pay proper attention to these and deal with appropriate medications.
An otherwise healthy person can stay away from stroke by continuing a healthy lifestyle and following the tips mentioned above. However, if you have suffered a stroke earlier, then it becomes imperative to follow these tips along with supervised medical care.

Stroke - Can You Prevent It From Happening?

Strokes occur when blood to the brain gets interrupted or reduced. When this occurs, brain cells begin to die as they don't get enough nutrients and oxygen. Such life-threatening episodes can strike you anytime.


Many myths surround this medical condition:


Myth 1: Women don't suffer from strokes
The opposite is true. It is women who suffer strokes more often than men. This is because women tend to live longer than men whose longevity gets affected by heart disease. Since they live longer than men, they tend to be more vulnerable to strokes.


Myth 2: Strokes aren't easy to recognise
Strokes can be easily diagnosed through the face, arm, Speech and Time test (FAST). If you suffer from slurred speech, facial droop or numbness on one side of the body, you're said to suffer from a stroke.


Myth 3: Strokes are a form of heart attack
Although strokes and heart attacks are closely related, they are not the same. In strokes, blood supply to the brain gets interrupted; on the other hand, in heart attacks, blood supply to the heart gets severely affected.


Myth 4: Only older people suffer from strokes
This isn't true young people can experience strokes as well. About a quarter of stroke cases are reported by people aged 65 and below. More importantly, irrespective of the age group, the warning signs are the same; it is only in response that differences can be found between younger and older people.


Myth 5: Strokes can't be prevented
Through changes in your lifestyle, strokes can easily be prevented. You can reduce your chances of getting a stroke by having a balanced diet, exercising, keeping an optimum body weight and limiting alcohol consumption as well as quitting smoking. Moreover, up to 80% stroke cases can be prevented by leading a healthy lifestyle.


Stroke - Debunking Myths About it 

Apart from its use in many Indian homes for traditional reasons, coconut has several health benefits to offer -

1) Helps diabetics by slowing sugar release into the bloodstream.
2) Boosts metabolism and increases energy because it is more likely to be burned as fuel than stored as body fat.
3) Helps treat malnutrition because it is easy to digest and absorb.
4) Kills disease-causing bacteria, fungi, yeasts and viruses because of the antimicrobial effects of its fatty acids.
5) Prevents strokes and brain disorders such as Alzheimer's and Parkinson's.
6) Prevent tooth decay - coconut oil fights bacteria responsible for tooth decay and could be a healthy, non-chemical additive in toothpaste and mouthwash.

Click on consult privately to ask me any follow-up questions on this.

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Why is Coconut SO good for you?

A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements. 

What are the different types of strokes?
There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supply of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burst or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage.  Remembering the F.A.S.T. acronym can help with recognizing the onset of stroke (Face, Arms, Speed, Time - explained below). 

What are the common symptoms of a brain stroke?
The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.

Who is likely to have a stroke?
Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.

There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.

Treatment for stroke

Treatment depends on the type of stroke.
Ischemic strokes can be treated with 'clot-busting' drugs.
Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
The most effective way to prevent strokes is through maintaining a healthy lifestyle.
What is TPA?
TPA is a thrombolytic or a  Clot Buster  drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 4.5 hrs of the onset of symptoms

Time is brain

Remember Every second Loss means brain cells die.
Rush to the nearest Stroke Centre whenever you experience such symptoms.
U can save the brain cells dying if you reach within 4.5 hrs by the CLOT BUSTER. 
Endovascular procedures 
Another treatment option is an endovascular procedure* called mechanical thrombectomy, strongly recommended, in which trained doctors try  removing a large blood clot by sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain

Stroke prevention
The good news is that 80 percent of all strokes are preventable. It starts with managing key risk factors, including 

High blood pressure,
Cigarette smoking,
Diabetes
Atrial fibrillation and
Physical inactivity.
More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control. 
Rehabilitation
The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke.

Brain Stroke - Things You Must Know!

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