Stroke recovery in New York

​Recovery from stroke does not happen quickly or easily. For many, rehabilitation can be a lifelong process. All facets of the human person are involved in post-stroke recovery, including the restoring the experience of a normal, functional life.

​A stroke is a very serious condition that occurs whenever the blood flow to the heart become choked with fat, a stroke is more like a “brain attack” in that it affects the brain rather than the heart.

​Recovery from stroke depends largely on knowing the kind of stroke that a patient suffered. An ischemic stroke is what happens when the flow of blood to which the mini-stroke may have been the prelude, often through a drastic change in diet and lifestyle).

Hemorrhagic stroke

​A hemorrhagic stroke is a type of stroke that occurs when a brain vessel in the brain bursts and bleeds, depriving the brain of blood and causing significant internal damage. Hemorrhagic strokes are one of the most severe kinds of strokes and require the longest period of recovery of stroke patients. The reason they’re so dangerous is because the leaking of blood into brain swelling), intracranial pressure, and blood vessel spasms, all of which require urgent and immediate care; otherwise, the patient may develop brain herniations or severe brain damage. They may even die. Even the smallest amount of bleeding in the cranium demands the care of a trained neurosurgeon.

​Whatever the cause, strokes may significantly impair a person’s physical well-being and emotional/cognitive functions in a number of ways. Having a stroke can result in visual disturbances such as visual field loss, where the patient develops blind spots in his or her field of vision. (One common type of vision loss is hemianopia, the loss of vision in half of each eye). Depending on where in the brain it occurs, a stroke may inflict balance and posture problems, disorientation, lack of concentration, and trouble blinking.

​Sleep may also be impaired in a number of ways. One of the most common is sleep-related breathing disorders, in which the patient breathes irregularly or intakes air in abnormally low amounts. The most common sleep-related breathing disorder in stroke victims is obstructive sleep apnea (OSA), in which the body’s air passages close during sleep, causing the victim to 40 percent of stroke survivors), where the internal body clock does not align with normal sleep cycles, and insomnia.

​Stroke is the most common cause of seizures in the elderly, and about 10 percent of all stroke survivors experience a seizure following a stroke. Stroke survivors who have hemorrhagic strokes are more likely to have at least one seizure within 24 hours. If a stroke patient suffers chronic and constant seizures following a stroke, then he or she may be diagnosed with epilepsy.

​Other sympto 60 percent of patients report having trouble controlling their bowels during recovery); one-sided paralysis (hemiplegia) or one-sided weakness (hemiparesis), resulting in paralyzed or weak limbs or loss of control of the facial muscles or bladder; locked-in syndrome, a rare condition in which the patient can only move his or her eyes; spasticity, characterized by stiff muscles; dysphagia, paralysis of the throat muscles; foot drop, in which the patient can’t raise the front part of the foot; and physical, cognitive, and emotional fatigue.

​Stroke Treatment and Recovery

​Recovery for stroke victims begins within the first couple of days after being admitted into the hospital. For patients who are already stable, rehabilitation begins within 48 hours and should be continued by whatever means necessary upon release from the hospital. Depending on the severity of the stroke, this may include a rehabilitation clinic in the hospital, a stroke recovery center, home therapy, or a long-term care facility offering skilled nursing care.

​Currently there are about seven million people in the United States living with the after-effects of a stroke. While 10 percent of stroke survivors recover rapidly and completely, and another 15 percent die shortly after having the stroke, the majority of survivors will have to decide the kind of care they need.

Studies show that those with limited access to assist them in relearning skills for their everyday life.

​For those who can afford it, home care is a viable and popular method of stroke recovery. Specialists agree that the support of a family is one of the most critical facto another, writing, and using a computer.

​But wherever the patient chooses to stimulate weakened muscles; and constraint-induced therapy, in which the patient restricts the use of one limb while rehabilitating the use of the other.

​Unique Methods and Technology at DNR for Post Stroke Recovery?

​For those seeking full recovery from stroke, help is available at the New York DNR.
We use Vojta therapy to civilians, affected by stroke and brain damage. The New York DNR is currently the only facility in New York offering this treatment.

Those seeking physical recovery from hemorrhagic stroke will benefit from our Gait Lab, which offers a one-of-a-kind, multidimensional examination and treatment of all the aspects involved in walking. So whether you need physical rehabilitation or right brain recovery, our facility possesses the equipment to administer both physical rehabilitation and stroke therapy as well as cognitive therapy . We offer the most comprehensive post stroke treatment in New York City.

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

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Complete tear of rectus femoris
with large hematoma (blood)

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Separation of muscle ends due to tear elicited
on dynamic sonography examination

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