So You’ve Had a Stroke — Now What?

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You have had a stroke. Hopefully, you went to the hospital when you developed your symptoms of weakness, numbness, altered speech or visual impairment. Your hospital care enabled you to limit the damaging effects of the loss of circulation to a portion of your brain. You’ve made it through the acute phase of stroke management. Now what?

You will want to obtain the best achievable outcome from the impairments you already have. If you have “motor” impairments (weakness or clumsiness) you can rest assured that randomized, controlled trials — the gold-standard method for determining a treatment’s effectiveness — have shown that physical therapy can improve your level of functioning. If you have speech impairment, then speech therapy might be beneficial, though this has never been proved by means of randomized, controlled trials.

While it is important to focus on rehabilitation following a stroke, there are also other issues to attend to. As a survivor of a stroke you are at increased risk for another.

Researchers at the Mount Sinai School of Medicine and Columbia University in New York studied 655 people who suffered first...

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