Q. Can physiotherapy help my mom recover from a one-sided paralysis?

Answered by
Dr. Devavrat Harihar Nene
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 05, 2017

Hello doctor,

My mother has left side paralysis since three years. At the very instant she had it, we started physiotherapy. At that time, we also got an MRI of the brain done, reports of which I am attaching. In the report, it was mentioned that both the ICA are normal and we continued the physiotherapy. After that, we again got an MRI done last year, which was an MRI of the brain with neck vessels and intracranial circulation. This report shows that in the right ICA there is 60 to 70 % stenosis and 30 to 40 % stenosis in the left ICA. So, I want to ask you if there is any need for a doppler ultrasound. Should we get this removed? Will it help in recovery? I ask because my mother has not yet recovered fully. Right now, she is taking Asomex 2.5, Folydol-M, Atorva 10 mg and Ecosprin 75 mg. So, please help me with this query. 



Welcome to icliniq.com.

I have seen the reports (attachment removed to protect patient identity).

  • The neck doppler needs to be done to estimate the size of the stenosis. If it is more than 70 %, you will need to take her for a carotid endarterectomy procedure.
  • Right now, I suggest the following:
  1. Increase Atorvastatin to 20 mg and continue the BP medications and Ecosprin 75 mg.
  2. Maintain good oral hygiene.
  3. Do exercises regularly.
  4. Continue physiotherapy.
  • Recovery from the previous stroke will be slow but continuous. Physiotherapy can help improve her strength. Removing the stenosis will help reduce a risk of a future stroke. It will not help in any way for the recovery from her old stroke.

I hope this answeres your query. Take care. Feel free to contact me for any further assistance.

For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist

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