EAT PROPER AMOUNT OF GOOD FOOD. NO JUNK FOOD. WEIGHT CORRECTION CAN HELP. GOOD PROTEIN CAL PLUS LESS FAT, CARBOHYDR CAN HELP IN GEN BODY HEALTH. REPEATED EXERCISES IS ONLY WAY TO GET STRENGTH BACK PLUS FUNCTION TOO. WRIST ROM IS ESSENTIAL TOO. DON'T GIVE UP. NOW IS THE TIME TO ALL THE WAY TO GET BETTER COMPLETELY. USE RUBBER BALL, SQUEEZING DAILY 100-200 TIMES SO RT HAND HOLDING POWER CAN INCREASE.
I suggest you to see physiatrist to do a full evaluation. Recurrent stroke is very high even your mother only has. Hand weakness now. You need to prevent stroke just as important as try to get recover from current stroke. Acupuncture also helps too.
I hope this is helpful. Best wishes for a reasonably good (even if not perfect) result.
M.kevin Ariani,MD FACCP,FACC,FSCAI
Assistant Clinical Professor of Medicine
David Geffen School of Medicine of UCLA
Hand Surgeon however can contribute to care of the hand after a stroke;especially those who are slowing down in recovery. A stroke can affect sensation, position sense and muscle strength, endurance and most important balance and synchronous use in the hand. There are many very small muscles that delicatley work together to tell you when to softly hold a childs hand or strongly togrip a hammer. Hand surgeons and hand therapists are often called upon to offer help in the form of rehab, OT, splinting and even surgery.
Hyperbaric oxygen therapy involves the introduction of 100% oxygen under mild pressure. In that environment, over 5,000 genes are activated, with the effect of improving mitochondrial function [the “power house” of all cells], as long as turning on nerve stem or progenitor cells. Routine indications for this intervention are wound management and carbon monoxide poisoning. However, our center has chosen to provide this technology for literature, evidence based non-FDA approved indications such as for the TBI [Traumatic Brain Injury] and/or PTSD [Post Traumatic Stress Disorder], for which we were involved in a multicenter national trial www.NBIRR.org For a more complete list of potential indications, please visit our web site at www.HBOTNOVA.com.
The major potential side effect is related to being placed under pressure and thus if one has difficulty clearing one’s ears when in an airplane, we would want to be that much more proactive. However, given the overall safety record of this treatment in the management of a number of conditions that otherwise have limited options, the balance is usually in keeping with recommending HBOT. The goal pressure for treating the post stroke state is between 1.5 and 2.0ATA or the equivalent pressure generated as if you were ~16.5 to 33 feet below sea level. The fee for each one hour treatment is $200. We generally consider a minimum of 20 treatments sessions [for this condition often 40 sessions], 5 days per week. Hours of operation are Monday through Friday starting as early as 0630, with the last session being 5:45pm. If purchased as a block of 20, we provide a 10% discount and thus 20 sessions for $3,600. Alternatively, for blocks of 10 we provide a 5% discount: $2,000-$100 or $1,900. Although this indication is often not covered by insurance, occasionally coverage can be arranged, particularly if one has a medical savings account.
We need to emphasize that our role is to provide hyperbaric oxygen therapy as a service, while emphasizing continued oversight by your personal clinician. Please let us know if we could be of further service in facilitating initiation of this therapy.