Thalamic Stroke Recovery Program
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- เผยแพร่เมื่อ 30 ก.ย. 2024
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Dear Dr, I am a thalamus stroke survivor, just to notify that I have no cholesterol or glucose problem, the night I had stroke, my BP was 138/83 and still get stroke, and I took my medicine. Sometimes really being living healthyly doesn't help. Just bad luck born body. Sometimes, do think all my exercise, eating and healthy living really down to drain. I m recovery. With acupuncture and exercise. Thanks anyway with all the great video. Yes do more of this type of video.😍👏🙏👍
R u continuing clopidorgel and statins ?
I had a thalamus stroke 17 months ago. Mine seems atypical from the person you described. I lost all move on left side limbs. Arm, hand, leg, foot. I have great sensory feeling, no pain, and good balance. I did some of you exercises early on and got good progress. I now have a really good PT. I can walk a mile or two unassisted but unfortunately I still have a lot of weakness and fatigue. My one year recovery plan turned into a two or three year plan but I go at it 90 minted a day 7 days a week.
Hello doc
I am kabilan(22 age,male)
From india
I had lacunar infract in right thulmus(mri)( all the other test are normal bp,ecg,immunological blood test,hdl,ldl,blood test,ct scan)
Took clopidogrel started to run in 2months and continued it (totally 4 months of running 3-4 kms)
But now on 16th nov 2022 got the same symptoms even taking this tablets till now..
Do know what is gonna happen to me
Seven months out from my stroke and I am at the point that progress is slow and I already got a little depressed until I realized that improvement was made but it was over weeks and months not days. Your videos on hand rehab really made a difference since I could not get in to therapy for two weeks after my mild stroke. I make sure to use my affected side more than I used to, like clearing the table.
I feel like I am ready to be employed again.
YES!!! I love everything about this. It is not easy to stay motivated and use that arm with daily tasks. But keep going! You have that next big goal to work toward (returning to work is an amazing next step!!)
#case studies
🔴 📢 USP GRADE methylene blue mixes with ICE water DRINK WITH STRAW -AGAIN USP GRADE
Thanks 13 months out walked .75 miles in 22 minutes - no afo no cane
Interesting. My stroke event was hemorrhagic, a bleed, but I pretty much have experienced all the issues you describe. It was confirmed in a 15 year re-assessment recently by another stroke specialist, who saw in the old MRIs multiple minor strokes of both ischemic blockages and hemorrhagic bleeding that have occurred over the years. It was a shock but not a surprise. I had always assumed my stroke was a one time thing. 😬Wrong again. I will def have to pay closer attention to monitoring my BP. These occurred exactly where you said, in the small capillaries of the thalamus. You continue to provide us with excellent advice, Doctor T.🥰
My husband too had a hemorrhagic stroke on May 2 and a tiny one on May 31. How are you now?
JohnEllisWater
Thank you for this video. I have a better understanding why my daughter who is 2 years old has some of the same issues that your patient has. I know now how to help my daughter and also bring this issues to her therapist.
Good evening mam,my father had bilateral thalamus infarction,he had a symptoms of slurred speech deviation mouth, drooling saliva, staring looks after starting therapy all these symptoms are now recovered but now he developed instability,loss of confidence, unable concentrate,no pleasure , please can you suggest any rehabilitation therapy for recovery.thank you mam
I need your suggestions on how to have balance, I was in coma for 65 days and I have my elbows block due to coma.
Yes more case studies. Very helpful. Thanks. Some of us feel so isolated!
Excellent video Dr. Tobias. A lot of the content somewhat resembled my stroke. Thank you for your time as always. Have a great week.
Hi Teresa! Great to see you this week!
It’s interesting to learn about different types of strokes and to see the differences/similarities. And, the #casestudy approach is helpful. Thanks again!
I absolutely love your channel being a 36year old ischemic stroke survivor
Hello barehope❤️ my brother is one month into his stroke and is not able to stay awake. Opens eyes and squeezes our hand. Any recommendations on what helped you recover? He’s 33
Exactly what I had damage to mine and have the same issues except my hand is clinched and I'm working on it..I'm still getting improvements and because mine was a bleed and a clot is why I'm having such a hard time but it's ok because I've made so much gains doing more then they said I would do I'm walking and without a cane now my pace is getting better I do have trouble bending at the knee but watching your videos help☺so thankful for you God bless
Hi Lucy! Thank you for sharing this! I know this will inspire others to keep going!
@RehabHQ I too had complete sensory loss after a thalamic stroke 5 years ago. My first return of sensation after 2 years was pain on the underside of the foot. It has caused problems with the construction and wearing of my afo. I recently found an article that showed callus formation in that area of the foot with a varus deformity. You didn't mention inversion or a varus deformity but I wondered if he might have that same problem. For me the only sensation that has returned is pain and the level of pain sensation is exaggerated in relation to the pain stimulus. I am working on sensory reeducation to be able to modulate the pain signal to better understand external inputs.
you are the very best i wish i had you or someone iiujust as knowledgeable because im having a hard time with my hand arm recovery
I like your Case study I would like to have you do a Case study on me I had a stroke as well thank you please tell how to apply
i think you are hard driven for success tho out of your league on this type of stroke
Thank you Dr. Tara may the Lord bless you always. Your helpful videos are awesome.
#casestudy
My wife was diagnosed with chronic lacunar infarct. I am not medical and this has been very helpful. Thank you! You are a blessing!
@lee lyon, are there any symptoms ?
Regarding increasing R (affected UE) awareness while at work , he can don a wrist 1-1.5# weight, for continual sensory input. As everyone should that sit for work, is to stand up and stretch every 20 min… at least, but should be more frequent for him. during those breaks he can weight bear.
Great TH-cam video
Thanks
#caaeatudy
luck of the draw i think
HI
My husband had right thalamic stroke a month ago Doc. He has left sided paresthesia, c/o prickling sensation on the left side of his face, slight left sided weakness. No pain, on home PT now. The problem he is facing is insomnia now hasnt slept for days even on melatonin and trazadone. Does this have anything to do with stroke? Has anyone else has experienced this? Ty for this channel
💕
This vid helped me a couple years ago---and I just located it again b/c I find it helpful to return to review the Overview/Basics since even improving, over time--the basic drills are never out dated or too repetitive. My challenge is more often the AFO & insurance & orthotist & why the devil the system doesn't accommodate that over time, AFO adjustments & fit changes as our gait/strength shifts--especially since the whole point is I can't 'feel' the affected leg. SADLY, my original orthotist retired & sold business to franchise--the original 2 staff learned craft helping Vietnam War era vets and really knew brain relationship to limb neuropathy; & fitting/adjusting the AFO--practically from across the room before I sat down. They'd 'just know' what to do. I didn't realize how spoiled I was. Thanks again for your info & work.
I had a thalamic stroke 10 years ago. Leaving me with mobility but excruciating pain on the entire right side of my body. The last couple years The pain has gotten much worse. Do you have any suggestions? I do not do well with pain medication at all. Please give me any suggestions you have Thank you so much 👍🤗
Any advice or relief you've found?
@@kandimarticorena3083
I have tried so many things over the last decade, but truly the only thing that has ever really helped me is Arnica 30C . 4 to 5 pellets under my tongue let them slowly dissolve, will bring me some relief. No liquids or eating anything for about 20 minutes before and after
You can use them several times a day as needed. Don’t ever give up is my motto.
And I will always try and make lemonade out of any experience I need to go through 😁👍🙏🏻💕
I would like an answer to your question as well. Have you received any help with your right side pain?
@@shandecarpenter9007 the Arnica I mentioned above is the only thing that’s ever brought me any relief for that too. The relief is always temporary, but I’m grateful
🔴 📢 USP GRADE methylene blue mixes with ICE water DRINK WITH STRAW -AGAIN USP GRADE
I just got told I had this and I went in with dizziness massive headaches and spinning. Hard to feel with fingers. It’s crazy!! I was Never told!!
Madam I am left side hemeraghe past 4.6 years & past 3.6 I have affected by thalamus hemeraghe its chilling of my body which is getting week & a pain in the left ear so it's difficult to move arms legs & body it's weight because of chillness. Any remedy for getting rid of the pain & chillness. Thank you for your video 👍😊
Basal ganglia case study please😀
Hi Chad! Thanks for sharing. It is in the works :)
#case study
My granddaughter 16 mo had a severe closed TBI there was right thalamus damage I would love to hear some tips for toddlers we are making progress but she just really hates us addressing her left hand. I did purchase an air cast her size to help with spasticity for shoulder movement But it such a task just getting her used to the air cast
WOW TARA THIS WAS GREAT!! ITS GREAT TO SEE TERAPISTS WORKING TOGETHER AND ACTUALLY HELPING THE PATIENT!! GOOD JOB!!
Hi. Excellent video. Please advise how I may call you from Kenya, Nairobi.
Can you please make a video on pontine stroke
Thanks for watching! I just talked about this in a video. Here is the link. I hope it helps: th-cam.com/video/bynfAyJNM_8/w-d-xo.html
Would PNF d2 flexion help your patient?
Thank you Dr Tabias!! My mother doesnt qualify for stroke rehab because only her memory was affected. Do you have any suggestions? I dont want my mom to have to go to an unspecialized care center ..
Case study, please. My son has a alien arm syndrome. He had mini strokes throughout including thalmus
As always, super informative 👏. You're the best. Have you done any video about stroke in the cerebellum and linking it with exercises? My love one had her stroke on the left cerebellum due to an AVM and I do remember the first doctor saying that the blood went up. Is been 2 -1/2 years. She is working hard, home and at the rehabilitation.
Hi Jose. No, I done a video on a stroke in the cerebellum. I have done a few videos on ataxia which is a very common symptom of a stroke in this area. But I will add this to the list of future videos :)
Merry belated Christmas to you and merry birthday hope your day merry birthday well happy happy new merry merry
I had a basal ganglia stroke. There seem to be many similarities. Thanks for this.
Hi Diane! Yes, there are a lot of similarities between strokes that occur in this region. :)
#casestudy Excellent information on how you trouble shoot for AFO.
hi mam this is prabha i am ms patient till 10 yrs but 1 year onwards i am facing seveire problems like fallen daily i am using liofen, dal step ,pregabelin tablets also but my right is not moving forward little bit also pl recomend to me any suggesions from u r side thnq
When will I get the feeling back?
I started getting sensation back after 2 years. I think any weight-bearing you do helps with the return of sensation.
Can you do a basil ganglia stroke program
Can you please suggest a video for weight bearing for arm and leg in a wheelchair
#casestudies i love you Tara! You are helping me a lot! Thank you so much. I enjoy listening to you and am learning so much!
Thanks for describing the solution to a particular problem, they always come in handy when needed. I read a long time ago that a simple test of damage to the thalamus, for example, at the same time we touch the flexors of the fingers on the forearm with the thumb, and the extensors with the index finger. If the patient feels a touch at two points, that is good, if it feels like a single touch, then the thalamus is felt and the patient has little chance of recovery. Is that correct ? Have a nice week.
My stroke was a Right Thalamus bleed not due to a clot.
#casestudy. Very informative. Thank you.
Thank you for posting and sharing!
Interesting video, thanks for sharing this video.
#case study. Thank You!
You're a joy to watch, queen, and I appreciate the content on behalf of my dad.
#casestudy, great information as always!
#CASESTUDY !!! More pls :)
First view 😊
Oh... the Patient.... it’s me🤭
Great to hear some real life stories #casestudy
For lower limb exercises in stroke
Genetic disease can be well
Really appreciate hearing about this patient's limitations & how you are specifically addressing them. Are you ever concerned about anterior shld dislocations / subluxations when performing the low seated triceps presses in CVA pts? Thanks again...loved it! #CaseStudy
Hi Kelly! Glad you liked this one. In my experience someone who is prone to subluxation, you would start with something supine and make sure the humeral head is approximated in the glenoid prior to going to this type of an exercise. If I did do this with someone who is prone to subluxation, I place my hand in the axilla (webspace of my hand cupping the neck of the scapula). This way I can control both the scapula and the head of the humerus. Also it is rare that someone is subluxed anteriorly. It might be slightly anterior but primarily inferior relative to the glenoid fossa. (It may appear anterior because the scapula is protracted and winging) Easy to check this by palpating the rim of the Glenoid (in most cases it is easy to palpate this due to the atrophy). In any case, this position is important to stretch the pec major, minor and bicep which may all be contributing to the protracted scap and inferior position of the humeral head. So I would not be hesitant to try this as long as you constantly monitor the humeral head. I hope that makes sense!
Thanks for great information.
I love you tara 😁😁😁😁😁
#case study
Dr. Tara, my greatest goal right now is to recover my dorsiflexion. in this video I almost see my case. once again, thanks for this video
H Omar! great to see you this week! Thanks for sharing your goal! Keep working at it!! :)
i can not find subtitle :-(
Interesting. I had an ischemic thalamic stroke 22 years ago at age 39. Developed thalamic pain syndrome within 2 weeks of stroke. I have parathesia on entire left side. Tried all sorts of drugs first decade, with really not too much help. Finally got off neurontin/gabapentin after 22 years as of 2 months ago. I can actually tolerate the pain better being off of it. Of course, slowly got off. Withdrawal was still significant challenge. I'm beginning to feel normal-ish now. My biggest problem is spasticity. Makes me very uncomfortable around other people. I sit on my hand, but that just makes shoulder spazz out. I'm going to look at your other videos to see if you have suggestions.
I am a 61 yr old female
@Christian Top Gun I'm still off Gabapentin. I think intermittent fasting and my diet helps a lot, too. Which is mostly keto. I do know sugar increases my pain. Guessing it's because it causes inflammation. I have been on many, many drugs in the past! I started on Neurontin (gabapentin) in the beginning. At one point I took around close to 8000mg per day. Dr at that time said it would not hurt me. Went down to 3600mg for many years. But I can honestly say my pain is probably the same as when I was on it. BUT in the beginning, the GABA truly made me feel better. And the higher doses did help but I was also on high dose of Effexor, Nortriptyline, and Vicodin (written for 4 times a day! But I only took it once a day). Needless to say I was kind of a zombie. Got off everything but gabapentin about 12 years ago, when I started using alternative therapies to help my body relax.
@Christian Top Gun I do hope your pain is alleviated! I do take D3 with K2 125mcg and some 5htp 100mg. I do believe these help my mood, which in turn definitively helps my pain. Also, I'm looking into near infared sauna bulbs. You might look that up? Supposed to help with lots of things. My dr actually recommended carnivore diet for 3 months. I'm not much of a meat eater, but I'm determined to try it! May God give you much strength and peace, and ease your pain.
Tara- you are brilliant! 💗🙏🏼
#case study
Case study
Excellent video. I had a thalamic stroke in 2015. Unfortunately I developed thalamic pain. Any touch on my left side is interpreted by my thalamus as intense pain. Of course pain intensifies spasticity. This has hindered my recovery greatly but I continue at home rehab. Any advice on thalamic stroke with thalamic pain would be appreciated. Thank you so much for your videos.
Hi Angela! That is extremely common. This gentlemen is lucky that he was spared the thalamic pain syndrome. Search "rehab hq and pain" here on youtube. Any video that I have made on pain, I talk about thalamic pain syndrome. Hang in there! I have had several people who had severe thalamic pain and in several cases it eventually went away!!
I've just had a stroke last week and in rehab now. I have the pain on my right side and it's constantly there. Any advice on what to do to relieve this pain. I am in the IT field and needs to type to work. I really hope this pain will go away.
Hi Dr. Tobias. Case studies are an excellent way to show stroke survivors that we need to create our own recovery strategy. I had a right thalamus stroke and can relate to this patient’s condition, except for the sensory touch issue. I plan to challenge my physiotherapist on a specific strategy, this week. Extremely interesting video this week!
Hi Don! Great to see you this week! Glad you found this one helpful :)
My father recently had a similar stroke. Right thalamic hemmohage. So interested in your recovery process.. how are you doing sir?
#casestudy
#casestudy.. Thank you Dr Tobias.....from India 🙏🙏
Hi Asha! Thanks for watching!
@@rehabhqofficial It's my privilege.. Thanks & God bless you for sharing your knowledge to help us:)
My mom just had a thalamic hemorrhage with stroke a few weeks ago
How is she now? ♡
@@kandimarticorena3083 she's slowly getting there. Still in rehab and partially paralyzed on her right side.
Hello Dr.Tobias.
Hi Glen! Great to see you this week!
I really enjoy your videos
Hi Tamara! Great to see you this week! I hope there was something in here that was helpful 😊
Love from india
Mam please
My mom just had a thalami’s stroke. She’s able to use her limbs but had trouble with memory attention and concentration. I’d like to know more on how to help her
Is there any advanced management for thalamic pain syndrome??
Thank you!
Hi Wendie! Thanks for watching. I hope it was helpful