Strokesare active, progressive illnesses.

They come on suddenly and evolve dramatically over the first few hours.

The suddenness of thebrain injuryand the resultingneurological deficitscan be shocking.

Senior woman holding head in pain

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This article discusses the recovery period from a stroke and what effects to expect.

Healing After a Stroke

The damage of a stroke is fast and aggressive.

Recovery and healing may occur spontaneously.

However, there are medical interventions that can help maximize repair and functional recovery.

Brain Edema

Stabilization is the first step in recovering from a stroke.

This puffiness, called edema, is part of the bodys repair mechanism.

The swelling is composed of a mix of fluid and inflammatory cells.

Because the brain is enclosed in the skull, there is not much space to accommodate swelling.

Afterward, the edema decreases gradually over the following weeks.

Blood Pressure

Blood pressure typically fluctuates during and after a stroke.

Generally, blood pressure alterations resulting from a stroke stabilize within the first two to three days.

Medical management is primarily focused on preventing worsening progression of the stroke.

Therapy

Therapy is very important in helping the brain recover by stimulating the natural process of neuroplasticity.

Overcoming visual or spatial neglect can be one of the biggest challenges in recovery.

Occupational therapy can recommend modifications, such as changes in the home or bathroom or using assistive devices.

The person may also need a caregiver to assist in the activities of daily living.

Side Effects

Other challenges in stroke recovery may include seizures,muscle atrophy, and spasticity.

In many instances, preventative measures can help to avoid these and other complications.

Preventing Another Stroke

One of the most important steps in stroke recovery is preventing another stroke.

However, the recovery process is usually slow and arduous.

National Institute of Neurological Disorders and Stroke.Post-stroke rehabilitation.

Centers for Disease Control and Prevention.Treatment and intervention for stroke.

Xu MY.Poststroke seizure: optimising its management.Stroke Vasc Neurol.

2019;4(1):48-56. doi:10.1136/svn-2018-000175