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Paralysis in left side of body, slight bend at ankle. Doing physiotherapy, able to walk, pain in hand. History of high BP, diabetes. Treatment?

My father has been suffering from left side paralysis for over 10 months. He has been doing physiotherapy exercises regularly since then. There is some improvement in his leg and he walks slowly now even though there was slight bent at ankle. There is no improvement in left hand but he feels pain all over it . Besides , he is sugar and BP patient. Can any one suggest treatment that suits him, please?
Asked On : Thu, 12 Jul 2012
Answers:  1 Views:  104
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

I am glad to note that your father has been gradually improving after suffering from brain stroke.

The key to more improvement is regular physiotherapy. It may take 1-2 years to see a good benefit from physiotherapy.

Regarding the bent ankle, we need to exclude a contracture or increased spasticity. Please ask the physiotherapist to evaluate this.

The pain in left hand could be neuropathic and would respond to pregabalin capsules.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
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Answered: Thu, 3 Apr 2014
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