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Suggest Rehabilitation Therapies For Brain Stroke

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Posted on Fri, 8 Jul 2016
Question: Hello Doctor! One of my friend's father suffered a brain stoke in Oct 2015 and has been recuperating since then. There has been considerable improvement in his hand and leg reflexes due to physiotherapy. Speech is not coherent yet. But he doesn't cooperate anymore. He is not ready for any more physiotherapy and gets angry and beats people around when persuading him for the same. He is in Trichy, a city in Tamil Nadu, XXXXXXX How can we convince him for exercises and what are the Stoke rehabilitation procedure for both patient and his family. Any kind of professional counselling will help? If so, any contacts in Trichy? Thanks. XXXX
doctor
Answered by Dr. V. N. S. Parinam (2 hours later)
Brief Answer:
Psychiatrist and Psychologist evaluation

Detailed Answer:
Hi XXXXXXX

Physiotherapy is part of the stroke rehab procedure. It has to be continued till the residual weakness is minimal sometimes up to one year. Speech therapy should be started as well.
The new symptoms of being agitated or angry needs separate evaluation. There may be fresh bleed as well sometimes. So get a Neurologist evaluation first if all well then you need Neuropsychiatrist. Further counseling would be the therapy with a Psychologist.
You can go to Sowmanyasa Hospital. I think Dr Gopalakrishna is there. Else you can meet anyone in the hospital for psychiatry evaluation.
They will have Psychologist as well.
If you do not find good reviews then you should head to XXXXXXX a better city.
Let me know if you need further guidance.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. V. N. S. Parinam (17 minutes later)
Thank you so much Doctor. Will consult a neuro immediately and will get back to you back for further guidance.

Thank you again, Doctor.
doctor
Answered by Dr. V. N. S. Parinam (6 hours later)
Brief Answer:
Please close our discussion

Detailed Answer:
I am glad that I am of some help to you. Please close and rate my answer
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. V. N. S. Parinam

General & Family Physician

Practicing since :2008

Answered : 1727 Questions

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Suggest Rehabilitation Therapies For Brain Stroke

Brief Answer: Psychiatrist and Psychologist evaluation Detailed Answer: Hi XXXXXXX Physiotherapy is part of the stroke rehab procedure. It has to be continued till the residual weakness is minimal sometimes up to one year. Speech therapy should be started as well. The new symptoms of being agitated or angry needs separate evaluation. There may be fresh bleed as well sometimes. So get a Neurologist evaluation first if all well then you need Neuropsychiatrist. Further counseling would be the therapy with a Psychologist. You can go to Sowmanyasa Hospital. I think Dr Gopalakrishna is there. Else you can meet anyone in the hospital for psychiatry evaluation. They will have Psychologist as well. If you do not find good reviews then you should head to XXXXXXX a better city. Let me know if you need further guidance.