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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Stroke Due To Blood Clot. Taking Botox Treatment For Curling Toes. Have Balance Problem. Feedback?

I had a stroke 6 years ago which was a blood clot on the right side of my brain causing severe damage to the left side of my body. have gone through several types of theraphy that has given me back much of my ability to live a some what normal life. I am receiving Botox treatments every 3 months from a neurologist that is helping the toes on my left foot from curling under and causing great pain and ability to walk. It has helped tremendously. However my biggest problem is my balance.... Although I have recovered and come along way from my stroke physically, my balance has become worse causing a lot of dangerous falls. It is not dizziness it is Balance, have gone to eye doctors & earing testing. this balance problem renders me walking as if I have consumed a lot of alcohol, which I do not drink even socially. is it just something I must learn to live with or could there be help out their anywhere? I would so appreciate your feedback or any suggestions you could offer?
Sat, 17 Aug 2013
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

I am glad to know that you have made a remarkable recovery from the disabling stroke that you suffered earlier, and are able to perform most of your daily activities.

Botox is very helpful in relieving spasticity after stroke, and relieving pain due to spasticity.

Based on the location of blood clot in your stroke, we do not expect significant imbalance in your case. Imbalance is often seen in cases of stroke affecting the cerebellum or its connections (located at the back of brain). So, I would be interested in seeing your latest MRI brain report.

Regarding treatment for imbalance, some medications such as amantadine may help, but much of recovery would depend on physiotherapy and rehabilitation.

I hope it helps.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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History Of Stroke Due To Blood Clot. Taking Botox Treatment For Curling Toes. Have Balance Problem. Feedback?

Hi, Thank you for posting your query. I am glad to know that you have made a remarkable recovery from the disabling stroke that you suffered earlier, and are able to perform most of your daily activities. Botox is very helpful in relieving spasticity after stroke, and relieving pain due to spasticity. Based on the location of blood clot in your stroke, we do not expect significant imbalance in your case. Imbalance is often seen in cases of stroke affecting the cerebellum or its connections (located at the back of brain). So, I would be interested in seeing your latest MRI brain report. Regarding treatment for imbalance, some medications such as amantadine may help, but much of recovery would depend on physiotherapy and rehabilitation. I hope it helps. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist