STROKE PARALYSIS
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NEUROLOGY
ORTHOPEDICS
GENERAL DISEASES
STROKE PARALYSIS
Paralysis is loss of function of muscle or group of muscles of a part of the body. It can be localised or generalised, partial or complete, temporary or permanent without having pain in the affected areas.
This may not be always the problem of muscles themselves all the time. This may be also due to the chain of nerve cells that runs from the affected part to the brain or vice versa.
Underlying cause and the symptoms experienced by the patient determines the treatment to be adopted. Therapeutic interventions and technological innovations like physiotherapy helps to maintain quality of life.
Nervous system has two parts
CNS which includes nerves from brain and spinal cord
PNS which includes nerves outside CNS
Motor neurons regulate the muscle movement whereas sensory neurons send information about pressure, pain and temperature to the brain.
Types of paralysis
- Monoplegia
It is usually the paralysis of a single limb either an arm or leg caused mainly by cerebral palsy{CP}, TBI{traumatic brain injury}of the brain or spinal cord or even the affected limb.
- Hemiplegia
It is the paralysis of one side of the body either due to brain injury or spinal cord injury.
- Paraplegia
It is the impairment of both the lower extremities. The word paraplegia is derived from the greek word which means ‘half-stricken’.
- Quadriplegia
It is the total limb paralysis of both arms and legs either due to accident or tumours of the spinal cord.
Signs and symptoms of paralysis
Paralysis is the loss of functions of the voluntary muscles because of the damage to the nervous system. It’s symptoms include
- Numbness
- Pain
- Twitches
- Muscular atrophy
- Stiffness
Early symptoms of paralytic attack
- Muscle weakness
- Loss of coordination
- Numbness
- Muscle cramps
- Tingling sensation
- Slurred speech
- Troubling balance
- Blurred vision
- Altered sense of smell, taste
- confusion
- TIA
Causes of paralysis
The muscle movements are coordinated by the signals from the relay station-brain, spinal cord, nerves, muscles etc. When any part of the relay system is damaged the coordination is lost and breaks the continuity of transmission.
It can be classified into
Most common causes for paralysis
- Stroke
- Spinal cord injury
- Head injury
- Cerebral palsy
- Gullien barre syndrome
- Peripheral neuropathy
- Amyotrophic lateral sclerosis
- Acute flaccid myelitis
- Arteriovenous malformations
- Brachial plexus injury
- Friedreich’s ataxia
- Leukodystrophies
- Spina bifida
Sudden causes may include
- Trauma
- Stroke
- Lyme disease
- Trans ischemic attack
- Infections like tetanus, west nile virus etc
- Toxins
- Multiple sclerosis
- Transverse myelitis
- Syringomyelia
- Neurofibromas
- Spinal tumours
- Muscular dystrophy
- Botulism
- Conversion disorder
Diagnosis of Paralysis
The diagnosis of paralysis is quite easy. There will be evident loss of motor function in a specific or wide spread area of the body. Either tingling or numbing sensation can occur before the entire paralysis sets in.
When the diagnosis is difficult, we use imaging techniques like X-ray, MRI, etc for diagnosis
Treatment for paralysis
A healthy nervous system can transmit impulses back and forth between the brain and rest of the body.
Damage to any part of the nervous system can have adverse effects on a person’s overall health and quality of life.
The treatment include
- Medications
- Physical therapy
- Occupational therapy
What maurya provides for paralysis
Ayurveda panchakarma for patients with paralysis include
- Snehana
It includes abhyanga{massage}, kayaseka, Shirodhara, Shiro Basti, Pichu, etc with medicated oils with medicated oils
- Basti
It can be administered as either anuvasana or asthapana vasthi.
Smaller doses are given in the form of matra vasthi
- Nasya karma
It helps to strengthen the muscles, nerves and circulation.
AYURVEDIC TREATMENT FOR STROKE
First aid for paralysis
- Make the patient to lie in recovery position{left lateral} with head and shoulders supported
- Loosen the tight clothing especially around the area of neck
- Do not make the patient to eat or drink anything
- Maintain breathing if necessary by opening the mouth
How long paralysis can last
In some conditions the paralysis may be temporary like in bell’s palsy, or in stroke. It can be permanent if it has a traumatic origin like in an RTA or in disease like ALS.
Diet and lifestyle for paralysis
- Limiting the use of astringent, salty, oily/fatty food.
- Usage of black gram, horse gram, ginger, radish, green gram, etc in regular diet.
- Including fruits like pomegranate, grapes, papaya, etc.
- Avoid alcohol consumption, smoking
- Regular exercise
- Avoid excessive exercises, suppression of natural urges
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