Stroke

Stroke treatment and rehabilitation

Emergency treatment in the first hours matters most. After that, rehabilitation and medicines help recovery and lower the chance of another stroke.

Written by Neil Hyde Last checked 1 minute read

Emergency treatment

You will have a brain scan as soon as possible to find out which type of stroke it is.

  • Thrombolysis: a clot-busting medicine, for some ischaemic strokes, given within a few hours of symptoms starting
  • Thrombectomy: a procedure to remove the clot, for some strokes caused by a blockage in a large artery
  • Haemorrhagic strokes may need medicines to lower blood pressure or reverse blood thinners, and sometimes surgery

You should be cared for on a specialist stroke unit.

Rehabilitation

A team of specialists helps you relearn skills and adapt:

  • physiotherapy for movement and balance
  • occupational therapy for daily tasks, such as washing and dressing
  • speech and language therapy for speech, language and swallowing
  • psychological support for mood, memory and thinking

Some people are supported at home by an early supported discharge team.

Preventing another stroke

  • blood thinners, such as clopidogrel or, for AF, an anticoagulant
  • statins to lower cholesterol
  • medicines to lower blood pressure
  • surgery to clear a narrowed artery in the neck (carotid endarterectomy) for some people

Common questions

How long does rehabilitation last?

It is different for everyone. Most recovery happens in the first 3 to 6 months, but people keep improving for years. You should have a review 6 months after your stroke, and then every year.

Sources we used

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