Regarding the duration of fatigue after stroke, acute fatigue can last up to 6 months, whereas the chronic type can persist in 40% of patients after 2 years. Another study reported fatigue to be still present in one-third of patients up to 6 years after stroke onset.
It can take many months before fatigue starts to go away after a stroke. The more you push yourself, the more tired you are likely to feel. Although it is important to participate in physical therapy and rehabilitation during stroke recovery, it is not good to try too much too soon.
The physical impact of the stroke on your brain and body can trigger fatigue. In the early weeks and months after a stroke, your brain and body are healing. The rehabilitation process can involve trying to do things in a completely new way, or learning and doing exercises which can be very tiring.
Many stroke survivors experience overwhelming fatigue, both physically and mentally. Symptoms can include difficulty with self-control, emotions and memory.
Characteristics of post-stroke fatigue may include: overwhelming tiredness and lack of energy to perform daily activities; abnormal need for naps, rest, or extended sleep; more easily tired by daily activities than pre-stroke; unpredictable feelings of fatigue without apparent reason.
Fatigue may improve with time but it can also be persistent and some patients may never be completely free of it. Tasks that may have come easily before the stroke may be harder and therefore require more energy then they previously would.
The most rapid recovery usually occurs during the first three to four months after a stroke, but some survivors continue to recover well into the first and second year after their stroke. Some signs point to physical therapy.
Around 70%reported that their TIA had long- term effects including memory loss, poor mobility, problems with speech and difficulty in understanding. 60%of people stated that their TIA had affected them emotionally. There is no way to tell whether a person is having a TIA or a stroke when the symptoms first start.
Sleep is critical, but sleep problems may follow after a stroke. Poor sleep can slow your recovery and lead to depression, memory problems and night-time falls. The good news is there are ways to improve your sleep.
Excessive daytime sleepiness (EDS) is a prevalent symptom among stroke survivors. This symptom is an independent risk factor for stroke and may reduce stroke survivors' quality of life, cognitive functioning, and daytime functional performance.
Even after surviving a stroke, you're not out of the woods, since having one makes it a lot more likely that you'll have another. In fact, of the 795,000 Americans who will have a first stroke this year, 23 percent will suffer a second stroke.
Rehabilitation can help
Rehabilitation therapy can also help you relearn basic skills and increase your strength, flexibility and endurance. Over time, if you follow your rehabilitation therapy, your physical and medical condition will improve, making fatigue less of an issue.
Some people regain full use of their arm in the weeks after a stroke. Many others still have some weakness, pain, or other problems with their arm. You may continue to benefit from arm therapy. Your medical team can tailor your treatment plan to your needs.
Stage 2: First 2 weeks
Once discharged, patients with severe side effects will likely be transferred to a long-term acute care facility; those with less serious issues will either be referred to an inpatient or outpatient rehab center. The majority of patients will experience a 50% recovery within the first two weeks.
The good news is you absolutely can live a full life after a mini-stroke. Here's how. Like strokes, mini-strokes occur when a blockage occurs in a major artery to your brain, disrupting the flow of blood and oxygen. The difference is in a mini-stroke, the disruption lasts only minutes, so there's no permanent damage.
Although a TIA should not have a long-term impact on your daily activities, you must stop driving immediately. If your doctor is happy that you have made a good recovery and there are no lasting effects after 1 month, you can start driving again.
However, some people were left with some residual (on-going) symptoms that lasted a few weeks, and some people continued to experience some symptoms for a while afterwards. Commonly these included arm and limb weakness or numbness, slurred speech, memory problems, confusion and visual difficulties.
During the first three months after a stroke, a patient might experience a phenomenon called spontaneous recovery — a skill or ability that seemed lost to the stroke returns suddenly as the brain finds new ways to perform tasks.
Walking outside or on a treadmill, stationary cycling, recumbent cross training and many other forms of exercise that get your heart pumping are extremely beneficial for stroke recovery.
Getting to the ER as quickly as possible is perhaps the most important part of managing a stroke because brain tissue can die at a rapid pace. Statistics show that the initial 10–20 minutes of a stroke plays a crucial role in deciding the overall quality and chance of survival.
The initial recovery following stroke is most likely due to decreased swelling of brain tissue, removal of toxins from the brain, and improvement in the circulation of blood in the brain. Cells damaged, but not beyond repair, will begin to heal and function more normally.
Unfortunately, blood thinners can reduce the risk of clot-related stroke only to increase the risk of stroke related to bleeding and blood vessel rupture. To prevent unwanted complications from blood thinners, patients may need to make lifestyle and adjustments moving forward.