Why Does Hand Recovery Take So Long After Stroke?

Thanks to everyone who voted in my last poll! I’m dedicating the next few videos to answering your questions about hand function and recovery after stroke. The question “when will my hand function again?” is one I get a lot. And while most of the time I have to answer, “It depends,” there are some reasons why hand function is usually slower to return than arm or leg movement after a stroke. And it has to do with our anatomy and a process called neuroplasticity.
I hope this video helps answer the question for you! Leave me a comment and let me know:)
Sign up for the email list to get tips and motivation, as well as my free eBook, The Stroke Recovery Pocket Guide: post-stroke.org/links
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*Note: New research is mixed on the possibility of neurogenesis (or the process of forming new brain cells) in adulthood (including after stroke). Many of the studies have only been completed in animals. Neurogenesis is common in childhood but decreases with age. If you're interested in reading more, check out some of the links below:
Post-Stroke Neurogenesis: Friend or Foe? www.frontiersin.org/articles/...
Does the Adult Brain Really Grow New Neurons?
www.scientificamerican.com/ar...
Neurogenesis: A Therapeutic Perspective
link.springer.com/article/10.....
Music: www.epidemicsound.com/track/i...
Time Stamps
0:00 Intro
0:13 Anatomy and Hand Function
1:39 Neuroplasticity and Hand Function
3:36 Outro
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Medical Disclaimer: All content on this channel is for general informational purposes only. It is not intended to serve as a substitute for medical advice or treatment from a physician or qualified healthcare provider. Talk to your doctor before starting a new exercise or therapy regimen.

Пікірлер: 110

  • @180up5
    @180up5 Жыл бұрын

    Thank you. I'm on a journey with my mom who is currently in rehab. I won't give up on her. And I'm so grateful you help us with the tools to help us along the way.

  • @samanthasims7123

    @samanthasims7123

    Жыл бұрын

    Tbh same here she is in rehab now she can move her feet and one arm her right hand she still struggling with it takes a lot of time and patience literally

  • @mgee669
    @mgee669 Жыл бұрын

    Alas, I appreciate your encouraging words. I'm 6 years into trying to get my fingers to start working after a stroke. It is taking a very long time

  • @NYDBLoCK

    @NYDBLoCK

    3 ай бұрын

    Can you elaborate what your total deficiencies were during the time of your stroke?

  • @heatherguill9614
    @heatherguill96142 жыл бұрын

    Several times in inpatient rehab and also from my neurologist after I got out I was told the body makes priorities after a stroke. In the wild we would need to be able to move for safety and to get foodmore than we would need our hand. They told me that our bodies put the primary focus on the leg recovery in the early stages, and the hand if it comes back will be later on. I just reached my one-year mark and hoping that now that I’m walking much better that I can turn that focus to my hand

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    @heatherguill, This is a great point! Thank you for sharing. And I'm so glad to hear that your walking has improved!! 🎉

  • @NYDBLoCK

    @NYDBLoCK

    3 ай бұрын

    Curious how you are today?

  • @pocahontis14

    @pocahontis14

    20 күн бұрын

    that not true, I think you had a good for nothing theriapist. that did not do his or her job. I have seen some of them, they are lazy. they don't care about stroke patients, they just in it for the money.

  • @mrstevek118
    @mrstevek1182 жыл бұрын

    Thank you for explaining this , nobody’s ever done that. I thought there was something wrong with me ❤️

  • @kathleen5033
    @kathleen5033 Жыл бұрын

    Wow, I only subscribed about 2 weeks ago and I'm really glad and grateful I did. I really want to validate your brilliant and creative approach and how you present the information. I have viewed other podcasts and I find your teaching and training methods and ability, to be the most effective and enlightening for me. I had a stroke on 17 July 2021. I can walk pretty well, although there is some weakness and loss of feeling in my left leg. My biggest challenge is my left hand. I went to rehab twice a week for about 3 months post stroke and did a lot of work at home. Rehab actually discharged me saying I was doing great, and you've done everything we've put you through well, although I still had some numbness in my left hand. Over the months though my left hand has gradually increased in numbness and decreased in function. Admittedly I did less rehab exercises with the hand but I didn't think it would go in reverse to this extent. What are your thoughts and recommendations? Please keep up your fantastic work! With great admiration, Frank

  • @rhumball
    @rhumball2 жыл бұрын

    Hi, thank you for your videos, sharing your expertise and exercises. I had a stroke in 2017, i lost mobility on my right side. i can walk now, and yes, the hand/wrist/arm is tough tough. Thank you for your positive words. i will not give up. One day i will remove all this spasticity and play piano again. Please share more exercises for hand, wrists, etc. I really cant afford going to see therapy every week 😭.

  • @markhalliar5753
    @markhalliar57532 жыл бұрын

    thanks for your video. I'm almost 3 years post stroke and sometimes get a little frustrated with slow prgress. Keep them coming!

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    @markhalliar, I'm sure that must be frustrating, but I'm so glad you're still working on your recovery! Keep going! I'll be cheering you on from here 😊

  • @NYDBLoCK

    @NYDBLoCK

    3 ай бұрын

    Can you elaborate what your total deficiencies were during the time of your stroke?

  • @timkson
    @timkson2 жыл бұрын

    Thanks very much. It's really helpful I wish I knew that earlier Yeah, you're absolutely right I don't see the result after i've done all those things but One day I feel I get a lot better

  • @ShylieKay
    @ShylieKay2 жыл бұрын

    Great explanation, thank you. My attending neuro said something similar after mine almost 8 yrs ago. He said imagine you're in Denver, and you work downtown, but your route is under construction, so you'll have to find a new way to get there. Made so much sense. Thank you guys, for putting things into ideas stroke patients can wrap our heads around. My hand strength came back fairly soon, thank goodness, but the sensation has never fully returned. That left hand still randomly turns back into a "flipper" I call it. Fairly useless on a bad day.

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    @shannonfeyhl, Ah! I like that analogy as well! I'm so glad you had a good neuro who was able to break it down. My goal is always to break down complex topics in a way that's easily understandable! 😊 - Elyse

  • @NYDBLoCK

    @NYDBLoCK

    3 ай бұрын

    Can you elaborate what your total deficiencies were during the time of your stroke?

  • @johnherpel2974
    @johnherpel2974 Жыл бұрын

    It’s all in my head I say lol

  • @paulafuller-cheek8386
    @paulafuller-cheek8386 Жыл бұрын

    Thank you so much for this video. I have been getting frustrated/worried about my hand recovery, I am 3 mos post stroke. 🙏🏻✝️🙏🏻❤ Praying for full recovery.

  • @PostStrokeOrg

    @PostStrokeOrg

    Жыл бұрын

    Of course! It's normal (not nice though) to feel anxious after a stroke and about your recovery. The good news is that the first 3-6 months after your stroke is when your brain has heightened neuroplasticity. Capitalize on this time! I hope you have access to therapists ❤️

  • @themartyd
    @themartyd2 жыл бұрын

    Keep them coming please 👍

  • @ahmedelhanafi2422
    @ahmedelhanafi24222 жыл бұрын

    This woman is definitely smart. Makes me feel like "keep going on with exercise "

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    @ahmedelhanafi, Thank you for your kind words! I know that recovery can be a day-by-day process and I hope to be a helpful, motivational voice 🙂

  • @Xofi7
    @Xofi76 ай бұрын

    Thank you so much!

  • @PameloveD
    @PameloveD2 жыл бұрын

    Thank you so much. I look forward to more videos on this.

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    My next couple of videos are going to cover some evidence-based strategies you can try at home to improve hand function! I hope you find them helpful :)

  • @tjharris6530
    @tjharris65302 жыл бұрын

    I needed this today, thank you Elyse

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    So welcome. I'm glad it was what you needed. And I hope you're well :)

  • @sammylakis2126
    @sammylakis21262 жыл бұрын

    Thanks a lot keep up with this good videos

  • @micheljolicoeur4873
    @micheljolicoeur4873 Жыл бұрын

    Thank you it is very well explained !

  • @nileshhindlekar2018
    @nileshhindlekar2018 Жыл бұрын

    I find your videos pretty straight forward and useful.

  • @PostStrokeOrg

    @PostStrokeOrg

    Жыл бұрын

    I’m so glad! Thank you for your feedback!☺️

  • @hemasookram4655
    @hemasookram46552 жыл бұрын

    You have been very helpful to me

  • @oumarneville7219
    @oumarneville72192 жыл бұрын

    Wow, I learned a whole lot from this episode ,now I know that in me wanting to do something and putting in the effort cells in my body around that affected area is also in the struggle to make the end means possible. I appreciate you Doctor.

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    @oumarneville, I'm happy you found it helpful! 😊

  • @frankadams9644
    @frankadams964429 күн бұрын

    THANK YOU

  • @yganoks48
    @yganoks482 жыл бұрын

    Hi dr. Newland, you answered my question. Thanks for sharing your informative videos. Watching from Melbourne, Australia 🇦🇺

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    @ginaouranios, I'm so glad!! Happy to have you!! Greeting from Tennessee, U.S! :)

  • @mrstevek118
    @mrstevek118 Жыл бұрын

    Thank you for explaining this, makes sense now ❤️

  • @PostStrokeOrg

    @PostStrokeOrg

    Жыл бұрын

    So welcome! And I’m glad❤️☺️

  • @khaledabdelhak4393
    @khaledabdelhak43932 жыл бұрын

    شكرا دكتورة 🌹

  • @abdulrahmanalhammadi409
    @abdulrahmanalhammadi409 Жыл бұрын

    Thank you for these good videos شكرا

  • @diannebalemi6334
    @diannebalemi633411 ай бұрын

    Thanks for your exercise help for the last 11 mths, I live isolated so can only see a physio once a month. I am walking with a brace and stick ,but no hand control yet, so this was encouraging. Hope springs eternal!Thank you again.

  • @PostStrokeOrg

    @PostStrokeOrg

    11 ай бұрын

    Of course! I'm glad you are finding the videos helpful! ❤️

  • @samanthasims7123
    @samanthasims7123 Жыл бұрын

    Again thank u

  • @nusratjahan4817
    @nusratjahan48172 жыл бұрын

    Waiting for next video

  • @ceciliarojaleshiraoka.4208
    @ceciliarojaleshiraoka.42082 жыл бұрын

    YES!

  • @CyraDeLeon.82
    @CyraDeLeon.822 жыл бұрын

    Hi. Im from Philippines, i always watch your videos. Im 3 months stroke in my right arm. I still feel numb and my fingers is hurt, but i can hold and rigth a little. Im still hoping that soon i will fully recovered. 😥

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    @cyradeleon, Hi there! Thank so much for watching. I hope you're finding the videos helpful. I'm sorry you're still experiencing numbness and pain in your fingers but congratulations on being able to hold and write things a little! That is awesome! ❤️

  • @denisejackson776
    @denisejackson7762 жыл бұрын

    Thank you so much, God bless you.🙏🙂❤️

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    @denisejackson, Thank you for your kind words! I hope you're well! :)

  • @SalmaKhan-dp8js
    @SalmaKhan-dp8js Жыл бұрын

    Hi I was in car accident 3years ago my left side is my leg and left leg is not working I like your vedo so much please tell me more about your ideas thank so much

  • @ma.cristinaceles3710
    @ma.cristinaceles3710 Жыл бұрын

    I'M 3yrs stroke my walking is still improving and so my hands I am following the exercises that you uploaded. Thanks.

  • @PostStrokeOrg

    @PostStrokeOrg

    Жыл бұрын

    @ma.cristinaceles, So glad you are still making improvements 😊

  • @Tito-xo2ke

    @Tito-xo2ke

    Жыл бұрын

    She's truly made for this..

  • @NYDBLoCK

    @NYDBLoCK

    3 ай бұрын

    Can you elaborate what your total deficiencies were during the time of your stroke and what they are today?

  • @anndacy6301
    @anndacy6301 Жыл бұрын

    Where is the link?

  • @Mrs.KatsCrafting
    @Mrs.KatsCrafting Жыл бұрын

    How do you get rid of the ice cold feeling on one side. its driving me nuts PT and OT help briefly but the face is enough to make me want to give up

  • @hemasookram4655
    @hemasookram46552 жыл бұрын

    Thanks I thought I was getting nowhere. It has been frustrating

  • @JudyRodney
    @JudyRodney2 ай бұрын

    I had a stroke last year, 1st April - 4th April 2023. My speech is coming back, when somone is speaking to me, i can't speak properly so they understand me. I went speech therapy, occupational therapy last year. Can you help me?

  • @JudyRodney
    @JudyRodney2 ай бұрын

    I live in Tobago. Trinidad and Tobago.

  • @samkitty5894
    @samkitty58949 ай бұрын

    I developed a drop foot and numb toes on my right side. I lost my knee jerk reflex and lost ability to lift my left leg lying on my back. I can not use my left leg to push up from squatting position. All this happened over few days. X-rays, MRIs and scans did not reveal anything out of normal. Nerve conductivity study revealed I have nerve issue. No one knows what caused it...I would like to think if I had a stroke I would know about it... Doctors gave up on me. I am pushing myself through exercises which are painful. I also take vitamin B12 which I was deficient in, and ALA. It is so frustrating going from active athlete to wheel chair without reason or explanation.

  • @PostStrokeOrg

    @PostStrokeOrg

    8 ай бұрын

    I am so sorry to hear about this. I'm glad they were able to find out that it was a nerve issue but can't imagine how difficult it would be to not understand WHY these changes started happening. Do you have access to therapy?

  • @venkimare6485
    @venkimare64852 жыл бұрын

    Hello elyse ,my father is suffering with stroke from 1.6 years ..his leg got improved to 60 percent but hand very less improvement..so does it recover ?From doctor suggestion they are giving creatine injection to active dead cells ..does it work any idea ??thank you

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    Hi there, I'm so sorry to hear about your father. I'm glad that he has had some improvement. Because I'm not a medical doctor or neurologist, I'm not able to answer that questions. I haven't worked with anyone specifically getting that type of injection. I'm sorry I couldn't be more helpful!

  • @sajanninan4520
    @sajanninan45202 жыл бұрын

    ❤️❤️❤️❤️❤️

  • @sajanninan4520

    @sajanninan4520

    Жыл бұрын

    ❤️❤️❤️❤️❤️

  • @legendary8838
    @legendary88382 жыл бұрын

    I wish these new path ways would hurry up and form because one functional hand over the past year and a half makes life so frustrating

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    I tell my clients all the time that one of the hardest parts of recovery is having patience with your brain and body❤️

  • @vincentdaly8587

    @vincentdaly8587

    Жыл бұрын

    @@PostStrokeOrg 7

  • @NYDBLoCK

    @NYDBLoCK

    3 ай бұрын

    Can you elaborate what your total deficiencies were during the time of your stroke and what they are today?

  • @legendary8838

    @legendary8838

    3 ай бұрын

    @@NYDBLoCK as far as my hand I’m unable to release items when I grip things

  • @annusharma943
    @annusharma9432 жыл бұрын

    Aapko head movement sabse pahle Kaise Pata Chala and movement kar raha hai

  • @andyroon9676
    @andyroon9676 Жыл бұрын

    Question, do you do zoom calls? :(

  • @fatumvillarez2108
    @fatumvillarez21082 жыл бұрын

    im a stroke patients.its over a year now...but my fingers is tight to open and close..i do exercise like i saw video for treatment of stroke patients. .is this going to be able to return back to normal..

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    @fatumvillarez, While I can't say someone will get 100% of their function back, I can say that if you continue to consistently and repetitively practice movement, you can still make progress!

  • @johnmariano9275
    @johnmariano9275 Жыл бұрын

    I have been patient for 6 years now after my stroke. Do i still have even a little bit of chance to regain hand functions?

  • @PostStrokeOrg

    @PostStrokeOrg

    Жыл бұрын

    Keep doing exercises

  • @chuckdoubleday4957
    @chuckdoubleday49572 жыл бұрын

    My wife’s Rt arm is effected, but only closes her fist when she yawns. How can we overcome that? She wears the brace you recommended every night and recently the fingers are in their normal position-but take off the brace, and if she yawns, the fist close

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    @chuckdoubleday, This is a great question and something that is very common in survivors that deal with arm and hand spasticity. Working to retrain the brain-to-muscle pathways with movement and exercise is my general recommendation!

  • @tveasy5172

    @tveasy5172

    6 ай бұрын

    It's seems common after stroke reflex, my mother is contracting her hand , pulling up while yawning. But through two years the contraction go down with the exercise anti espacity.

  • @annenicholson4497
    @annenicholson44972 жыл бұрын

    My finkes ar workin and i cane turn my hand over just my arm

  • @annusharma943

    @annusharma943

    2 жыл бұрын

    Aapko Kabhi brain stroke hua tha to vah kitna Dinon Mein theek

  • @menardronquillo9633
    @menardronquillo96332 жыл бұрын

    I got mild stroke 2momths ago..but my problem is how to recover my speech faster

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    I hope that your recovery is going well. Unfortunately, I'm not a speech therapist, so my area of expertise is not around techniques to recover speech. But here is a great article from Flint Rehab on recovery speech after stroke: www.flintrehab.com/cant-talk-after-stroke/ I hope you find it helpful!

  • @nisatristan
    @nisatristan2 жыл бұрын

    now I know why recovery of my wrist to fingers and angkle to foot never reach to 50% after 5 years, while I can walk up and down the stairs and move my entire hand almost easily, thank you Doc. I have questions, I always wondering, if my memory of the motions of my hand and fingers is still 'there' somewhere in my braincell, only I cant reach it because of blockage in my blood vein, or it just completely gone because my brain cell damaged

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    @nisatristan, The function of neuroplasticity is that other brain cells are trying to take over and find a different route to make that movement possible. Neuroplastic changes take a long time and nerve cells may not completely come back online. Every recovery journey is different ❤️

  • @nisatristan

    @nisatristan

    2 жыл бұрын

    @@PostStrokeOrg thanks Doc

  • @NYDBLoCK

    @NYDBLoCK

    3 ай бұрын

    Can you elaborate what your total deficiencies were during the time of your stroke and what they are today?

  • @sbenjapong
    @sbenjapong2 жыл бұрын

    👍👍👍👍

  • @gregallanholcomb8724
    @gregallanholcomb87242 жыл бұрын

    It took over three and a half years for my full visual field to come back. Before it did it took all I had not to throat punch anybody that said, "neuroplasticity".

  • @samanthasims7123
    @samanthasims7123 Жыл бұрын

    Does it take a long time to recover after a hemmorphic stroke ?

  • @PostStrokeOrg

    @PostStrokeOrg

    Жыл бұрын

    That's a great question but one that's hard to answer. Regardless of a stroke being ischemic or hemorrhagic, the timeline for recovery varies from person to person and the severity of the stroke. I'm sorry I couldn't be more helpful ❤️

  • @samanthasims7123

    @samanthasims7123

    Жыл бұрын

    @@PostStrokeOrg its okay thank u for the reply im just hoping for the best right now

  • @knowledgeberakah1728
    @knowledgeberakah17282 жыл бұрын

    I had a stroke 6mos ago n im bout to travel tonight

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    I hope your travel went well!

  • @knowledgeberakah1728

    @knowledgeberakah1728

    2 жыл бұрын

    @@PostStrokeOrg it was great

  • @benitovaladez7596
    @benitovaladez75962 жыл бұрын

    That's kind of like Jesus explained things for a more easy understanding, Thank you

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    Wow, that's a very kind compliment. Thank you! I do my best to break things down in an easy to understand way :)

  • @Pure_KodiakWILD_Power
    @Pure_KodiakWILD_Power2 жыл бұрын

    A ten dollar word, huh? 🤣

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    @kodiakwild, hahaha it really is such a mouthful! 😁

  • @Pure_KodiakWILD_Power

    @Pure_KodiakWILD_Power

    2 жыл бұрын

    @@PostStrokeOrg Well, I don't know your scale of word value yet, queen, but indeed it's a mouthful 😋

  • @zitaorosz1975
    @zitaorosz19752 жыл бұрын

    Fortunately, damaged brain cells are not beyond repair. They can regenerate, and this process of creating new cells is called neurogenesis.

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    Thank you for this comment! I added some links to articles on neurogenesis to the description of this video, if anyone is interested! Damaged brain cells can absolutely be repaired! And while the research is mixed, it appears that there may be some areas of the brain capable of producing neurogenesis. But we typically see impairments after a stroke because certain brain cells have died.

  • @gregallanholcomb8724

    @gregallanholcomb8724

    2 жыл бұрын

    How do they get repaired when they are gone? There is nothing left to repair.

  • @annusharma943

    @annusharma943

    2 жыл бұрын

    Aapko kya Kabhi brain stroke hua tha

  • @strokeandthegarden9496

    @strokeandthegarden9496

    Жыл бұрын

    Silhouette81 KZreadr stroke survivor that's reputation

  • @annusharma943
    @annusharma9432 жыл бұрын

    Please yah sab video Hindi mein bataen

  • @PostStrokeOrg

    @PostStrokeOrg

    2 жыл бұрын

    @annusharma, Thank you for your comment. Unfortunately, I do not have anyone who is able to translate to Hindi at this time.