Brain & Stroke Rehabilitation

educational blog for patients, families and providers
The goal of this blog is to increase awareness of brain injury disorders and stroke, improve management and to improve quality of life for brain injury and stroke survivors.

Spasticity in Brain Injury & Stroke, What Is It? 

After stroke or brain injury, you may experience spasticity which is tighness or stiffness in muscle tone, which is often the one of the major limiting factors in recovery of movement.

Spasticity can interfere with arm/hand or leg/foot movement, speech or be associated with discomfort or pain.

Spasticity is a often a treatable condition.

Resources about Spasticity

Check out these resources about Spasticity

  • Spasticity Information Page

    What research is being done?

  • Spasticity, What Is It? How It's Treated

    Health care providers consider the severity of spasticity, overall health and other factors

  • [Video] Spasticity after Spinal Cord Injury: 

    The Good, The Bad and The Not-So-Ugly

Need more info or help?

My friend walking into the sunset.
Focal Spasticity
There is no set time frame, often occurs shortly after a stroke or brain injury. It may also appears weeks or months later.

When focal spasticity affects your arms, hands, or fingers, it is called upper limb spasticity

When it affects your legs or feet, it is called lower limb spasticity

Life after stroke
There is a significant psychological and emotional impact of brain injury on one's self-image and quality of life.

With stroke, while about half will make a good functional recovery, 15% to 30% of survivors continue to have significant disability at 3 months leaving them dependent on others for activities of daily living (ADLs).

Recovery is very complex and may seem impossible - mood, sleep and motivation are all important factors.

Early rehab MD intervention after stroke is the key to maximizing functional recovery.
Life after stroke

Dr. Sravani Mehta is a medical doctor specializing in the field of physical medicine & rehabilitation also known as a physiatrist
She is a nerve, muscle and bone expert who treats persons to recuperate from injury or disease to enjoy a higher quality of life.

Dr. Mehta is double board certified by the American Board of Physical Medicine & Rehabilitation(ABPMR) in PM&R and Brain Injury Medicine. She practices in Nashville, TN.


What can be done?

Friends and Sunsets


Focal spasticity is a condition in which certain muscles in a single body part (such as the arm or leg) are overactive, causing stiffness or tightness that you may find painful.

This condition can make simple movements and tasks difficult or impossible for you - from butting your shirt to walking without assistance.

When spasticity affects yoru arms, hands, or fingers, it is called upper limb spasticity. When it affects your legs or feet, it is called lower limb spasticity.

Learning to walk again
After a Stroke or Brain Injury

Recovering mobility after a stroke is frequently one of the most difficult tasks during the rehabilitation process. The freedom to stroll without anyone else not just prompts a higher personal satisfaction, yet in addition builds the body's odds for a more noteworthy scope of recovery.

Hemiplegia—the debilitating or loss of motion of one side of the body—just as other regular neurological disturbances that happen following a stroke, for example, loss of balance, weakened muscles, impaired spatial awareness, and poor generally speaking physical coordination can make recovery very challenging. Along these lines, many survivors require the help of a friend or family member or assistive instruments and emotionally supportive networks until these irregular characteristics have been balanced out.

There are numerous therapies, restorative medications, and even medical interventional procedures to energize the regaining of mobility into day by day life, particularly when the various aspects of recovery are considered.

A stroke can impact a survivor’s ability to walk in many ways:

  • Loss of balance: Those healing from a stroke often struggle with decreased balance, threatening the safety of walking without a caretaker or device.
  • Gait changes: Due to the weakening of many of the lower extremities, as well as disruptions in the nervous system, common gait issues may occur, adding to the various imbalances in joints and muscle strength.
  • Loss of spatial awareness: Depth perception is often impaired in stroke sufferers, so it is important to avoid areas with poorly lit stairs, small obstacles, or other tripping risks.
  • Muscle fatigue: Both from the stroke effects itself and during the transition into rehabilitation, muscles can become weakened as time goes on, thus making the return to walking a gradual process.
  • Lack of coordination: As the body learns to communicate more clearly again, messages often become confused while en route from the brain to the body part, leading to coordination issues.