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Can acupuncture help with spasticity in the legs after a stroke?

A: A great deal depends on the time that has lapsed since he has had the stroke.

We have produced a fairly hefty review paper on the use of acupuncture for the treatment of post-stroke problems

http://www.acupuncture.org.uk/arrc/public-review-papers/stroke-and-acupuncture-the-evidence-for-effectiveness.html

which  is a bit of dense document, but basically concludes that there is growing evidence that acupuncture treatment speeds up recovery.

In China, acupuncture is amongst the first interventions after a stroke, and it is not uncommon for someone to have treatment within hours  of the episode. The underlying logic is that the stroke, often called a 'windstroke' in Chinese medicine, disrupts the flow of energy, called 'qi'. The sooner this can be restored to its normal flow, the better, and daily or even twice daily treatment is often used to try to restore function as quickly as possible.

This is not an unusual concept. There was some fascinating research some years ago suggesting that people with artificial limbs fared much better if they had them fitted within days of the amputation. Stumps healed quicker, and movement was better. It seems like the body has a kind of habit energy which if tapped into can recover quickly, whereas if someone develops a new 'habit' this can take a while to shift.

That is not to say that acupuncture treatment cannot have an impact when started a little later, simply that it can take a little longer to achieve the same results. We are always very cautious in offering a prognosis since we have found that the extent of the initial symptoms is not a reliable indicator or future progress, and mild strokes can sometimes cause permanent changes which defy the best efforts at treatment. However, each person is unique and different, and their underlying pre-stroke constitution will have an impact on recovery. This is why acupuncture treatment, which is aimed at treating the whole person and not simply the presenting problem, is such a valuable intervention. It may be able to improve basic functioning and hasten what recovery may be possible over and above getting better movement in a limb.

The advice we invariably give is to contact a BAcC member local to your father and arrange for a brief face to face assessment. This will give them a much clearer idea of what may be possible that we can do at a distance. 

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