Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label carotid artery dissection. Show all posts
Showing posts with label carotid artery dissection. Show all posts

Thursday, September 25, 2025

Beware these 3 yoga poses that can trigger a stroke — including an ‘intense’ bend that made an influencer have one at age 39

 I'm pretty sure not a single stroke survivor in the world can do these successfully, nor would want to.

Beware these 3 yoga poses that can trigger a stroke — including an ‘intense’ bend that made an influencer have one at age 39

Well, this poses a challenge for yogis!

Yoga has a lot of flex appeal — it can increase strength, improve posture and lower the odds of developing chronic diseases.

But a triple-board-certified neurologist warns that some yoga poses can raise the risk of stroke, a medical emergency that occurs when blood flow to the brain is disrupted.

Yoga is widely used for stroke rehabilitation — in rare cases, it can also cause a stroke.fizkes – stock.adobe.com

“Ironically, certain types of yoga can be helpful in aiding motor recovery following stroke,” Dr. Jeremy M. Liff, a senior member of the Society of Neurointerventional Surgery at NYU Grossman Long Island School of Medicine and Northwell Lenox Hill, told The Post.

“However, other yoga poses can potentially cause strokes by injuring the arteries that run from the neck to the brain.”

A cervical arterial dissection is a tear in the wall of a neck artery. A stroke occurs when blood enters the damaged wall and forms a clot that travels to the brain.

Cervical arterial dissection is responsible for 1% to 2% of all strokes and up to 25% of strokes in young and middle-aged people, clinicians noted in a 2022 case report about a 63-year-old man who suffered arterial dissection after a yoga session.

People have experienced spontaneous carotid artery dissection — a type of cervical artery dissection — for a variety of reasons, “from hyperextension of the neck during yoga or alcohol consumption to violent coughing and vomiting or chiropractic manipulation,” researchers wrote in April in the Annals of Vascular Surgery.

Dr. Jeremy M. Liff reveals how certain yoga poses can lead to stroke.Courtesy of Dr. Jeremy M. Liff

Yoga poses that involve extreme neck extension or place weight and pressure on the head can be hazardous, particularly for those who are older or who suffer from cervical spine disease, Liff said.

Here’s a look at three yoga moves that have been linked to strokes.

‘Wheel’ pose

A 1973 case report — one of the first to document the potential for a stroke following yoga — revealed that a 28-year-old woman suffered a narrowing of her left vertebral artery and a stroke after doing the “wheel” pose.

This is the “wheel” pose. It involves neck extension as the chest and spine arch backward.Donald Pearsall / NY Post Design

The deep backbend, also known as upward bow or Urdhva Dhanurasana, is supposed to open the chest, shoulders and hips while strengthening the arms, legs, spine and core muscles.

‘Fish’ pose

The “fish” pose, also called Matsyasana, is a reclining back-bending move.

Physical therapist Susan Eaton said she ran into trouble doing an advanced version of the pose that added more weight to her head and neck.

The “fish” pose involves extreme backward extension of the neck, which can put pressure on the cervical spine.Donald Pearsall / NY Post Design

“It’s a hyperextended neck pose that as a physical therapist I later questioned,” Eaton told NBC News at the time. “I had done this pose before, but this time I was uneasy, as though I knew I might be pushing myself to the edge.”


She suffered a stroke four days later, having torn her left carotid artery.

Hollowback handstand

Yoga influencer Rebecca Leigh said she was practicing the “pretty intense” handstand when her vision became blurry.

“This pose requires you to extend your neck, drop your hips back and arch your lower spine all while upside down in a handstand,” she explained.

She visited the emergency room two days later, when her right eye drooped and her pupils appeared to be two different sizes.

She had torn her right carotid artery.

A hollowback handstand involves arching your neck and back.Donald Pearsall / NY Post Design

“The doctor on staff said, ‘Well, you, my dear, had a stroke,’ ” Leigh said.

“We spent the next two days in the neurological intensive care unit while they tried to figure out why a healthy, happy, active, non-smoking, healthy eating, lifelong athlete of 39 years had just had a stroke.”

Thursday, March 21, 2024

Can a Stroke Be Caused by Cervical Manipulation?

Here, read up on strokes caused by chiropractic adjustments. Wow is this a bad article!

Can a Stroke Be Caused by Cervical Manipulation?

Cervical manipulations have been associated with vascular complications. While the incidence of carotid dissections does not seem to have increased, the question remains open for vertebral artery injuries.

Resorting to joint manipulation for neck pain is not unusual. Currently, cervical manipulation remains a popular first-line treatment for cervicodynia or headaches. Although evidence exists showing that specific joint mobilization can improve this type of symptomatology, there is a possibility that it may risk damaging the cervical arteries and causing ischemic stroke through arterial dissection.

Epidemiologically, internal carotid artery dissection is a relatively rare event with an estimated annual incidence of 1.72 per 100,000 individuals (those most likely to be diagnosed being obviously those leading to hospitalization for stroke) but represents one of the most common causes of stroke in young and middle-aged adults. Faced with case reports that may raise concerns and hypotheses about an associated risk, two studies have sought to delve into the issue.

No Increased Carotid Risk Identified

Well, you don't have any understanding of cervical manipulation(i.e. chiropractic?). Vertebral arteries are impacted, not carotid!

The first study, of a case-cross design, identified all incident cases of ischemic stroke in the territory of the internal carotid artery admitted to the hospital over a 9-year period using administrative healthcare data, the cases being used as their own control by sampling control periods before the date of the index stroke. Thus, 15,523 cases were compared with 62,092 control periods using exposure windows of 1, 3, 7, and 14 days before the stroke. The study also compared post-medical consultation and post-chiropractic consultation outcomes, knowing that as a first-line for complaints of neck pain or headache, patients often turn to one of these two types of primary care clinicians.

However, data analysis shows, among subjects aged under 45 years, positive associations for both different consultations in cases of subsequent carotid stroke (but no association for those aged over 45 years). These associations tended to increase when analyses were limited to visits for diagnoses of neck pain and headaches. Nevertheless, there was no significant difference between risk estimates after chiropractic or general medical consultation.

A notable limitation of this work is that it did not focus on strokes due to vertebral artery dissections that run through the transverse foramina of the cervical vertebrae.(Well, then you have NO understanding of what the fuck you are are doing)

A Screening Test Lacking Precision

More recently, the International Federation of Orthopedic Manual Physical Therapists has looked into the subject to refine the assessment of the risk for vascular complications in patients seeking physiotherapy/osteopathy care for neck pain and/or headaches. Through a cross-sectional study involving 150 patients, it tested a vascular complication risk index (from high to low grade, based on history taking and clinical examination), developed to estimate the risk for the presence of vascular rather than musculoskeletal pathology, to determine whether or not there is a contraindication to cervical manipulation.

However, the developed index had only low sensitivity (0.50; 95% CI, 0.39-0.61) and moderate specificity (0.63; 95% CI, 0.51-0.75), knowing that the reference test was a consensus medical decision made by a vascular neurologist, an interventional neurologist, and a neuroradiologist (based on clinical data and cervical MRI). Similarly, positive and negative likelihood ratios were low at 1.36 (95% CI, 0.93-1.99) and 0.79 (95% CI, 0.60-1.05), respectively.

In conclusion, the data from the case-cross study did not seem to demonstrate an excess risk for stroke in the territory of the internal carotid artery after cervical joint manipulations. Associations between cervical manipulation sessions or medical consultations and carotid strokes appear similar and could have been due to the fact that patients with early symptoms related to arterial dissection seek care before developing their stroke.

However, it is regrettable that the study did not focus on vertebral artery dissections, which are anatomically more exposed to cervical chiropractic sessions. Nevertheless, because indices defined from joint tests and medical history are insufficient to identify patients "at risk or in the process of arterial dissection," and because stroke can result in severe disability, practitioners managing patients with neck pain cannot take this type of complication lightly.

This story was translated from JIM, which is part of the Medscape professional network, using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

Saturday, February 3, 2024

Stroke or stroke plus neck artery tear almost doubled risk of heart attack within a year

Well my carotid artery dissection threw a clot that caused my stroke. 17 years later and still no heart attack.

 Stroke or stroke plus neck artery tear almost doubled risk of heart attack within a year

Research Highlights:

  • The risk of a heart attack among adults after a clot-caused stroke or a stroke plus a tear in the wall of a neck artery (carotid or vertebral artery dissection) was almost double within the first year compared to the heart attack risk for people who did not have a stroke but were hospitalized with medical events. The medical events included some overlapping symptoms, such as "warning stroke," migraine or transient global amnesia.
  • However, people with a carotid artery or vertebral artery dissection but no stroke were not significantly more likely to have a heart attack than those with a warning stroke, migraine or amnesia.

Embargoed until 4 a.m. CT/5 a.m. ET, Thursday, Feb. 1, 2024

(NewMediaWire) - February 01, 2024 - DALLAS Heart attack risk almost doubles in the first year after a stroke or when combined with a tear in a neck artery wall, however, a tear without a stroke does not seem to raise heart attack risk, according to preliminary research to be presented at the American Stroke Association's International Stroke Conference 2024. The meeting will be held in Phoenix, Feb. 7-9, and is a world premier meeting for researchers and clinicians dedicated to the science of stroke and brain health.

"Our findings may aid physicians in assessing and managing cardiovascular risk after these events," said Liqi Shu, M.D., clinical fellow in neurology at the Warren Alpert Medical School of Brown University in Providence, Rhode Island.

Aortic dissection is a tear in the wall of the aorta, the large artery that receives blood directly from the heart, and is known to increase heart attack risk. Tears in the walls of the carotid or vertebral arteries, which extend out from the aorta and carry blood through the neck to the brain, are called carotid or vertebral artery dissections. These dissections can result in stroke, and stroke is known to be associated with heart attack. It was unclear whether carotid or vertebral artery dissection itself increases heart attack risk prior to this study.

The researchers analyzed health information for more than 800,000 adults (average age of 63 years; 62% women) hospitalized in New York (between 2011 and 2017) or Florida (between 2011-2019). The patients with no history of recent major head or neck trauma were separated into four groups based on diagnoses: acute ischemic stroke; cervical artery dissection; both; or a reference group of patients with transient ischemic attack known as a "warning stroke," temporary loss of short-term memory (transient global amnesia) or migraine.

After adjusting for heart attack risk factors, the study found:

  • Patients who had carotid or vertebral artery dissection without stroke had the same risk of having a heart attack within a year as those in the reference group.
  • Patients with stroke, either with or without carotid or vertebral artery dissection, were almost twice as likely to have a heart attack within a year, in comparison to patients in the reference group.

"Before, it was just a guess, but now we know that carotid or vertebral artery dissection not causing a stroke does not raise the risk of a heart attack, and it makes sense that clinicians should focus predominantly on stroke prevention in this subgroup of patients," Shu said.

Study background:

  • Participants with a recent history of major head or neck trauma were excluded. Head or neck trauma may lead to traumatic carotid dissection, which is different from this study's focus on spontaneous dissection.
  • The analysis controlled for several heart attack risk factors, including age, Type 1 or Type 2 diabetes, heart failure, coronary artery disease, high cholesterol and high blood pressure.
  • Almost 20,000 of the participants experienced a heart attack within one year of their initial hospitalization, and the risk of heart attack was compared among the diagnostic groups.
  • Among the study group of 823,634 participants, 65.4% were white, 16.2% were Black or African American, and 12.2% were Hispanic or Latino adults.

While this study is based on hospitalization data only in New York and Florida, it's important to note that these states collectively represent a substantial portion of the U.S. population, accounting for over 10% of the total. These two states also provide a good representation of diverse demographic groups, adding strength to the findings. However, caution should still be exercised when generalizing these results to people living in other geographic areas. In addition, this retrospective analysis (looks back in time to analyze data) might not have accounted for all factors influencing heart attack risk such as medication usage, which was not included in the databases.

According to the American Heart Association's Heart Disease and Stroke Statistics 2024 Update, stroke accounted for approximately 1 of every 21 deaths in the United States in 2021.

Co-authors, disclosures and funding sources are listed in the abstract.

Statements and conclusions of studies that are presented at the American Heart Association's scientific meetings are solely those of the study authors and do not necessarily reflect the Association's policy or position. The Association makes no representation or guarantee as to their accuracy or reliability. Abstracts presented at the Association's scientific meetings are not peer-reviewed, rather, they are curated by independent review panels and are considered based on the potential to add to the diversity of scientific issues and views discussed at the meeting. The findings are considered preliminary until published as a full manuscript in a peer-reviewed scientific journal.