Swelling on affect side after stroke?

 Hello,

Sorry to hear about your stroke and the ongoing swelling in your left side. It is common to experience swelling in the stroke affected side, often referred to as odema. It can be as you’ve described – annoying, uncomfortable and for some, painful. Great news it isn’t DVT. Given the swelling isn't the result of a blood clot, it's most likely a result of the weakness in the arm and leg. The ability of the muscles to act as a pump has been affected and fluid can pool in the tissues of the affected limbs. There is limited robust evidence for interventions to prevent and treat swelling, however there are treatment techniques with some evidence that may be used to reduce the odema. It is best to speak with your rehab team and doctor first about the best and safest options for you – the occupational therapist and physiotherapist will be able to assist. Continuing to exercise the limbs (actively or passively) will help to shift the odema. Elevating the limbs when you are at rest (particularly overnight or in between exercise) and in some cases compression garments or retrograde massage can help to reduce the swelling. Here is our fact sheet on upper limb management after stroke and movement and exercise after stroke.

If you wish to discuss further don’t hesitate to call us on StrokeLine on 1800 787 653 Mon-Fri 9am-5pm.

Best wishes with your recovery,

Simone (Occupational Therapist for StrokeLine)