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When you think about stroke recovery, physical therapy is probably the first thing that comes to mind. But preventing another stroke is just as important.
Each year in the United States, nearly 800,000 people experience a stroke. Most of these are ischemic strokes, which happen when a blood clot blocks blood flow to the brain. Unfortunately, having one ischemic stroke greatly increases the chance of having another.
According to the American Stroke Association, one in four ischemic stroke survivors will have another stroke. That is why prevention is such a critical part of recovery.
“After an ischemic stroke, we focus on three things: treating the stroke, helping patients recover, and preventing another stroke,” explains Cameron Michael, DO, neurologist with West Tennessee Medical Group Neuroscience & Spine. “Because our patients are at higher risk, we work closely with them to reduce that risk.”
Dr. Cameron Michael West Tennessee Medical Group’s West Tennessee Neuroscience
Several factors make a second stroke more likely after an ischemic stroke:
Blood vessel damage: A clot can injure blood vessels, even after it dissolves or is removed. A transient ischemic attack (TIA), or mini-stroke, can also cause harm.
Reduced mobility: Limited movement after a stroke can increase the risk of new clots forming in the legs or lungs.
Underlying risk factors: The same conditions that caused the first stroke, such as high blood pressure or diabetes, are often still present.
Understanding Stroke Risk Factors
After a stroke, it is important to talk with your care team about what may have caused it. Many risk factors are modifiable, meaning you can change or manage them.
Common risk factors include:
Atrial fibrillation or other heart conditions
Diabetes
High blood pressure
High cholesterol
Obesity
Physical inactivity
Smoking
Excessive alcohol use
Non-modifiable risks, such as family history, age, and gender, also play a role. However, most strokes are considered preventable because many risk factors can be addressed.
Taking prescribed medications: These may include antiplatelets or anticoagulants to prevent new clots. Blood pressure, cholesterol, or diabetes medications may also be needed.
Managing chronic conditions: Regular checkups and treatment plans help control heart disease, diabetes, and other risks.
Making lifestyle changes: Increasing physical activity, eating a heart-healthy diet, maintaining a healthy weight, and limiting alcohol can all lower risk.
Quitting smoking: Smoking damages blood vessels and dramatically increases stroke risk. A provider can recommend effective cessation programs.
Lifestyle Tips for Stroke Prevention
A healthy lifestyle can support recovery and reduce future risk:
Eat a balanced diet: Focus on fruits, vegetables, whole grains, lean proteins, and healthy fats. Limit processed foods, sugar, sodium, and saturated fat.
Stay active: Even small amounts of safe movement can make a difference. If mobility is limited, ask your physical or occupational therapist for exercises tailored to your abilities.
Manage stress: Relaxation techniques, support groups, or hobbies can help lower blood pressure and improve overall health.
Know the Signs of Stroke
Even with the best prevention plan, a second stroke can still occur. Recognizing the signs quickly is essential.
“While you can take steps to lower your risk, they aren’t foolproof,” says Dr. Michael. “Know the warning signs of stroke, and seek care immediately if you experience symptoms. Immediate treatment is critical.”
Stroke Care Close to Home
The team at West Tennessee Neuroscience & Spine Center has years of experience in both preventing and treating stroke. As an Advanced Primary Stroke Center, we provide the advanced care you need when minutes matter most.
If you or a loved one has experienced a stroke, talk to your provider about creating a personalized prevention plan today.
