Characteristics of post-stroke fatigue:
- Overwhelming tiredness and lack of energy
- Abnormal need for naps
- Sleeping for an extended period of time
- Tired more easily by daily activities then free stroke
- Unpredictable feelings of fatigue without apparent reason
- Persistent brain fog
Post-stroke fatigue is common among stroke survivors. In fact one study showed that 50% of stroke survivors said that tiredness was their main problem even 12 months after their stroke. Post-stroke fatigue is different from typical tiredness. Post-stroke fatigue does not always improve with rest and is not necessarily related to your recent activity levels.
Post-stroke fatigue can make a person feel tired and weary on a consistent basis, which can make recovering from a stroke even more difficult. When a person constantly feels exhausted whether physically or mentally, it makes it really difficult to participate in rehabilitative activities or even just daily activities.
Unfortunately the cause of post-stroke fatigue is not widely understood. However, we do know that all types of strokes whether ischemic, hemorrhagic, or a transient (TIA), can have a significant impact on the brain and body and can trigger fatigue. It is also not uncommon for people to experience increased anxiety, stress, and depression after their stroke which can come with an increased sense of fatigue. You may also find that your brain is working harder to complete what used to be simple tasks, which can be both mentally and physically fatiguing. Movements that were once done mindlessly, may now take incredible mental focus and physical effort, which can be also exhausting.
So, what can you do to help deal with post-stroke fatigue?
1. The first most important step is to communicate your concerns to your doctor. It is important to get a proper diagnosis. The doctor can help rule out any other potential causes for your fatigue and determine the best plan of care.
2. Double check your prescriptions to see if any have a possible side effect of fatigue and discuss this with your doctor.
3. If you are struggling with anxiety or depression, please seek help to discuss potential treatment options.
4. Try to eat healthy and stay hydrated.
5. If possible, practice a light exercise routine to slowly help you recondition yourself.
6. Practice energy conservation techniques — the 4 P's: plan, prioritize, pace, and position.
7. Schedule physically or mentally demanding activities throughout the day and do not try to perform all at once.
8. Schedule in naps as needed.
9. Avoid overexerting yourself.
10. Consider modifying your home environment to make objects/spaces more accessible and to make tasks more efficient.
