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Regaining Balance After a Right MCA Stroke:

11 minutes ago
2 min read

Regaining balance after a right middle cerebral artery (MCA) stroke can be an important part of recovery. A right MCA stroke may affect strength, coordination, sensation, vision, and awareness of the left side of the body. These changes can make sitting, standing, walking, and turning more difficult. With appropriate rehabilitation and regular practice, many stroke survivors can improve their balance and become more independent.


Why Balance Is Affected After a Right MCA Stroke:

Balance depends on the brain’s ability to combine information from the eyes, inner ear, muscles, joints, and skin. A right MCA stroke can disrupt these systems, particularly when it causes weakness or reduced sensation on the left side. Some people may also experience visual-spatial difficulties or reduced awareness of their affected side. These problems can increase the risk of losing balance and falling.


Balance Training During Rehabilitation:

Balance rehabilitation should be personalized according to the survivor’s abilities and safety needs. A physical therapist may begin with simple activities such as maintaining a stable sitting position, shifting weight from side to side, and reaching for objects while seated.

As strength and control improve, exercises may progress to supported standing, weight shifting between both legs, stepping exercises, and controlled reaching while standing. Eventually, walking practice, turning, stepping over obstacles, and changing directions may be introduced.


Exercises That May Help:

Depending on individual ability, rehabilitation programs may include sit-to-stand practice, supported standing, heel and toe movements, side-stepping, controlled weight shifting, and walking exercises. Repetition is important because consistent practice can help the brain develop new movement strategies through neuroplasticity.

Exercises should always be performed according to the recommendations of a qualified healthcare professional. Using a walker, cane, parallel bars, or another support may be appropriate during certain stages of recovery.


Preventing Falls:

Fall prevention is an essential part of balance recovery. Keep walking areas clear of clutter, use adequate lighting, wear supportive footwear, and install grab bars where necessary. Family members and caregivers should provide assistance when needed without taking away the survivor’s opportunity to practice safe movements independently.


Conclusion:

Regaining balance after a right MCA stroke takes time, patience, and consistent rehabilitation. Progress may occur gradually, but improvements in strength, coordination, confidence, and walking ability can support greater independence. Working closely with physical and occupational therapists can help create a safe and progressive recovery plan. Always prioritize safety and avoid attempting challenging balance exercises without appropriate supervision.


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About Dr. Viveck Baluja and KneeTie Vascular Neurology

Dr. Viveck Baluja, MD, is a board-certified vascular neurologist (American Board of Psychiatry and Neurology — Vascular Neurology) practicing telemedicine across California, Michigan, and Colorado, with additional consultation services available to international families, particularly in India.

KneeTie offers three focused services: emergency stroke second opinions delivered within 24 hours, traumatic brain injury (TBI) consultations for survivors and caregivers, and same-day adult ADHD evaluations for residents of CA, MI, and CO.

Stroke Second Opinion

After a stroke, families often have minutes to make decisions. Dr. Baluja provides a second set of expert eyes from a board-certified vascular neurologist — reviewing imaging, hospital records, and current treatment — typically within 24 hours of request. Common questions include: Was tPA appropriate? Should we pursue thrombectomy? What is the recovery outlook? What rehabilitation makes sense?

TBI Consultation

Traumatic brain injury recovery is rarely linear. Dr. Baluja helps patients and families understand recovery timelines, treatment options, post-concussion syndrome, and red flags that warrant emergency evaluation. Consultations typically last 50 minutes and are scheduled within the same week.

Same-Day Adult ADHD Evaluation

A real evaluation by a board-certified neurologist — not a 7-minute screening. Dr. Baluja's ADHD evaluations include comprehensive history, sleep and lifestyle assessment, and behavioral strategy alongside any medication discussion. Available same-day for residents of California, Michigan, and Colorado.

Why a Vascular Neurologist?

Vascular neurology is a subspecialty focused on stroke, cerebrovascular disease, and brain blood flow — among the rarest neurology subspecialties in the U.S. Most online telehealth services use general practitioners or nurse practitioners. KneeTie is led by a board-certified vascular neurologist with full state licensure and HIPAA-compliant telehealth infrastructure.

Schedule a consultation: Use the booking calendar above to choose a service and reserve a time. For active stroke or post-tPA emergencies, email gorungo@kneetie.com directly with "URGENT" in the subject line.

© 2020 KneeTie, Jagannatha Health LLC 

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