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Speech Problems After a Stroke

Medically reviewed by Sandeep Dhanyamraju
Medically reviewed by Sandeep Dhanyamraju

After a stroke, the majority of people suffer from communication issues.  These impairments can include slurred speech, difficulty finding the right word, or trouble organizing thoughts when speaking. Types of speech disorders include dysarthria and aphasia. 

Dysarthria may make it hard to communicate clearly or softly. It can also affect the pitch, volume, or rate of speech. People with dysarthria often do not know how their speech sounds to others. Dysarthria occurs in 41% of people who have had a stroke. In half of them, it passes within three months. Some people have trouble understanding speech. This is called aphasia. 

Aphasia can make it hard to read, write, or talk. People with aphasia may have trouble finding the right word, names, or numbers. They may also have issues reading or writing. Some people have both dysarthria and aphasia after a stroke. These problems can make it hard to work, take care of daily activities, or communicate with family and friends. Stay tuned for more information on different types of speech impairment and tips on recovery after a stroke.

How Strokes Affect Speech

A stroke typically affects the nerves and muscles in one side of the body leading to difficulty speaking. This can range from mild conditions with word-finding to total loss of speech. The degree depends on how much the stroke impacts the speech center in the brain. 

While the severity of speech impairments varies from person to person, some common patterns emerge after a stroke:

  1. For some people, the facial muscles may be weak, making it difficult to form words. Others may have trouble understanding what other people say. 
  2. Others may speak in short phrases or sentence fragments. 
  3. Some people may search for the right word, while others may use made-up words or substitute similar words. 
  4. Also, many individuals have trouble with rhythm and intonation and may speak in a monotone voice.
  5. For some people, the damage is so severe that they cannot speak.

With treatment and practice, many people are able to improve their speech and communication skills.

Treatments for Difficulty Speaking After Stroke

Treatments can include speech therapy, cognitive rehabilitation, or medications. Combining different medicines may be necessary in many cases to achieve the best possible outcome. If you or someone you know has suffered from a stroke, it is vital immediately to seek medical help to develop an individualized treatment plan best suited to your specific needs. Once the initial medical emergency has passed, there are several ways to help with speech recovery:

  1. Speech therapy is one of the most effective treatments for recovering speech after a stroke. A speech therapist can help you regain lost speaking skills and improve your communication skills. Other treatments for speech problems after a stroke include medication, surgery, and assistive devices.
  2. Medication can be used to help control any underlying conditions that may be contributing to speech difficulties. For example, medicines that improve muscle control may be prescribed.
  3. Surgery may be an option if the stroke has caused damage to the vocal cords.
  4. Assistive devices such as computerized speech synthesizers can also help improve communication.

When to See a Doctor?

treatments after stroke

If you have difficulty speaking after a stroke, you must see a doctor as soon as possible because a stroke can cause concerns with communication and swallowing. These problems can make it difficult to eat, drink, and speak. The doctors can help you find the best way to communicate and eat. And the sooner you start treatment, the better your chances of recovery.  

There are also many more reasons why it is significant to see a doctor. One reason is that the stroke may have damaged the nerves that control the muscles used for speaking. This can cause difficulty speaking or even complete loss of speech. Another reason is that the stroke may have caused damage to the brain itself, which can affect speech skills and cause difficulty speaking. Finally, strokes can also cause emotional difficulties such as anxiety and depression, making speaking difficult. In many cases, speech therapy is an effective treatment for improving speaking after a stroke. Speech therapists can help you regain the ability to speak clearly and fluently. If necessary, they can also teach you alternative communication methods, such as sign language.

Make an appointment for a consultation with Lone Star Neurology doctors

Many people have difficulty speaking after a stroke. This is because the stroke can damage the parts of the brain that control language. However, many people can improve their communication ability with the proper treatment and support. If you have difficulty speaking or want to prevent it, do not hesitate to consult with Lone Star Neurology specialists to receive the appropriate care and speech recovery after a stroke. We are always ready to provide professional and timely medical care. 

 FAQ

  • What causes a stroke that affects speech?

Some common causes include a blockage in one of the arteries that supply blood to the brain, bleeding in the brain, or a clot that forms in another part of the body and then travels to the brain. All of these conditions can cause damage to the parts of the brain that are responsible for speech. This can lead to problems with producing or understanding speech.

  • What happens when a stroke affects speech?

A stroke can cause speech difficulties, depending on which brain area is affected. A person may have trouble producing speech sounds, or they may speak in a calm voice. They may also have difficulty understanding what other people say. Some people who have had a stroke may be able to produce speech, but it may be very unclear and hard to understand.

  •  Can your speech be recovered after a stroke?

Yes, your speech can be recovered after a stroke. However, the extent of the recovery will depend on the severity of the stroke and the area of the brain that was affected. If the stroke was mild, you may only experience some temporary difficulty with speaking. However, if the stroke is more severe, you may experience longer-term difficulty speaking or even a complete loss of speech. 

  • What speech problems are common after a stroke?

Some common speech concerns after a stroke include dysarthria (difficulty speaking due to weakness or paralysis of the muscles used for speech production), aphasia (difficulty understanding or producing speech), and apraxia (difficulty executing voluntary movements). Swallowing problems are also common after a stroke.

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Lone Star Neurology
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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.read more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.read more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.read more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.read more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.read more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.read more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.read more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.read more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.read more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.read more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.read more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.read more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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