Parkinson’s Treatments We Offer
There is no cure for Parkinson’s, but treatment at Cedars-Sinai can loosen the grip that symptoms have on your life. Parkinson’s is a progressive illness, meaning your needs change over time. We are here for you with a broad range of options and personalized recommendations.
Therapies that are best for you depend on your symptoms and how long Parkinson’s has been part of your life.
Why Choose Movement Disorders At Vanderbilt
- Skilled clinicians
Our doctors have specialized training in diagnosing and treating the full range of movement disorders. As leading experts, our doctors also serve in the organizations responsible for establishing national guidelines for patient care and participate in clinical trials to test potential new therapies.
- Recognized care
Vanderbilt is a Parkinson’s Foundation Center of Excellence. We are also recognized as a national leader in using deep brain stimulation to treat Parkinsons disease, dystonia and essential tremor.
- Personalized care
We tailor your treatment plan to meet your unique needs and health goals. We help you navigate your treatment options to ensure that you receive the best possible care.
- Coordinated care
Our doctors work closely with experts in other medical disciplines to create a care plan that meets your individual needs. We also work with your primary care doctor to review your records and coordinate any advanced care you may need.
- Support groups and services
Our team offers you the care and support you need through educational programs and workshops. We can also connect you with our movement disorders support group. For more information about Parkinsons disease support and outreach, contact our Parkinsons Foundation Outreach Coordinator at 936-5517.
- Clinical trials
As part of an academic medical center, we offer access to some of the most promising new approaches being tested in clinical trials. Find a clinical trial.
Advanced Procedures And Technology
Deep Brain Stimulation
When symptoms are progressing and becoming more difficult to manage, advanced surgical procedures like deep brain stimulation may be appropriate. DBS delivers high-frequency electrical stimulation to precise areas of the brain, minimizing the brain signals that result in tremors, stiffness, slowness and extra movements caused by Parkinsons disease, essential tremor and dystonia. It can offer many benefits, including the need to take less medication and therefore experience fewer medication side effects. Northwestern Medicine performs more DBS surgeries than any other health system in Illinois.
Botulinum toxin is a highly effective treatment for symptoms related to many movement disorders. Patients with abnormal arm, leg, or trunk positions, or one of various other movement disorders such as dystonia, blepharospasms, or hemifacial spasm may have dramatic benefit with proper injections. Botulinum toxin injections may also be used to treat excessive drooling, chronic migraines headaches, and spasticity.
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Multidisciplinary Movement Disorders Clinic
Patients who come to the Movement Disorders Clinic are seen by a movement disorders specialist, a neurologist who has extra training in evaluating and treating a person with Parkinsons disease. There are no blood or imaging tests that can confirm Parkinsons disease, so diagnosis is based on visible signs and symptoms, which are reviewed during a medical history and neurologic examination.
Advanced Care For Movement Disorders
Dyskinesia refers to a category of movement disorders characterized by involuntary muscle movements Parkinsons disease may be the most well-known. But any neurological condition that affects ease, fluency, quality and/or speed of movement is a movement disorder. These can be treated with a combination of therapies including oral medication, physical therapy, occupational therapy, speech therapy, neuropsychological evaluations, botulinum toxin injection therapy , deep brain stimulation or other types of surgery.
At USA Health, we treat patients with movement disorders by helping them manage their symptoms and, when possible, addressing the underlying root cause of the disorder. As an academic medical center, we develop and deliver the most effective care to our movement disorder patients. For that reason, we also offer clinical trials involving new treatments to patients when appropriate.
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Accurate Parkinson’s Disease Diagnosis
Parkinson’s is challenging to diagnose because symptoms, such as difficulty walking, can be a sign of other movement disorders. Some people have parkinsonism. This group of diseases causes Parkinson’s-like symptoms that do not respond to Parkinson’s treatments.
At Cedars-Sinai, we consider your health history and perform a nervous system exam before confirming a Parkinson’s diagnosis. Our years of experience enable us to detect subtle symptoms that do not show up on other tests.
Tests may include:
Testing your response to a Parkinson’s drug, levodopa, allows us to rule out some other movement disorders. Levodopa boosts dopamine levels and is not an effective treatment for other movement disorders. If your symptoms improve with levodopa, you likely have Parkinson’s.
We may use this noninvasive imaging test to help rule out Parkinsonian syndrome. This group of disorders causes movement problems similar to Parkinson’s but might not stem from the disease. Learn more about DaTscan.
Research And Clinical Trials
The Parkinson’s and Movement Disorders Center brings together the advanced resources of Northwestern Memorial Hospital and Northwestern University Feinberg School of Medicine, one of the nation’s premier institutions for research into movement disorders. The school was recently named by the National Institutes of Health as one of only 12 centers in the country to receive the prestigious Morris K. Udall Center grant for Parkinson’s research.
Through our center, patients have access to many ongoing clinical trials for all types of movement disorders.
Northwestern Memorial Hospital
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Seeing A Movement Disorder Specialist
A movement disorder specialist will work closely with your neurologist or current doctor to plan your care and follow-up. A movement disorder specialist also is likely to have relationships with other specialists and allied care professionals who have experience with PD, including physical, occupational and speech therapists. A team of professionals can help provide more holistic care and address your specific needs.
Even if youve been treated for Parkinsons for some time, you may want to consult a movement disorder specialist to:
- review your current medications and recommend adjustments if needed
- assemble a team of health care professionals who will work together to determine the most appropriate treatment for your changing condition
Hear what our community suggests for preparing for an MDS appointment.
Movement Disorders Centers Of Excellence At Northwestern Memorial Hospital
The Northwestern Medicine Parkinson’s Disease and Movement Disorders Center at Northwestern Memorial Hospital provides innovative, multidisciplinary care for patients and families affected by Parkinson’s disease and other movement disorders.
The Center’s care team works to promote health, education and support for patients. It also supports caregivers, family members, healthcare providers and the community. The Center also conducts pre-clinical and clinical research in order to extend the knowledge and treatment of movement disorders.
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Diagnosis Of Parkinsons Disease
The movement disorder specialists at Mount Sinai are expert in diagnosing and treating Parkinsons disease. There is no one test that diagnoses Parkinsons disease. Instead, we conduct a comprehensive history of symptoms and a detailed neurologic examination. After we confirm the diagnosis, we develop a comprehensive treatment plan, personalized to your needs.
Our neurosychologists and neuropsychiatrists evaluate patients who are being considered for certain medications or treatments , provide support and counseling, and oversee treatments and strategies for dealing with mood, memory, or other challenges.
Florida Parkinson Foundation Center Of Excellence
The University of Florida Center for Movement Disorders and Neurorestoration was created in July 2002 and remains one of the most vibrant, most collaborative, and most rapidly growing Centers in the McKnight Brain Institute and College of Medicines enterprise. Since the launch of the center the growth has been exponential. It now forms the core of the Norman Fixel Institute for Neurological Diseases.
The Parkinson Foundations Centers of Excellence are chosen by a peer-review committee that bases designation on an individual centers demonstrated excellence, their resources, and their dedication to Parkinson research, clinical care and outreach initiatives. COEs are renewed competitively every three years and now site visited and certified.
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Popular Parts Of Mexico
Six Cities in Mexico that should be on your itinerary:
Other important cities are Merida, Acapulco, Puebla City, Taxco Puerto Vallarto and Playa deal Carmen.
What To Expect From The Doctor
At your first visit, a PD specialist will take a thorough medical history and also ask about your family medical history and symptoms. He or she will conduct a physical examination and a neurological exam. The doctor will ask you to sit, stand and walk to observe your balance and coordination. The doctor may also order a brain imaging test to rule out other conditions.
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What To Ask During The First Visit
Prepare a list of questions to help you better understand the doctors expertise and your treatment options. You likely will not be able to discuss them all in one visit. You may have more specific questions once you have a treatment plan. Questions you may want to start with include:
- How many people with Parkinsons do you treat?
- Do I need other tests to confirm my PD diagnosis or rule out other disorders that may present similar symptoms?
- What PD treatment options do you suggest?
- How do my other health conditions and medications affect my PD and how I treat it?
- Do you know of any clinical studies that might be right for me to take part in?
- Are you aware of any new PD research and treatments?
- Are there lifestyle changes that can improve my PD symptoms?
- If you are not available for me to contact you between visits, who may I communicate with and how?
- Should I get a second opinion? Do you have any suggestions of doctors for me to contact?
Nationally Recognized Quality Of Care
- U.S. News & World Report ranks Northwestern Memorial Hospital in the top 10 for neurology and neurosurgery.
- Northwestern Memorial Hospital is the only hospital to offer three designated Centers of Excellence for movement disorders, including Parkinson’s disease, Huntington’s disease, and Wilson disease.
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Deep Brain Stimulation Surgery
Deep Brain Stimulation surgery involves placement of a wire electrode into the brain. This electrode is connected to a stimulator that is similar to a heart pacemaker. Patients with this implant can interrupt brain signals that cause tremors by switching on the stimulator with a handheld control. The experienced neurosurgeons at UHealth have performed more than 600 of these procedures.
General Strategies For Getting The Most Out Of Your Care Team
It’s important to be an active partner in your care. Try to resist adopting the role of a passive patient who just follows the orders of the doctors. Ask questions. But ask them in a cordial way in order to learn. Ask questions so that you can maximize the benefits of any treatment you undergo. Try also to avoid the opposite danger of asking too many questions and of taking over the role of doctor yourself. You will have to learn to accept the care of others. Let them do their job. Learn from them. Partner with them. If you can establish this kind of partnership with your care team you and your family will find it easier to cope with all the challenges that PD will throw at you over the years.
Find A Parkinsons Expert
Finding a doctor who is an expert in Parkinsons disease can help you get the best possible care. Look for a neurologist, a doctor who works with brain and central nervous system conditions such as Parkinsons. When possible, a movement disorder specialist a neurologist with additional training to treat people with Parkinsons at every stage of the disease can be a key addition to a quality care team.
Neurologists with Parkinsons expertise and movement disorder specialists can often recommend other healthcare professionals who can help treat day-to-day challenges. A holistic, team-based care approach can help you live well with PD.
Parkinsons Foundation Center Of Excellence
Mount Sinai Beth Israel is designated as a Center of Excellence by the Parkinsons Foundation, specialized team of neurologists, movement disorder specialists, physical and occupational therapists, mental health professionals and others who are up-to-date on the latest Parkinson’s disease medications, therapies, and research to provide the best care.
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Tourist Visas In Mexico
Traveling to Mexico as a tourist, you need to apply for and get a tourist visa well in advance. Your passport must be valid to cover at least three months beyond the duration of your visa. A Mexican tourist visa is for a single entry and valid for only six months. You should travel within 90 days of visa been issued.
Mexico has a waiver for the tourist visa requirement for the citizens of 67 countries including the USA, European Union, Latin America, and Australia. Under this privilege, you can visit Mexico for a period of 30 to 180 days without a tourist visa. However, you need to get an online Electronic Authorization before traveling to Mexico.
Nationals of Russia, India and China and a few other countries need to get a visa in advance before entering Mexico.
Review Your Treatment Plan
Besides these basic questions, the most important way to choose the neurologist you will work with is by listening to the treatment plan she puts together for you. Does it make sense? Does your doctor discuss it with you after considering your personal needs, goals, and symptoms? Does she mention that the treatment plan needs to be flexible and be re-evaluated over time? Does she try to integrate the plan into your everyday life and needs?
You need to use your common sense when choosing a Parkinson’s disease neurologist/specialist. You cannot doctor yourself. You need to trust at some point that this highly trained specialist knows what he or she is doing.
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The Benefits Of An Expert
General neurologists and specialists have a lot more experience diagnosing and treating Parkinsons than a general practitioner. Recent research underscores this point. A 2011 study showed that people newly diagnosed with Parkinsons who went to a neurologist lived longer than those who saw a primary care provider, they were less likely to need placement in a skilled nursing facility and they seemed less likely to have experienced injuries from falls.
Another study that year found that people diagnosed with PD by a neurologist were more likely to receive an anti-PD medication prescription immediately upon diagnosis the standard of care recommended by the American Academy of Neurology than those who were diagnosed by a non-neurologist.
Memorial Sloan Kettering Cancer Center
Memorial Sloan Kettering Cancer Center is the oldest and largest hospital in the world specializing in oncology treatment. The Center is among top 2 facilities in the USA for pediatric cancer treatment. Oncologists of Sloan Kettering Hospitals develop the innovative cancer research programs and provide training programs for the new generation of specialists. Over 15, 600 medical specialists carry out the treatment of 200 cancer types. A lot of experts are among National Academies of Science and Medicine members.
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Finding The Right Doctor
Managing Parkinsons disease well can be challenging. Finding a doctor whos well-versed in PD and will help guide you on the journey makes it easier.
Its natural to begin by discussing initial symptoms with your family doctor or internist, who may refer you to a general neurologist or one specialized in movement disorders to rule out Parkinsons.
The Parkinsons Foundation recommends people diagnosed with PD seek out a movement disorders specialist one who can become a key player on your healthcare team. For people living far from an academic medical center or a specialist in private practice, we recommend a knowledgeable, nearby general neurologist for most of your care and then traveling a longer distance two to three times each year to see a specialist. Finding a specialist can seem like a daunting task, but it doesnt have to be. The Parkinsons Foundation can guide you step by step through the process of finding one.
Getting Around In Mexico
The easiest way to reach Mexico is through Mexico City International Airport, which is also referred to as Benito Juarez International Airport, is the busiest airport in Mexico. The airport links 52 domestic cities and 50 international destinations in Latin America, North America, Europe, and Asia. Aeromexico is the largest carrier serving many Latin American cities, domestic and international cities. Other prominent Mexican airlines are Interjet, Volaris and Aeromar. Major American carriers like United Airlines, American Airlines, and Delta Air also operate flights to Mexico City.
For travel within Mexico, air travel is the best mode considering the vast size of the country. Budget airlines like Avolar, Azteca, Interjet, vivaAerobus, and Volaris offer competitive and cheap airfares for domestic travel.
You can also travel by local buses and hired cars between cities. However, the fastest mode of transport is the metro system that connects major cities like Mexico City, Guadalajara, and Monterrey.
It is easy to move around within Mexico City, as it has a pretty cheap public transport system. You have the option of the Metro, first and second-class buses, colectivos, and Nissan Tsuru libre taxis. Sitio taxis, its best not to hail cabs off the street after dark, and if you are unfamiliar with the city and dont speak Spanish, its always best to always use taxis from Taxi Ranks.
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