Sunday, August 7, 2022

How To Control Parkinson’s Disease

Important Supplements That May Help

How do you Treat / Reduce / Control Parkinson’s Dyskinesia?

Once you stop putting toxins into your body and eat clean, the trillions of cells in your body will be able to start living normally again. Eating the right foods and taking the necessary supplements will now begin to boost your brain health and healing.

Here are some supplements that will speed up the reversal of PD symptoms:

  • Magnesium: First and foremost on the list is magnesium. Low intake of this mineral magnesium, enables the deposition of excess calcium, heavy metals and toxins in the brain that leads to Parkinsons and Alzheimers diseases. When there is adequate presence of magnesium, heavy metals cannot be absorbed in the small intestines. Magnesium plays a vital role in protecting neurons from the lethal effects of aluminium and mercury poisoning.
  • B vitamins: A deficiency in vitamins B9 and B12 can cause brain problems that will initially manifest as depression, anxiety or even psychosis. The other B vitamins are useful for protecting against age-related brain wasting, and possibly prevent memory loss.
  • Glutathione: Glutathione is the mother of all antioxidants and is powerful in neutralizing free radicals damage and greatly reduce oxidative stress that destroy neurons.
  • Grape seed extract: Has super antioxidant effect that reduces DNA fragmentation in the brain. It is able to cross into the brain to protect brain cells from free radical damage.

In Summary Reduce Your Stress

The most important thing we can do for our long-term health, both physical and cognitive, is to reduce the stress in our bodies. All stress physical, emotional and chemical causes inflammation and long-term damage throughout the body.

Whether youre seeking Parkinsons prevention techniques or ways to alleviate symptoms, any of the above dietary and lifestyle practices can have long-term health benefits. Drinking green tea, eating organic, local vegetables, and regular aerobic exercise all significantly reduce the long-term cumulative damage done by stress.

Learn more about health services offered at Judson by !

Medications To Keep The Light Switch On Longer

There are three main classes of drugs that we use as adjunctive therapy: dopamine agonists, monoamine oxidase type B selective inhibitors, and catechol-O-methyl transferase inhibitors. All of these act in different ways in order to enhance dopamines effect or allow levodopa to linger longer. They can increase on time typically by one to two hours each day, which can improve quality of life for our patients.

Dopamine agonists essentially pretend to be dopamine. A dopamine agonists chemical structure looks so much like dopamines that the nerve cells think theyve received dopamine and act accordingly, controlling symptoms for longer. We have three dopamine agonists on the market today: pramipexole , ropinirole , and rotigotine transdermal patch .

Next, we have what I call the alphabet soup: MAO-B selective inhibitors and COMT inhibitors. MAO and COMT are both enzymes that break down dopamine, whether its dopamine our brain produces or dopamine that comes from levodopa. MAO-B selective inhibitors and COMT inhibitors do as their names suggest: they inhibit, or block, these enzymes from breaking down dopamine. That way, more dopamine is available and it sticks around for a longer period of time, decreasing off periods. MAO-B selective inhibitors include selegiline , rasagiline , and safinamide . COMT inhibitors include entacapone , tolcapone , and opicapone .

Also Check: Sam Waterston Tremor

A Side Effect Of Parkinsons Medication

Impulsive behaviors that occur in patients with PD can be difficult to distinguish from other psychiatric disturbances that can also occur in PD. Manic or hypomanic disturbances are characterized by persistently elevated, grandiose or irritable mood states and can involve impulsive over-activity, including inappropriate spending, sexual activity, or gambling. However, with ICDs, the overactive behavior is highly focused and driven. In general, ICDs in PD patients tend to be distinct from manic or hypomanic states. ICDs are also not part of an obsessive-compulsive disorder, in which repetitive unwanted thoughts compel a person to perform ritualistic behaviors to reduce anxiety. Instead, impulsive behaviors are often motivated by pleasure, gratification or some other reward.

How Is Parkinsons Diagnosed

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Doctors use your medical history and physical examination to diagnose Parkinson’s disease . No blood test, brain scan or other test can be used to make a definitive diagnosis of PD.

Researchers believe that in most people, Parkinson’s is caused by a combination of environmental and genetic factors. Certain environmental exposures, such as pesticides and head injury, are associated with an increased risk of PD. Still, most people have no clear exposure that doctors can point to as a straightforward cause. The same goes for genetics. Certain genetic mutations are linked to an increased risk of PD. But in the vast majority of people, Parkinsons is not directly related to a single genetic mutation. Learning more about the genetics of Parkinsons is one of our best chances to understand more about the disease and discover how to slow or stop its progression.

Aging is the greatest risk factor for Parkinsons, and the average age at diagnosis is 60. Still, some people get PD at 40 or younger.

Men are diagnosed with Parkinsons at a higher rate than women and whites more than other races. Researchers are studying these disparities to understand more about the disease and health care access and to improve inclusivity across care and research.

Aging is the greatest risk factor for Parkinsons, and the average age at diagnosis is 60. Still, some people get PD at 40 or younger.

The Michael J. Fox Foundation has made finding a test for Parkinsons disease one of our top priorities.

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Eat More Organic Fresh Raw Fruits And Vegetables

It is a known fact that eating more fresh, raw fruits and vegetables is an essential part of a healthy lifestyle. Fruits and vegetables provide your body with all the nutrients that your body needs, without any side effect: Phytonutrients, antioxidants, enzymes, vitamins, minerals, flavonoids, amino acids, fiber and anti-inflammatory properties.

When eating processed and fast foods, they are void of these nutrients on their own, but require them for digesting the foods, thus causing nutrient deficiencies that contribute to deterioration of health.

If you dont eat much fruits and vegetables now, then you will have a lot to catch up on. Drinking freshly extracted juices will help speed up your healing. The key is to eat/drink of them raw and organic .

Green juices contain high levels of chlorophyll that is powerful in healing of the gut and to detoxify the body of heavy metals. So it makes sense to start drinking green juices in small amount, gradually building up the amount to up to 2-3 glasses of green juices a day.

If drinking green juices is a hassle for you, a good alternative is making your own moringa tea or green matcha tea that are very rich in chlorophyll and anti-cancer properties.

Off Periods And Medication Effects

One of the complications of PD is that medication effects can wear off throughout the day, leading to a re-emergence of PD symptoms, often described as off periods.

The key to managing the off periods often lies in timing. Many people who have PD can observe trends in physical function throughout the day. You can keep track of your symptomatic changes throughout the day with a diary, and work with your healthcare provider to adjust your medication schedule for optimal function during the times when you need it most.

The medications that are used to treat PD can produce physical side effects as well. You might begin to experience writhing movements and other involuntary movements that are often described as dyskinesias. Often, medication adjustments can help reduce dyskinesias.

Many people who have PD find that getting regular exercise can help in regaining some physical control. Exercises such as dancing, , swimming, and other challenging skill-based physical activity can help build better motor controleven if you start in your 70s or later.

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Support For People With Parkinsons Disease

Early access to a multidisciplinary support team is important. These teams may include doctors, physiotherapists, occupational therapists, speech therapists, dietitians, social workers and specialist nurses. Members of the team assess the person with Parkinsons disease and identify potential difficulties and possible solutions.There are a limited number of multidisciplinary teams in Victoria that specialise in Parkinsons disease management. But generalist teams are becoming more aware of how to help people with Parkinsons disease.

Drug Therapy And Research

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If the disease progresses beyond minor symptoms, drug treatment may be indicated. Drug therapy for Parkinsonâs typically provides relief for 10â15 years or more. The most commonly prescribed medication is L-dopa , and this helps replenish some of the depleted dopamine in the brain. Sinemet, a combination of levodopa and carbidopa, is the drug most doctors use to treat Parkinsonâs disease. Recent clinical studies have suggested, in the younger person, the class of drugs called âdopamine agonistsâ should be used prior to levodopa-carpidopa except in patients with cognitive problems or hallucinations. In those older than 75, dopamine agonists should be used cautiously because of an added risk of hallucinations.

Other drugs are also used, and new drugs are continually being tested. It is common for multiple drugs to be prescribed because many of them work well together to control symptoms and reduce side effects. Contrary to past beliefs, starting Sinemet in newly diagnosed people does not lead to early symptoms of dyskinesia . Current knowledge is that the disease progression causes dyskinesias, not a âresistanceâ to the drug.

Quality of life studies show that early treatment with dopaminergic medications improves daily functioning, prevents falls, and improves a personâs sense of well-being.

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Surgery For People With Parkinsons Disease

Deep brain stimulation surgery is an option to treat Parkinsons disease symptoms, but it is not suitable for everyone. There are strict criteria and guidelines on who can be a candidate for surgery, and this is something that only your doctor and you can decide. Surgery may be considered early or late in the progression of Parkinsons. When performing deep-brain stimulation surgery, the surgeon places an electrode in the part of the brain most effected by Parkinsons disease. Electrical impulses are introduced to the brain, which has the effect of normalising the brains electrical activity reducing the symptoms of Parkinsons disease. The electrical impulse is introduced using a pacemaker-like device called a stimulator. Thalamotomy and pallidotomy are operations where the surgeon makes an incision on part of the brain. These surgeries aim to alleviate some forms of tremor or unusual movement, but they are rarely performed now.

Scientifically Backed Ways To Prevent Parkinsons Disease

Dopamine plays a major role in a variety of mental and physical functions, including:

  • Voluntary movement
  • Memory
  • General behavior

Parkinsons now afflicts roughly 1.5 million people in the United States alone, with primary symptoms being body tremors, slow movement, rigid limbs, reduced memory, a shuffling gait and speech impairment. So we have to ask:

1.) What causes it?

2.) How do we prevent it?

Currently there isnt a known cure, and its not fully understood what causes the dip in dopamine however, we know that aging is the single most important risk factor for PD, with inflammation and stress contributing to cell damage. And we now know enough about the disease to understand the preventative measures that counter the aging and death of the neurons under attack.

Because there is no known cure, its critical that we prevent the disease before symptoms arise. Granted, thanks to recent advancements in modern surgical procedures, there are some safe surgeries that can mitigate some of the more severe symptoms associated with PD. The most common one now is deep brain stimulation, in which they implant an electrode into the brain that can stop some of the more severe symptoms of Parkinsons.

But this article will try to keep it from getting to that point. The less drugs and surgery we can have in our lives, the better.

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If You Develop A Tremor

Urgent medical care isn’t needed if you’ve had a tremorâshaking or tremblingâfor some time. But you should discuss the tremor at your next doctor’s appointment.

If a tremor is affecting your daily activities or if it’s a new symptom, see your doctor sooner.

A written description will help your doctor make a correct diagnosis. In writing your description, consider the following questions:

  • Did the tremor start suddenly or gradually?
  • What makes it worse or better?
  • What parts of your body are affected?
  • Have there been any recent changes in the medicines you take or how much you take?

Caregiving For People Living With Parkinsons

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Caring for a loved one with PD can be a challenging job, especially as the disease progresses. Former caregivers of a loved one with PD suggest doing the following : Get prepared, Take care of yourself, Get help , Work to maintain a good relationship with your loved one, and Encourage the person with PD for whom you care, to stay active.

Preparing for caregiving starts with education. Reading this fact sheet is a good start. More resources are available to you in theResources section of this fact sheet. Early Parkinsonâs disease usually requires more emotional support and less hands-on care. It is a good time for family members/caregivers to educate themselves about the disease.

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What Treatments Are Available

Many Parkinson’s patients enjoy an active lifestyle and a normal life expectancy. Maintaining a healthy lifestyle by eating a balanced diet and staying physically active contributes to overall health and well-being. Parkinson’s disease can be managed with self-care, medication, and surgery.

Self careExercise is as important as medication in the treatment of PD. It helps maintain flexibility and improves balance and range of motion. Patients may want to join a support group and continue enjoyable activities to improve their quality of life. Equally important is the health and well being of the family and caregivers who are also coping with PD. For additional pointers, see Coping With Parkinsons Disease.

These are some practical tips patients can use:

Medications There are several types of medications used to manage Parkinson’s. These medications may be used alone or in combination with each other, depending if your symptoms are mild or advanced.

After a time on medication, patients may notice that each dose wears off before the next dose can be taken or erratic fluctuations in dose effect . Anti-Parkinsons drugs can cause dyskinesia, which are involuntary jerking or swaying movements that typically occur at peak dosage and are caused by an overload of dopamine medication. Sometimes dyskinesia can be more troublesome than the Parkinsons symptoms.

Gastrointestinal Issues In Advanced Parkinsons Disease

Problems with motility of the gut can be a major source of difficulty throughout the disease course and can be particularly problematic in advanced PD as well. . Constipation, which can be one of the earliest symptoms of PD is a very common problem throughout the disease course. Two gut issues that tend to be particularly problematic in people with advanced PD are abdominal pain and fecal incontinence.

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A Lower Protein Diet To Help Meds Work Better

Your diet can impact how well your medication helps to manage common Parkinson’s symptoms, including tremors and constipation.

Diets heavy in protein, for instance, can limit your body’s absorption of levodopa in Sinemet, a common medication used in the management of Parkinson’s disease. As a result, some doctors recommend that people with Parkinson’s limit protein intake to 12 percent of their total daily calories. And taking your medication on an empty stomach before your meals can help your body absorb the drug, notes the Parkinson’s Disease Foundation.

The Michael J. Fox Foundation recommends avoiding certain foods because of possible medication interactions, including:

  • Cured, fermented, or dried meats or fish
  • Aged cheese
  • Fermented cabbage
  • Soy products
  • Red wine and beer
  • Iron supplements
  • In addition, fruits and vegetables in your diet may protect nerve cell function and possibly help keep Parkinson’s symptoms under control. Fruits and veggies also provide fiber, which can stimulate bowel movement and prevent constipation. Ask your doctor for a referral to a nutritionist to help make it easier to follow a healthy diet.

    What Behaviors Are Associated With Impulse Control Disorders

    Using Technology to Take Control of Parkinson’s Disease

    Pathological Gambling

    Psychiatrists define pathological gambling as persistent and recurrent maladaptive gambling behavior that the patient has made repeated unsuccessful efforts to control. Affected patients may lie to family members or others to conceal the extent of involvement with gambling.

    Hypersexuality and PD

    Hypersexual behaviors vary from person to person, but represent a deviation from the individuals usual sexual activity in frequency, intensity or context. Hypersexuality can start as intrusive thoughts or urges and trend into inappropriate remarks or acts. Some patients may begin to use pornography, patronize prostitutes, or develop paraphilias. Paraphilias involve recurrent, intense sexually arousing fantasies, urges or behaviors, including activities such as sado-masochism, exhibitionism or frotteurism . The altered sexual activity can occur within an established context or it may devolve into indiscriminate sexual activity in random contexts.

    Excessive Shopping & Other Manifestations

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    Surgery And Deep Brain Stimulation

    Deep brain stimulation is a treatment for Parkinsonâs disease that uses an implantable pacemaker-like device to deliver electrical pulses to parts of the brain involved in movement. The DBS system consists of leads precisely inserted into a specific brain target, the neurostimulator implanted in the chest, and extension wires that connect the leads to the neurostimulator. Though implantation of the system requires a neurosurgical procedure, the treatment itself consists of long-term electrical stimulation. Advantages of DBS include its ability to reduce the high doses of medications , its adjustability , and its reversibility DBS was approved by the Food and Drug Administration as a treatment for PD in 2002 and according to Medtronic , more than 80,000 patients have undergone DBS surgery worldwide.

    Typical candidates are those who have motor fluctuations or periods of âoffâ time with troublesome symptoms alternating with periods of âonâ time with good symptom control, and also with possible periods of excessive movement .

    Not all patients with Parkinsonâs disease are good candidates for treatment with DBS. Approximately 10â20% of patients considered for possible treatment with DBS include those:

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