Friday, May 3, 2024

Parkinson’s Disease Flare Ups

Medication Is The Only Treatment

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Thankfully medication is not the only treatment for Parkinsons disease. It is a helpful treatment and can lessen the symptoms of the disease but its not the only option. A study reported by John Hopkins found that those with Parkinsons disease who exercised for one hour once per week were able to do more physically. Exercise also helps to improve strength and flexibility.

Another treatment is deep brain stimulation . John Hopkins says that it is a procedure in which doctors place electrodes in the brain at the point when medications are less effective in masking motor symptoms, such as tremor, stiffness, and slowness of movement. This treatment has been used for 20 years and works very similarly to a pacemaker, except the wire is in the brain, not in the heart.

Symptoms Of Parkinsons Disease

Parkinsons has four main symptoms:

  • Tremor in hands, arms, legs, jaw, or head
  • Muscle stiffness, where muscle remains contracted for a long time
  • Slowness of movement
  • Impaired balance and coordination, sometimes leading to falls

Other symptoms may include:

The symptoms of Parkinsons and the rate of progression differ among individuals. Early symptoms of this disease are subtle and occur gradually. For example, people may feel mild tremors or have difficulty getting out of a chair. They may notice that they speak too softly, or that their handwriting is slow and looks cramped or small. Friends or family members may be the first to notice changes in someone with early Parkinsons. They may see that the persons face lacks expression and animation, or that the person does not move an arm or leg normally.

People with Parkinson’s disease often develop a parkinsonian gait that includes a tendency to lean forward take small, quick steps and reduce swinging their arms. They also may have trouble initiating or continuing movement.

Symptoms often begin on one side of the body or even in one limb on one side of the body. As the disease progresses, it eventually affects both sides. However, the symptoms may still be more severe on one side than on the other.

Your Home And Lifestyle

  • Modify your activities and your home. For example, simplify your daily activities, and change the location of furniture so that you can hold on to something as you move around the house.
  • Eat healthy foods, including plenty of fruits, vegetables, grains, cereals, legumes, poultry, fish, lean meats, and low-fat dairy products.
  • Exercise and do physiotherapy. They have benefits in both early and advanced stages of the disease.

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A Review On Parkinsons Disease Treatment

Tori K. Lee Eva L. Yankee

Department of Biology, Angwin, CA 94508, USA .

Correspondence Address: Tori K. Lee, Department of Biology, Pacific Union College, 1 Angwin Ave, Angwin, CA 94508, USA. E-mail: [email protected]

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© The Author 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long as you give appropriate credit to the original author and the source, provide a link to the Creative Commons license, and indicate if changes were made.

What Are The Symptoms Of Parkinson’s Disease

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Symptoms of Parkinson’s disease differ from person to person. They also change as the disease progresses. Symptoms that one person gets in the early stages of the disease, another person may not get until lateror not at all.

Symptoms most often start between the ages of 50 and 60. They develop slowly. They often go unnoticed by family, friends, and even the person who has them.

The disease causes motor symptoms and non-motor symptoms. Motor symptoms are those that have to do with how you move. The most common one is tremor.

Tremor and other motor symptoms

Tremor, or shaking, often in a hand, arm, or leg, occurs when you’re awake and sitting or standing still . It gets better when you move that body part.

  • Tremor is often the first symptom that people with Parkinson’s disease or their family members notice.
  • At first the tremor may appear in just one arm or leg or only on one side of the body. The tremor also may affect the chin, lips, and tongue.
  • As the disease progresses, the tremor may spread to both sides of the body. But in some cases the tremor stays on just one side.

Emotional and physical stress tends to make the tremor more noticeable. Sleep, complete relaxation, and intentional movement or action usually reduce or stop the tremor.

The most common cause of non-Parkinson’s tremor is essential tremor. It’s a treatable condition that is often wrongly diagnosed as Parkinson’s.

Besides tremor, the most common symptoms include:

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There Are Some Subtle Early Warning Signs

Along with the early motor symptoms such as tremors and stiffness, other early warning signs of the disease can include the loss of smell and a soft voice. Small handwriting is also a telltale sign that someone may have Parkinsons, especially if over time it continues to get smaller and more crowded.

Parkinsons Disease: Causes Symptoms And Treatments

Parkinsons disease is a brain disorder that causes unintended or uncontrollable movements, such as shaking, stiffness, and difficulty with balance and coordination.

Symptoms usually begin gradually and worsen over time. As the disease progresses, people may have difficulty walking and talking. They may also have mental and behavioral changes, sleep problems, depression, memory difficulties, and fatigue.

While virtually anyone could be at risk for developing Parkinsons, some research studies suggest this disease affects more men than women. Its unclear why, but studies are underway to understand factors that may increase a persons risk. One clear risk is age: Although most people with Parkinsons first develop the disease after age 60, about 5% to 10% experience onset before the age of 50. Early-onset forms of Parkinsons are often, but not always, inherited, and some forms have been linked to specific gene mutations.

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How Is It Treated

At this time, there is no cure for Parkinson’s disease. But there are several types of medicines that can control the symptoms and make the disease easier to live with.

You may not even need treatment if your symptoms are mild. Your doctor may wait to prescribe medicines until your symptoms start to get in the way of your daily life. Your doctor will adjust your medicines as your symptoms get worse. You may need to take several medicines to get the best results.

Levodopa is the best drug for controlling symptoms of Parkinson’s. But it can cause problems if you use it for a long time or at a high dose. So doctors sometimes use other medicines to treat people in the early stages of the disease.

The decision to start taking medicine, and which medicine to take, will be different for each person. Your doctor will be able to help you make these choices.

In some cases, a treatment called deep brain stimulation may also be used. For this treatment, a surgeon places wires in your brain. The wires carry tiny electrical signals to the parts of the brain that control movement. These little signals can help those parts of the brain work better.

There are many things you can do at home that can help you stay as independent and healthy as possible. Eat healthy foods. Get the rest you need. Make wise use of your energy. Get some exercise every day. Physical therapy and occupational therapy can also help.

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However, with the constant supervision of a competent medical team, as well as with regular exercise and physical therapy, you can avoid these and may even exceed the average life expectancy of people with Parkinsons disease, which ranges between 10 and 20 years following diagnosis.

Undoubtedly, struggling with Parkinsons disease, regardless of the treatment options available, is not easy, and, ideally, people with this brain disorder should have a strong support system. The involvement of both medical professionals and family members is essential for increasing the quality of life of individuals with Parkinsons disease.

Last but not least, Parkinsons disease patients should try to maintain a positive attitude and be as active as possible despite the bothersome symptoms they experience, as we cannot stress enough the importance of being physically active if you have this brain disorder.

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What Does Tardive Dyskinesia Look Like

TD looks like different, uncontrollable movements and patterns of the limbs and face. Sometimes referred to as stereotypy, the activity can be patterned, repetitive, and rhythmic movements that can involve one or more body parts. More than 3/4 of those with TD experience oral-facial-lingual stereotypic movements .1 The Baylor College of Medicine Movement Disorders Clinic conducted a videotape review of 100 people with tardive dyskinesia. The evaluation showed that the majority experienced irregular and chaotic movements in the OFL region, including lip smacking, chewing and other tongue and mouth movements. Other areas of the body can also show signs of TD like nodding and rocking, repeated body movements like crossing and uncrossing arms and legs, and random vocalizations.

Those who experience these involuntary movements may not even realize it. Like other conditions, these stereotypies can get worse under stress. They can manifest as muscle contractions or spasms, inability to be still, facial tics, or other jerking and abnormal movements.

How Is It Diagnosed

Diagnosing Parkinson’s disease is mostly a clinical process, meaning it relies heavily on a healthcare provider examining your symptoms, asking you questions and reviewing your medical history. Some diagnostic and lab tests are possible, but these are usually needed to rule out other conditions or certain causes. However, most lab tests aren’t necessary unless you don’t respond to treatment for Parkinson’s disease, which can indicate you have another condition.

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People With Parkinsons Disease Only Have Their Motor Skills Affected

Although the medical community deems Parkinsons disease a motor disorder, it is essential to keep in mind that the majority of people who are going to develop it will first experience non-motor symptoms, such as cognitive impairment, depression and anxiety, dementia, apathy, bowel incontinence, pain, and sexual dysfunction.

People and the medical community should not overlook these symptoms, as they significantly contribute to severe disability, poor quality of life, and a short life expectancy. A sliver of hope is that most non-motor skills experienced by people with Parkinsons disease are treatable.

What Are The Symptoms

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The best-known symptoms of Parkinson’s disease involve loss of muscle control. However, experts now know that muscle control-related issues aren’t the only possible symptoms of Parkinson’s disease.

Motor-related symptoms

Motor symptoms which means movement-related symptoms of Parkinsons disease include the following:

Additional motor symptoms can include:

  • Blinking less often than usual. This is also a symptom of reduced control of facial muscles.
  • Cramped or small handwriting. Known as micrographia, this happens because of muscle control problems.
  • Drooling. Another symptom that happens because of loss of facial muscle control.
  • Mask-like facial expression. Known as hypomimia, this means facial expressions change very little or not at all.
  • Trouble swallowing . This happens with reduced throat muscle control. It increases the risk of problems like pneumonia or choking.
  • Unusually soft speaking voice . This happens because of reduced muscle control in the throat and chest.

Non-motor symptoms

Several symptoms are possible that aren’t connected to movement and muscle control. In years past, experts believed non-motor symptoms were risk factors for this disease when seen before motor symptoms. However, theres a growing amount of evidence that these symptoms can appear in the earliest stages of the disease. That means these symptoms might be warning signs that start years or even decades before motor symptoms.

Non-motor symptoms include:

Stages of Parkinsons disease

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How Will Parkinson’s Disease Affect Your Life

Finding out that you have a long-term, progressive disease can lead to a wide range of feelings. You may feel angry, afraid, sad, or worried about what lies ahead. It may help to keep a few things in mind:

  • Usually this disease progresses slowly. Some people live for many years with only minor symptoms.
  • Many people are able to keep working for years. As the disease gets worse, you may need to change how you work.
  • It is important to take an active role in your health care. Find a doctor you trust and can work with.
  • Depression is common in people who have Parkinson’s. If you feel very sad or hopeless, talk to your doctor or see a counsellor.
  • It can make a big difference to know that you’re not alone. Ask your doctor about Parkinson’s support groups, or look for online groups or message boards.
  • Parkinson’s affects more than just the person who has it. It also affects your loved ones. Be sure to include them in your decisions.

Plus Common Misconceptions About What Its Like

There are many misconceptions about Parkinsons disease, which has led to widespread misunderstanding about what the disease really is and the effects it has on someone who is living with it.

Many people believe that having Parkinsons means you would look sick, but thats not always the case. Living with Parkinsons disease looks slightly different for everyone. The condition can cause symptoms like tremors or balance issues and mental health struggles such as depression. Learn more about the facts and myths about this disease.

Verywell / Zoe Hansen

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How Soon After Treatment Will I Feel Better And How Long Will It Take To Recover

The time it takes to recover and see the effects of Parkinson’s disease treatments depends strongly on the type of treatments, the severity of the condition and other factors. Your healthcare provider is the best person to offer more information about what you can expect from treatment. The information they give you can consider any unique factors that might affect what you experience.

Medication Can Worsen Symptoms

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This myth concerns levodopa in particular, as it was wrongly thought that taking this medication for Parkinsons disease may actually exacerbate the symptoms patients experience in the long run. While it is true that this medication can cause additional motor symptoms, such as dyskinesia, which refers to involuntarily jerky movements, the onset of this symptom is the result of the underlying brain disorder and not of the medication itself.

While in the past, medical professionals would recommend levodopa only to people with advanced Parkinson’s disease, today, anyone can benefit from this medication, regardless of the phase of their disorder.

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What Is Parkinsons Disease

Parkinsons disease is a condition where a part of your brain deteriorates, causing more severe symptoms over time. While this condition is best known for how it affects muscle control, balance and movement, it can also cause a wide range of other effects on your senses, thinking ability, mental health and more.

Everyone With Parkinsons Disease Has Tremors

Tremors are one of the most identifiable Parkinsons disease symptoms but not everyone with the disease will experience a tremor. The progression and clinical symptoms of Parkinsons disease are unique to every individual. Tremors can also be caused by other conditions, including stroke, multiple sclerosis, or traumatic brain injury, according to Parkinsonsdisease.net.

A side effect of some Parkinsons medications is dyskinesia, another term for involuntary movements. This may initially look like a tremor but is a different movement. Dyskinesia can happen if your dose is too high. Let your doctors know if this is happening and they will adjust your medication timing or dose.

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There Is No Treatment

Thankfully this myth couldnt be further from the truth. There are multiple medication options out there that treat the symptoms of Parkinsons disease. One of the most common medications is carbidopa-levodopa. It helps to increase the dopamine levels within your brain, lessening the motor symptoms of Parkinsons.

Other common treatments used to help control symptoms are physical therapy, deep brain stimulation, massage, Tai Chi, yoga, and meditation according to the Mayo Clinic. Determining which combination of treatment is best for you will depend on the severity of your disease progression and symptoms. Talk to your doctors to decide your best options.

If You Develop A Tremor

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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?

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How Is It Treated And Is There A Cure

For now, Parkinsons disease is not curable, but there are multiple ways to manage its symptoms. The treatments can also vary from person to person, depending on their specific symptoms and how well certain treatments work. Medications are the primary way to treat this condition.

A secondary treatment option is a surgery to implant a device that will deliver a mild electrical current to part of your brain . There are also some experimental options, such as stem cell-based treatments, but their availability often varies, and many aren’t an option for people with Parkinsons disease.

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