MBBS, MD(medicine) ,DM(Neurology)

(Consultant Neurologists) at
Fortis  Mohali

Email

amitkgmu@gmail.com

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+91-9877885409

Parkinson's disorder

parkinson's disorder

Parkinson’s disease is a progressive neurological disorder affecting movement control, caused by the degeneration of dopamine-producing neurons in the brain. Symptoms include tremors, muscle rigidity, slow movements (bradykinesia), and balance difficulties. Other signs can include speech changes, writing difficulties, and non-motor symptoms like sleep disturbances and cognitive impairment. While the exact cause is unknown, genetic and environmental factors play a role. Diagnosis is based on medical history, neurological examination, and symptom observation. There is no cure, but treatments like medications, physical therapy, and sometimes surgery (e.g., deep brain stimulation) help manage symptoms and improve quality of life.

Treatment:

1. Medications:

  • Levodopa/Carbidopa: The most effective medication, which the brain converts into dopamine.
  • Dopamine Agonists: Mimic dopamine effects in the brain (e.g., pramipexole, ropinirole).
  • MAO-B Inhibitors: Prevent the breakdown of brain dopamine (e.g., selegiline, rasagiline).
  • COMT Inhibitors: Prolong the effect of levodopa by blocking its breakdown (e.g., entacapone).
  • Amantadine: Provides short-term relief of symptoms and may reduce dyskinesia.

2. Surgical Treatment:

  • Deep Brain Stimulation (DBS): Implanting electrodes in specific brain areas to regulate abnormal impulses.

3. Therapies:

  • Physical Therapy: To improve mobility, flexibility, and balance.
  • Occupational Therapy: To assist with daily activities and improve fine motor skills.
  • Speech Therapy: To address speech and swallowing difficulties.

4. Lifestyle and Home Remedies:

  • Regular Exercise: To improve mobility, balance, and overall health.
  • Healthy Diet: Balanced nutrition to support overall well-being.
  • Support Systems: Joining support groups and engaging in social activities to manage mood and cognitive symptoms.