Monday, June 3, 2019

What is the best treatment for Parkinson's?


Parkinson’s disease is a chronic, degenerative neurological disorder that affects older people most often, and men more often than women. It’s believed to be caused by a combination of both genetic and environmental factors. There is currently no cure, but treatment can help relieve symptoms, slow disease progression, and improve quality of life.
Treatment approaches include medication, surgery, alternative and complementary therapies, occupational therapy, and speech therapy.
Your doctor may also recommend lifestyle changes, especially ongoing aerobic exercise. I would recommend Dr. Vikram Neurologist. In some cases, physical therapy that focuses on balance and stretching also is important. A speech-language pathologist may help improve your speech problems.
You may not need any treatment during the early stages of Parkinson's disease as symptoms are usually mild.
But you may need regular appointments with your specialist so your condition can be monitored.
Parkinson’s Symptoms & Warning Signs
1. This usually presents itself in the arms, jaw, legs, and face.
2. This is the term for the slow this results in loss of strength, loss of balance and problems with moving muscles or coordinating body parts.
3. Some patients pause or freeze when moving without being able to start again, and others begin to shuffle when trying to walk.
4. Depression and fatigue
5. Urinary problems
6. Trouble speaking or eating normally
7. Digestive issues, including constipation
8. Trouble sleeping
9. Skin problems
10. Voice changes
11. Sexual dysfunction
9 Ways to Feel Better with Parkinson's disease:
1. Supportive therapies
There are several therapies that can make living with Parkinson's disease easier and help you deal with your symptoms on a day-to-day basis.
There are efforts underway to try to increase the availability of these supportive therapies for Parkinson's patients on the NHS.
Your doctor may be able to advise and help you. Ask your local authority for care and support needs assessment.
2. Physiotherapy
A physiotherapist can work with you to relieve muscle stiffness and joint pain through movement (manipulation) and exercise.
The physiotherapist aims to make moving easier and improve your walking and flexibility.
They also try to improve your fitness levels and ability to manage things for yourself.
3. Your doctor can fill family and friends in on your condition. "I think doctors need to have a session with the family," Dr. Vikram Neurologist says. "The doctor can give the family a reality check about what lies ahead."
For instance, he says if family members know beforehand about the gambling and other obsessive-compulsive issues that can occur as side effects of certain Parkinson's medicines, they can be alerted to the warning signs.
4. Speech and language therapy
Many people with Parkinson's disease have swallowing difficulties (dysphagia) and problems with their speech.
A speech and language therapist can often help you improve these problems by teaching speaking and swallowing exercises, or by providing assistive technology.
5. Diet advice
For some people with Parkinson's disease, making dietary changes can help improve some symptoms.
These changes can include:
Increasing the amount of fibre in your diet and making sure you're drinking enough fluid to reduce constipation
Increasing the amount of salt in your diet and eating small, frequent meals to avoid problems with low blood pressure, such as dizziness when you stand up quickly
Making changes to your diet to avoid unintentional weight loss
You may see a dietitian, a healthcare professional trained to give diet advice if your care team thinks you may benefit from changing your diet.
6. Tai Chi
This form of exercise promotes balance and coordination, so it stands to reason that it would be beneficial for patients with Parkinson’s disease. A study of three forms of exercise — resistance training, stretching, and tai chi — found that tai chi offered measurable improvement in balance and stability in people who had moderate Parkinson’s disease.
7. Massage Therapy
Though not very well-studied, the effectiveness of massage in relieving side effects of Parkinson’s disease, chiefly tremor, seems clear, even if that relief isn’t permanent. A 2016 review of studies showed a measurable reduction in muscle rigidity and resting tremor immediately after a 60-minute massage.
8. Carbidopa-levodopa therapy
The motor symptoms of Parkinson’s—resting tremor, bradykinesia (gradual loss and slowing down of spontaneous movement), rigidity, and postural instability (impaired balance)—are caused by a lack of the neurotransmitter dopamine in the brain. Dopamine is the chemical messenger that is responsible for smooth, purposeful movement. The main drug treatments used for PD help increase the dopamine levels in the brain, and by doing so, they relieve the symptoms of PD. The combination of levodopa and carbidopa is the most effective treatment available for the management of motor symptoms of Parkinson’s disease (PD).
9. Essential oils for Parkinson’s:
Using essential oils may effectively reduce and calm some of the symptoms associated with Parkinson’s disease such as depression, sleep trouble, skin inflammation, and digestive issues. Helichrysum and frankincense oil have been shown to reduce inflammation of the brain, and vetiver oil has been found to reduce tremors. Rub 2 drops frankincense, helichrysum and vetiver oil on the temples and neck two times daily or put 2 drops of frankincense on the roof of the mouth.
 Reference :Sravani K



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