Archive for the ‘ Parkinsons Disease ’ Category

Understanding Parkinson’s Disease: Symptoms, Causes & Care Tips

Friday, April 11th, 2025

Parkinson’s disease (PD) is the second-most prevalent neurodegenerative disorder in the world, affecting millions globally and commonly seen in individuals above 60 years. It is a chronic, progressive neurological disorder that affects movement and can severely impede independence and quality of life. It is primarily known for its motor symptoms such as tremors, stiffness, and slowing of movement, but it also often brings non-motor symptoms, including depression and sleep disturbances. With the progressive nature of PD, its impact extends beyond the patients to their families and caregivers, significantly affecting their quality of life. The complexities of Parkinson’s make comprehensive care essential, blending advanced medical treatments with supportive therapies to enhance quality of life.

India’s large population and the increasing elderly demographic are the main reasons behind the increasing cases of Parkinson’s disease in India. Medical statistics suggest varying prevalence rates from 15 to 43 per 100,000 people in India, with a noticeable trend towards early onset PD, starting before the age of 50.

Parkinson’s disease is a disorder of the central nervous system that primarily affects motor function due to a decrease in dopamine levels. Symptoms typically develop slowly and worsen over time, beginning with subtle tremors and eventually leading to more severe physical and neurological impairments such as stiffness, bradykinesia (slowness of movement), and impaired balance and coordination.

Table of Contents

Early Symptoms of Parkinson’s Disease

It is important to recognize the early symptoms of Parkinson’s Disease (PD) in order to control its progression effectively. PD symptoms tend to be mild initially and differ significantly from one person to another, so identifying them early can be difficult. The symptoms tend to appear initially on one side of the body and then on both sides. Here, we touch on some of the early symptoms of PD, which, if detected in time, can result in earlier intervention and possibly improved control of the condition.

  • Tremors or Shaking
    The most obvious of the initial symptoms of Parkinson’s disease is trembling or shaking, which usually presents on one hand. Tremors are usually “pill-rolling” tremors due to the nature of the movement—movements of rolling a small pill between the thumb and index finger. It should be mentioned that tremors do occur commonly, and their absence does not exclude PD since about 30% of patients might not have them at the time of onset.
  • Rigidity and Stiffness
    Rigidity, or heightened muscle tone, is one of the earliest symptoms that is characterized by stiffness and resistance to movement in the limbs and trunk. The rigidity may be consistent throughout the movement or ratchet-like (cogwheel rigidity), perceived as a series of transient relaxations or jerks. It may be painful and restrict the motion, greatly hindering everyday activities.
  • Bradykinesia (Slowness of Movement)
    Bradykinesia, or slowness of movement, is a characteristic of PD and is frequently one of the most disabling. It appears as a decrease in spontaneous and voluntary movement, such that simple tasks are effortful and time-consuming. This symptom is especially pernicious because it not only slows movement but decreases the amplitude of movements. The patients might take smaller steps, the movements might decrease in intensity, and activities needing fine motor skills, like closing a shirt, become harder to accomplish.
  • Disabled Posture and Balance
    Postural instability is another early symptom of PD, which may not be apparent until well into the disease. Nevertheless, there can be slight changes in the early stages, resulting in a stooped gait and a tendency to lean forward. Balance might also be lost, placing the individual at an increased risk of falls. This symptom is especially disturbing as it can result in injury and a reduced ability to carry out daily activities safely.
  • Loss of Automatic Movements
    PD may influence automatic movements that are normally done without the consciousness of doing so. This may involve a diminished capacity for blinking, resulting in eye irritation and a staring look. The spontaneous swing of arms during walking may also be lost, and facial expression may lessen, a condition sometimes termed “facial masking.”
  • Changes in Writing and Speech
    Micrographia, or small script, is a frequent initial symptom of PD. With advancing disease, handwriting might initially appear normal but eventually becomes cramped and diminishing as the patient keeps writing. Speech changes can also happen; the voice may become quieter, or speech may be faster with a predisposition to be monotonous. Patients will slur or have difficulty speaking up, and they may have trouble communicating effectively.

Identification of these initial symptoms and seeking assessment from a neurologist with experience in movement disorders is essential. Early treatment and diagnosis can significantly improve the care of the disease, allowing independence and quality of life to be preserved for as long as possible. If you or someone close to you is suffering from these symptoms, please consider arranging an assessment to consider the possibility of Parkinson’s Disease and to plan therapeutic interventions.

Causes and Risk Factors of Parkinson’s Disease

Despite the fact that the exact cause of Parkinson’s disease remains unknown, researchers believe that it may be due to the interaction of a number of factors, including genetics and the environment. The disease is found to affect the degeneration of a section of the brain known as the substantia nigra. These cells are tasked with creating dopamine, a neurotransmitter that is important in transmitting messages to the region of the brain that regulates movement and coordination. Toxic exposure, specific genetic mutations, and the presence of Lewy bodies (abnormal protein aggregates that form within nerve cells) are thought to be major factors in the onset of PD. Some risk factors are:

  • Genetic Factors
    While most cases of Parkinson’s appear to be sporadic, approximately 10% of cases have a genetic component. This means that having a relative with Parkinson’s slightly increases your chances of developing the disease.
  • Environmental Triggers
    Exposure to certain toxins such as pesticides and heavy metals has been linked to Parkinson’s. Additionally, head injuries and rural living, where there is greater exposure to pesticides, might also increase risk.
  • Age and Autoimmune Factors
    Age is the greatest risk factor for Parkinson’s, with most individuals acquiring the disease after the age of 60. There is also evidence of a connection between Parkinson’s and autoimmune diseases such as rheumatoid arthritis, which points towards underlying inflammatory mechanisms that may impact the nervous system.

Living Well with Parkinson’s Disease: A Holistic Approach

Living with Parkinson’s disease is highly challenging. It not only affects the patient but also the immediate family and caregivers.  It requires a lot of lifestyle changes and emotional support at each stage. A holistic care plan can help make a huge difference in the patient’s quality of life. Let us consider some of these important care strategies:

  • Exercise Regularly
    Motor function and flexibility can be well-preserved in Parkinson’s patients through regular exercise. Certain exercises are specifically targeted to meet the patient’s needs and may reduce symptoms like stiffness and tremor, in addition to promoting general well-being. Yoga, swimming, and pilates are especially helpful because they also address balance and coordination. It is advisable to have a physical therapist develop an individualized exercise program can add organization and help ensure safety.
  • Remain Socially Engaged
    The emotional effect of Parkinson’s may be significant, with feelings of isolation and depression experienced by many. Social engagement is important for emotional well-being. Social interaction on a daily basis with family and friends, community activities, or attending Parkinson’s support groups may provide essential emotional support and minimize isolation.
  • Continuing Education
    Learning must never stop. Educating oneself on the intricacies of Parkinson’s disease can be empowering to patients and families. Being adequately educated regarding the disease, its treatments, and care management allows for active involvement in medical care decisions. Educational workshops and materials provided by many hospitals and Parkinson’s organizations are valuable assets.
  • Nutritional Management
    Nutrition is essential in controlling Parkinson’s. Dietary counseling can be useful in solving problems like weight management and constipation. A high-fiber diet with lean proteins, complex carbohydrates, fruits, vegetables, and good fats can contribute to overall well-being and assist with the effectiveness of medication.
  • Regular Medical Checkups
    Ongoing medical evaluation ensures that treatment remains consistent with the advancing nature of Parkinson’s. Regular check-ups with a neurologist and other healthcare professionals aid in adjusting treatments as required and dealing with any new developing symptoms.
  • Mental Health Care
    Controlling the psychological effects of Parkinson’s is just as crucial as controlling the physical symptoms. Regular counseling sessions as well as therapy can be helpful in dealing with the emotional issues presented by the disease. Cognitive-behavioral therapy, especially, can be useful in treating depression and anxiety that are typical of Parkinson’s disease.
  • Adaptive Equipment and Home Modifications
    With advancing disease, daily activities may be difficult. Employing adaptive devices like walking sticks, shower stools, and adaptive utensils can facilitate independence. Likewise, home modifications such as installing grab bars and eliminating hazards in the house can promote safety.
  • Rest and Sleep Management
    Parkinson’s has the potential to severely interfere with sleep, worsening daytime fatigue and affecting quality of life. A consistent sleep schedule, a comfortable sleeping environment, and the management of sleep disorders such as REM Sleep Behavior Disorder are essential for restorative sleep.

Using these strategies can help patients with Parkinson’s live a more active and satisfying life. It’s crucial for patients and caregivers to be proactive and informed when dealing with Parkinson’s and to make consistent adjustments as the illness progresses.

Comprehensive Treatment and Management of Parkinson’s Disease

The treatment of Parkinson’s disease, both in India and worldwide, is primarily focused on symptom management rather than curing the disease, as no definitive cure exists at present. The goal of treatment is to lessen symptoms, improve quality of life, and maintain functional independence for as long as possible. Let us look at the approach below to managing Parkinson’s disease:

  • Pharmacological Treatments
    When it comes to managing Parkinson’s disease, the primary approach often revolves around the utilization of a range of medications designed to either boost dopamine levels or replicate its actions within the brain. Given the complexity and variability of Parkinson’s, it is highly recommended to seek the expertise of a neurologist for a comprehensive assessment and tailored medication guidance.
  • Surgical Interventions
    In more advanced stages of Parkinson’s, where traditional drugs may no longer provide adequate relief, surgical interventions can be considered. One such procedure is Deep Brain Stimulation (DBS), which has shown promise in these cases. This technique involves the strategic placement of a neurostimulator that delivers carefully controlled electrical signals to specific regions of the brain. By modulating the abnormal electrical activity in these areas, DBS can help improve motor function and, in some instances, reduce the reliance on medications.
  • Physical and Occupational Therapy
    Physical therapy is also important for keeping a patient mobile and balanced, which can have a huge impact on independence and safety. Exercise programs that are individualized can enhance strength, flexibility, and balance, and even lessen the severity of motor symptoms. Occupational therapy aims to increase the capacity to do daily activities, providing solutions and adaptive strategies for activities that are now difficult, thus encouraging increased independence.
  • Speech Therapy
    Parkinson’s can frequently impact speech and swallowing. Speech therapists assist patients in enhancing the clarity of their speech, vocal intensity, and communication skills. They also offer methods to cope with swallowing problems, making eating and drinking safer.
  • Lifestyle Modifications and Supportive Therapies
    Lifestyle modifications are vital to effectively manage Parkinson’s. Dietary changes can remedy weight issues and nutritional deficiencies prevalent in Parkinson’s. Daily exercise that is suited to the person’s abilities can preserve motor function and general well-being. Furthermore, psychological care via counseling or support groups may assist in solving the psychological issues that regularly go hand in hand with this disease.
  • Integrative Approaches
    Complementary techniques like yoga, meditation, and acupuncture can also be included in the treatment protocol. These therapies can ease stress, promote general well-being, and support the efficacy of traditional treatments by providing holistic treatment.
  • Ongoing Monitoring and Adjustments
    Regular monitoring by a medical team is essential to modify treatments as the disease evolves and the patient’s needs shift. This involves frequent consultations with neurologists, modifications in therapy regimens, and ongoing assessment of therapeutic responses.

In summary, taking care of Parkinson’s disease entails a holistic plan that integrates medication with rehabilitative and supportive interventions. Through interventions addressing the disease’s physical as well as its emotional aspects, patients are able to have the optimal quality of life in the face of the complications of Parkinson’s.

Practical Tips to Prevent Falls in Parkinson’s Patients

Falls are a major risk in Parkinson’s disease because of impaired balance, coordination, and mobility. Falls should be prevented, as they can result in serious injuries, like hip fractures, that can substantially reduce quality of life and make patients more dependent. These are some useful tips to reduce the risk of falls:

  • Clear Pathways
    Make sure the walking spaces within your home are clear of things that can lead to trips and falls. Eliminate clutter, such as loose rugs or wires, from the hallways and most-used spaces. Use safe, non-slip mats and securely attached carpets to minimize the risk of slipping.
  • Safe Flooring
    Replace shabby or broken carpets with low-pile carpeting to minimize the risk of tripping. Have all carpet edges tucked in neatly to avoid any folds rising up and causing a tripping hazard.
  • Accessibility of Walking Aids
    Always keep walking aids such as canes or walkers within easy reach. If you frequently move between different areas in your home, consider having multiple aids strategically placed to ensure they are always accessible.
  • Fit Grab Bars and Railings
    Fit robust grab bars and railings in hazard-prone places like bathrooms, stairs, and beside beds. These can help offer vital assistance while transferring from one place to another, particularly in locations where slipping is possible.
  • Dry Surface Maintenance
    Make sure floors, particularly in kitchens and bathrooms, are dry and clean. Slips are the most common occurrence of wet floors. Place non-slip mats in places where they might be wet, including in front of the kitchen sink or bathroom.
  • Adequate Lighting
    Take steps to make sure that your hallway, bedroom, and bathroom are equipped with night lights.
  • Footwear
    Use shoes with non-slip soles instead of walking barefoot or in slippers. Good footwear can offer extra grip and support, minimizing the chance of slipping within the home.

By following these helpful and practical suggestions, Parkinson’s patients can greatly minimize their risk of falling, which helps to preserve their independence and well-being. Ongoing evaluation of the home environment for fall hazards and modifications as necessary is also helpful in maintaining a safe home.

Parkinson’s Care at Kokilaben Dhirubhai Ambani Hospital, Mumbai

Parkinson’s disease is a highly complex and progressive disorder, which means the symptoms worsen with each passing day. It is essential to get medical care early on and investigate further if you notice any signs of Parkinson’s disease. Are you looking for advanced Parkinson’s disease treatment in Mumbai? Our team of highly experienced neurologists and other support team members is committed to providing top-tier neurological and rehabilitative care to manage Parkinson’s disease effectively.

Our Parkinson’s Clinic is here to give multidisciplinary care to all patients suffering from Parkinson’s disease and other movement disorders. The Centre for Physical Medicine & Rehabilitation at Kokilaben Dhirubhai Ambani Hospital, Mumbai is equipped with state-of-the-art technology and an experienced team to meet the unique needs of Parkinson’s disease. Get the most advanced care at the best Parkinsons disease treatment Hospital in India to ensure that each patient receives personalized care.

Why choose us?

  • Advanced Diagnostic Tools: We are equipped with the most advanced imaging technologies available. Our 3 Tesla MRI machines allow us to perform specialized protocols like morphometric MR and Diffusion tensor imaging (DTI). These high-end techniques enable us to accurately identify Parkinson’s disease and differentiate it from other similar neurological disorders. This is a crucial part of the diagnostic process.
  • Successful Cases: Medical research is our forte, and our team of neurology specialists works hard to be at the forefront of medical advancements. The team is reputed to use the latest techniques to slow disease progression and improve your quality of life. With over 10,244 cases of Parkinson’s disease treated in the past, we have immense experience in handling such cases.
  • Rehabilitation Services: We provide personalized treatment plans, including gait retraining, speech therapy, and cognitive rehabilitation. With 30,000 sq ft rehabilitation facility is equipped with the latest in physical therapy equipment, we aim to help you improve your quality of life.
  • Dietary Consultation: When it comes to Parkinson’s Disease, it is essential to work closely with a nutritionist specialized in the condition. Consult our nutritionists to understand your current health condition and get the best possible advice.
  • Cutting-Edge Treatment Options: We remain at the forefront of Parkinson’s treatment, offering a wide range of options. From the latest medical treatments to innovative therapies like deep brain stimulation (DBS) for advanced cases, we ensure you have access to the most effective and up-to-date care.

We are prepared and experienced to handle even the most complex Parkinson’s disease cases. We are together with you in this journey. Consult expert Parkinson’s disease doctors in Mumbai at our hospital. Reach out to our renowned team of neurologists for detailed investigation and care.

If you or someone you love is experiencing symptoms of Parkinson’s disease or related movement disorders, it is time to seek specialist care. At our Parkinson’s Clinic and Centre for Neurosciences, we prioritize personalized attention and adhere to the highest standards of treatment. Comprehensive and customized treatment plans await Parkinson’s disease patients here. Connect with our team today without any delay to start leading a better quality of life. Schedule your appointment today!

Living Well with Parkinson’s: Tips for Daily Life

Wednesday, April 10th, 2024

More than 70 lakh Indians suffer from this neurological condition.Living with Parkinson’s disease presents unique challenges, both for individuals diagnosed with the condition and for their caregivers. Parkinson’s disease is a progressive neurological disorder that affects movement, characterized by symptoms such as tremors, stiffness, and difficulty with balance and coordination. It can also impact cognitive function, mood, and overall quality of life. While there is currently no cure for Parkinson’s, various treatment options and lifestyle modifications can help manage symptoms and improve daily functioning.

Are you a Parkinson’s patient? How do you live your daily life? Use of practical strategies can make a significant difference in your daily life &help manage the symptoms easily.

Here are some helpful tips to incorporate in your routine to enhance your life while living with Parkinson’s disease:

  • Stay Active
    Regular exercise is crucial for managing symptoms and maintaining mobility. Engage in activities such as walking, swimming, or tai chi to improve balance, flexibility, and strength.
  • Follow Medication Schedule
    Consistency with medication is essential for controlling symptoms. Set reminders or use pill organizers to ensure timely intake of prescribed medications.
  • Take things at your pace
    Forming new habits take time. You must be kind to yourself and acknowledge that progress takes time. Take things slowly and gradually adjust your schedule and stick to it.
  • Eat Smart
    Prioritize a balanced and healthy diet with fruits, vegetables, whole grains, and lean proteins. Consider smaller, more frequent meals, and stay hydrated. Work with a certified nutritionist to plan your meals.
  • Sleep well
    Numerous people experiencing difficulty falling asleep find it more manageable to unwind by taking a warm bath, engaging in reading, or practicing mindfulness meditation before bedtime.
  • Prioritize Self-Care
    Practice relaxation techniques, such as deep breathing or meditation, to alleviate stress and promote emotional well-being. Adequate rest and nutrition are also vital for overall health.
  • Seek Support
    Joining a support group or connecting with others living with Parkinson’s can provide valuable encouragement and understanding. Sharing experiences and coping strategies can foster a sense of community and resilience.Reach out to medical experts for counselling if required.
  • Establish Routine
    Create a daily routine for predictability. Ensure ample of time for rest, prioritize an active lifestyle and maintain a good sleep hygiene.
  • Use Assistive Devices
    Explore assistive devices and home modifications for safety and independence. Your doctor can recommend tools to make daily tasks easier.
  • Adapt Environment
    Make modifications to the home environment to enhance safety and accessibility. Install handrails, grab bars, and remove obstacles to prevent falls and accidents.

Living well with Parkinson’s requires a multifaceted approach that addresses physical, emotional, and practical needs. By implementing these tips and strategies, patients and caregivers can navigate the challenges of Parkinson’s disease with greater confidence and resilience. We are together with you in this journey. With knowledge, support, and proactive management, it is possible to maintain a fulfilling and meaningful life despite Parkinson’s.

Parkinson’s treatment at Kokilaben Dhirubhai Ambani Hospital

Have you or a loved been diagnosed with Parkinson’s disease? Our dedicated team of physical therapists, occupational therapists, speech therapists, and dietitians are here to provide compassionate support and comprehensive care at our Parkinson’s clinic. While Parkinson’s may not have a cure, our tailored therapies are designed to alleviate symptoms and enhance your daily life. At our clinic, we offer a range of treatment options, including medication and surgical interventions, overseen by parkinson’s specialist. With state-of-the-art facilities such as a 3 Tesla MRI for precise diagnostics, an advanced Gait and Balance Lab, nutritional guidance, and a fully equipped rehabilitation room, we’re committed to delivering personalized, goal-oriented physiotherapy. Explore our “Total Parkinson Care Program,” meticulously crafted to meet the unique needs of Parkinson’s patients. For more information, visit our website below. https://www.kokilabenhospital.com/departments/clinicsatkh/parkinsonsclinic.html

Parkinson’s Disease: A closer look

Monday, April 10th, 2023

Imagine not being able to hold a glass of water without spilling it or not being able to dress up all by yourself. These things may seem impossible for you, but for some people, it is a daily reality that they must contend with. It is a part of life for patients diagnosed with Parkinson’s disease. Parkinson’s is a neurological disease that affects over 10 million individuals worldwide and is characterised by uncontrollable limb movements. Due to the lack of awareness about the condition and various taboos associated with it, people with Parkinson’s delay seeking medical care or are often misdiagnosed by their primary doctor. Medical experts predict that India would see a massive 200-300 % increase in Parkinson’s disease cases over the next two to three decades. Let us understand the key aspects about this condition and find the best ways to manage it.

What is Parkinson’s disease?

Parkinson’s disease is a nervous system ailment that is characterised by uncontrollable bodily movements including bradykinesia, tremors, and stiffness that make it difficult for you to carry out regular daily tasks. Because of the nature of the disorder, the symptoms start off moderate and get worse over time. On sometimes, they might even go undiscovered for several weeks or months. Parkinson’s disease primarily affects motor functions, but as the condition worsens, non-motor consequences like discomfort, sleep issues, and mental health issues can also develop.

Symptoms of Parkinson’s disease

The symptoms of Parkinson’s disease can vary from person to person, but typically include tremors, stiffness, and difficulty with movement. Other common symptoms include:

  • Bradykinesia: Slowness of movement
  • Rigidity: Stiffness of the limbs and trunk
  • Postural instability: Difficulty maintaining balance
  • Difficulty with speech and writing
  • Loss of facial expressions
  • Sleep disturbances
  • Depression and anxiety
  • Cognitive impairment

Parkinson’s disease is diagnosed by a neurologist through a physical examination and a review of the patient’s medical history. The diagnosis is usually made based on a combination of symptoms and physical examination. Imaging tests, such as MRI or CT scans, may be used to rule out other conditions that could be causing the symptoms.

Stages of Parkinson’s disease

Parkinson’s disease is typically divided into five stages, ranging from early symptoms to advanced disease. These stages are based on the severity and progression of symptoms and include:

  • Stage one
    Mild symptoms that do not interfere with daily activities.
  • Stage two
    Symptoms worsen, and daily activities become more difficult.
  • Stage three
    Significant loss of balance and slow movements.
  • Stage four
    Severe symptoms, but the patient can still walk and stand.
  • Stage five
    Complete disability, the patient is unable to stand or walk.

While there is no cure for Parkinson’s disease, there are treatments available to manage symptoms and improve the patient’s quality of life. Patients should focus on leading a healthy lifestyle, including regular exercise, a healthy diet, and social engagement, to improve their overall wellbeing.

Parkinson’s care at Kokilaben Dhirubhai Ambani Hospital, Mumbai

Consult our experienced neurologists to help manage this condition and slow down its progression. Supportive therapies can help cope with the symptoms of this condition, physiotherapy can help to alleviate muscle rigidity and occupational therapy can help you to get back to routine activities. Speech and language therapy is also recommended for some patients of Parkinson’s disease. If you or a loved one is experiencing symptoms of Parkinson’s disease, consult neurologists at our Centre for Neurosciences for a detailed evaluation and further care.

Managing Parkinson’s Disease

Saturday, April 9th, 2022

Research suggests that roughly 0.58 million people in India have Parkinson’s disease, with a significant increase in prevalence projected in the following years. Parkinson’s disease is a neurological movement disorder that affects the brain. Tremor, sluggishness of movement, stiff muscles, and difficulty with balance and coordination are all common symptoms. While the disease has no permanent cure, medications can help most patients maintain a good quality of life. Together we spread awareness about Parkinson’s disease, its symptoms and ways to manage it better.

Early signs of Parkinson’s disease

No two people have the same exact symptoms of this condition. It you or a loved one is showing these common signs, you must consult a neurologist for further investigation and diagnosis. The early signs of Parkinson’s disease may include:

  • Tremors.
  • Small handwriting.
  • Loss of smell.
  • Trouble sleeping.
  • Trouble moving.
  • Constipation.
  • A soft or low voice
  • Dizziness or fainting.
  • Stooping or hunching over.

In addition to movement symptoms, from tremor to balance issues, some people may also show certain non-movement symptoms. These include:

  • Problems with attention, language or memory.
  • Mood disorders, such as depression, anxiety and irritability.
  • Light-headedness.
  • Fatigue.
  • Hallucinations and delusions.

Managing Parkinson’s disease

Remaining healthy and strong is the key for everyone with Parkinson’s disease. Certain lifestyle changes can help Parkinson’s patients and help them control their symptoms and slow the progression of the condition. Here are a few tips to help live better with Parkinson’s disease:

  • Regular exercise helps patients with Parkinson’s get more flexibility, better balance, less anxiety and improved coordination.
  • Walk carefully, plant your heel first, keep your posture straight, change directions slowly.
  • Use a cane, walker, or other device to help you move safely.
  • Prioritize good quality sleep.
  • Eat a healthy and nutritious diet.
  • Don’t delay seeking medical therapy.
  • Find ways to manage your stress better.
  • Join a Parkinson’s support group.

The most important step you can take to manage parkinson’s disease is to seek help right from the beginning and consult a mental health professional.

Home safety measure for Parkinson’s patients

Home adaptations for people with Parkinson’s range from small changes to major building changes. Here are a few tips to consider to make your home safe for Parkinson’s patients:

  • Adding rails to doorways or stairs.
  • Lighting up dark passages.
  • Removing threshold strips between rooms.
  • Adding shower chairs.
  • Mounting handrails in tubs, showers or near the toilet.
  • Placing non-skid rubber bath mats in the bathroom.
  • Installing a raised toilet seat.
  • Adding a handle or bed rail for getting out of bed.

Parkinson’s treatment at Kokilaben Dhirubhai Ambani Hospital

It’s critical to seek Parkinson’s disease treatment from a movement disorders specialist as soon as possible. Meet our team of physical therapists, occupational therapists, speech therapists, and dietitians at our Parkinson’s clinic to manage the day-to-day challenges of this condition. Although there is no cure for Parkinson’s disease, therapies can help you manage your symptoms and improve your quality of life. Medication and surgical treatments are two options for treatment. Consult world-class experts at our clinic who help manage over 9300 Parkinson’s disease cases each year. We have a 3 Tesla MRI for high-end diagnostics, an advanced Gait and Balance Lab, dietary counselling, and a dedicated rehabilitation room with cutting-edge equipment for personalised and goal-directed physiotherapy. Know more about our “Total Parkinson care program” specially designed for Parkinson’s patients. Please find below our website for further details: https://www.kokilabenhospital.com/departments/clinicsatkh/parkinsonsclinic.html

World Parkinson’s Day

Friday, April 10th, 2020

World Parkinson’s Day 2020 is on Saturday, 11 April 2020. Parkinson’s disease is a progressive neurogenerative disease that causes nerve cells (or neurons) in the area of the brain that controls movement to weaken and/or die. While healthy neurons produce a chemical called dopamine, which the brain needs a certain amount to regulate movement, weakened neurons produce lower levels of dopamine. What causes these neurons to weaken is currently unknown.

Although Parkinson’s disease can’t be cured, medications and therapy helps control the symptoms. Occasionally, the doctor may suggest surgery to regulate certain regions of your brain and improve your symptoms.

Symptoms

Parkinson’s disease signs and symptoms can be different for everyone. Early signs may be mild and go unnoticed. Here are the few signs and symptoms of Parkinson’s:

  • Tremor – A tremor, or shaking, usually begins in a limb, often your hand or fingers. Your hand may tremor when it’s at rest.
  • Slowed movement (bradykinesia) – Over time, Parkinson’s disease may slow your movement, making simple tasks difficult and time-consuming.
  • Rigid muscles – Muscle stiffness may occur in any part of your body. The stiff muscles can be painful and limit your range of motion.
  • Impaired posture and balance – Your posture may become stooped, or you may have balance problems as a result of Parkinson’s disease.
  • Loss of automatic movements – You may have a decreased ability to perform unconscious movements, including blinking, smiling or swinging your arms when you walk.
  • Speech changes – You may speak softly, quickly, slur or hesitate before talking.
  • Writing changes – It may become hard to write, and your writing may appear small.
Risk factors

One’s risk of developing Parkinson’s Disease can depend on the following factors:

  • Gender – Men are 1.5 times more likely to have PD than women.
  • Age – The risk of PD increases with age, although some people are diagnosed with early-onset PD before the age of 50.
  • Genetics – Most cases occur in patients with no familial link to PD, but some have an inheritance pattern involving certain altered genes that could increase the risk of developing Parkinson’s disease.
  • Environmental causes – Studies have shown a link between exposure to chemicals used in pesticides and herbicides – as well as metals and organic pollutants – and Parkinson’s disease.
  • Head injury – A history of head injuries can increase one’s risk of developing PD.
Complications

Parkinson’s disease is often accompanied by these additional problems, which may be treatable:

  • Thinking difficulties. You may experience cognitive problems (dementia) and thinking difficulties in the later stages of Parkinson’s disease.
  • Depression and emotional changes. You may experience feelings of depression, emotional changes, such as fear, anxiety or loss of motivation.
  • Swallowing problems. You may develop difficulties with swallowing as your condition progresses. Saliva may accumulate in your mouth due to slowed swallowing, leading to drooling.
  • Chewing and eating problems. Late-stage Parkinson’s disease affects the muscles in your mouth, making chewing difficult. This can lead to choking and poor nutrition.
  • Sleep problems and sleep disorders. People with Parkinson’s disease often have sleep problems, disturbed night sleep, waking up early or falling asleep during the day.
  • Bladder problems. Parkinson’s disease may cause bladder problems, including being unable to control urine or having difficulty urinating.
  • Constipation. Many people with Parkinson’s disease develop constipation, mainly due to a slower digestive tract.
Diagnosis

There are currently no blood or lab tests that can be used to diagnose Parkinson’s disease. Neurologists make a diagnosis based on their patient’s medical history and an examination. At least two of the four following symptoms must be present over some time for a neurologist to consider Parkinson’s disease as a diagnosis:

  • Shaking or tremor.
  • Bradykinesia.
  • Stiffness in arms or legs.
  • Balance issues.
Facts About Parkinson’s

1. The cause is unknown and there is no cure.

What causes Parkinson’s remains largely unknown. Directly inheriting the disease is fairly rare. Only about 10 to 15 percent of all cases are thought to be genetic forms of the disease. The other 85 to 90 percent of cases are classified as sporadic (or occasional).

2. People with Parkinson’s can have a good quality life.

Regular medicines, therapy, surgical therapy and lifestyle modifications, like rest and exercise, help manage the disease.

3. No two people have the same symptoms.

The progression of symptoms is often a bit different from one person to another due to the diversity of the disease.

4. Exercise helps manage Parkinson’s symptoms.

For people with Parkinson’s, exercise is a vital component to maintaining balance, mobility and activities of daily living. Exercise and physical activity can improve many Parkinson’s disease symptoms.

5. People with Parkinson’s are not always angry or sad.

Many people with Parkinson’s disease experience facial masking – reduced facial expression. They look serious or depressed but many times it’s just the disease that’s causing muscles in the face to be stiff.

COVID-19 and Parkinson’s Disease

Coronavirus disease 2019 (COVID-19) is a respiratory illness that can spread from person to person. Since most people with Parkinson’s disease (PD) are in their senior years, take the below precautions to prevent COVID-19:

  • Wash your hands often with soap and water for at least 20 seconds.
  • In absence of water use a an alcohol-based hand sanitizer that contains at least 60% alcohol.
  • Disinfect frequently touched surfaces.
  • If you notice any symptoms like cough, shortness of breath or fever seek medical help.
  • Avoid touching your eyes, nose and mouth with unwashed hands.
  • Stay at home.

Keep a stock of your essential medicines and keep your medical history file with your doctor’s details handy in case it is needed in event of a hospitalization.

At Kokilaben Dhirubhai Ambani Hospital we provide comprehensive care from diagnosis to treatment to surgery to rehabilitation for patients suffering from Parkinson’s disease. If you or a loved one are suffering from Parkinson’s disease, seek expert help at our Parkinson’s Clinic. Please find below link for more details:

https://www.kokilabenhospital.com/departments/clinicsatkh/parkinsonsclinic.html