You have reached a mature age and start noticing a subtle tremor in one of your hands. This, along with many other symptoms, can indicate Parkinson’s disease.
A hand tremor, of course, could signal any number of medical conditions, and a discussion with your doctor is the best place to start.
But, as a neurologist, I want to share what we know about a common neurodegenerative condition known as Parkinson’s disease.
Parkinson’s disease is caused by a loss of brain cells containing a very specific chemical called dopamine. We do not know what leads to the loss of these cells, but it is likely related to a combination of genetic and environmental factors.
Parkinson’s disease is a slowly progressive disorder, and frequently recognized symptoms include tremor, slowness of movements, muscle stiffness and gait abnormality.
However, Parkinson’s disease is complex, and many other organs and systems are frequently involved, leading to some under-recognized but very important symptoms, which affect the quality of life of patients. These include constipation, lack of sense of smell, dizziness, depression, anxiety, memory loss and sleep disorders.
The diagnosis of Parkinson’s disease requires a detailed physical and neurological exam, as well as some diagnostic testing to help us rule out other conditions which can mimic this disorder. Frequently, your primary care physician will make a referral to a neurologist.
Parkinson’s disease is challenging, but a multidisciplinary approach to the management of the symptoms allows the patient to sustain good quality of life for several years.
There are numerous medications, which allow us to manage some of the symptoms with success, but medications are only part of the treatment plan.
Exercise plays a very important role in a comprehensive treatment plan. There are a number of exercise programs that have been shown to be very beneficial for patients with this condition.
Frequently, other disciplines, such as speech therapy and physical and occupational therapy, play important roles in the course of treatment.
While Parkinson’s disease is a progressive disease, being proactive in your care can help manage the symptoms and improve quality of life. My experience tells me that patients who are determined to maintain an active and happy life generally have the best outcomes.
Indeed, many of my patients are doing just that, and they are an inspiration, not just to others with Parkinson’s, but to all of us.
Dr. Maria Moro-de-Casillas is a neurologist in the L+M Medical Group.
http://www.norwichbulletin.com/entertainmentlife/20161105/healthy-living-parkinsons-disease-is-complex-challenging
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