PARKINSON'S DISEASE
Parkinson’s disease is a neurological movement disorder.
Common symptoms of Parkinson’s are tremor, slowness of movement, stiff muscles,
unsteady walk and balance and coordination problems.
Parkinson’s disease is a nervous system disease which affects the ability to control movement of the patient . The disease usually starts slowly and then worsens over time. Parkinson’s disease patient shake, have muscle stiffness, and have trouble walking and maintaining balance and coordination. As the disease worsens, the patient may have trouble in talking, sleeping and have mental & memory problems, patients experience behavioral changes and have other symptoms.
Parkinson’s Disease is a syndrome comprising
involuntary tremulous motion, with
lessened muscular power, in parts not in action and even when
supported; with a propensity to bend the trunk forward and to pass
from a walking to a running pace; the senses and the
intellects being uninjured
- Age – 45-65 years.
It is seen that 50% more men than women get Parkinson’s disease and It is most commonly seen in persons 60 years of age and older & up to 10% of patients are diagnosed before age 50.
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Symptoms & Causes
Parkinson’s disease occurs when nerve cells (neurons) become impaired or die. These cells normally produce dopamine, a chemical (neurotransmitter) which helps the cells of the brain to communicate. Due to this they produce less dopamine. Dopamine is very important for the operation of the area of the brain called the basal ganglia. Basal ganglia of the brain is responsible for organizing the brain’s commands for body movement & The loss of dopamine causes the movement symptoms seen in people with Parkinson’s disease.
Symptoms of Parkinson’s disease vary from person to person. The most common symptoms include:
- Tremor
- Slowness of movement
- Rigid muscles/stiff limbs
- Unsteady walk and balance and coordination problems
- Muscle twisting, spasms or cramps (dystonia). the patient may experience a painful cramp in your foot or curled and clenched toes & Dystonia may occur in the other body parts of the patient.
- Stooped posture.
Other symptoms include:
- Decreased facial expressions
- Speech/vocal changes
- Handwriting changes:
- Depression and anxiety.
- Chewing and swallowing problems, drooling.
- Urinary problems.
- Mental “thinking” difficulties/memory problems.
- Hallucinations/delusions.
- Constipation.
- Skin problems, such as dandruff.
- Loss of smell.
- Sleeping disturbances
- Lack of interest (apathy), fatigue, change in weight, vision changes.
- Low blood pressure.
What lifestyle changes can I make to ease Parkinson’s symptoms?
- Exercise: It helps improve muscle strength, balance, coordination, flexibility, and tremor.
- Eat a healthy, balanced diet: This is not only good for your general health but also helps in some of the non-movement related symptoms of Parkinson’s, such as constipation.
- Preventing falls and maintaining balance:
- Improve the quality of your sleep.
- Slowness of all motor movements (Akinesia)
- Pill rolling tremors – Tremors of one handcoarse regular
- Tremor is present at rest (static tremors), disappears during the voluntary movement
- Face loses its movements of expression (masked face).
- Speech : Rapid and monotonous, repetition of syllables.
- Rigidity is of extrapyramidal type. ‘Cog-Wheel’
- Cramps and muscles pain is common.

Lifestyle changes patient must make to ease Parkinson’s symptoms-
- Exercise: It helps improve muscle strength, balance, coordination, flexibility, and tremor.
- Eat a healthy, balanced diet: This is not only good for your general health but also helps in some of the non-movement related symptoms of Parkinson’s, such as constipation.
- Preventing falls and maintaining balance:
- Improve the quality of your sleep.
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