Having Parkinson's disease? Looking for Parkinson's Disease Treatment in Jaipur city?
Dr. Vikram Bohra is leading Neurologist in Jaipur city offering the Parkinson’s disease treatment at EHCC hospital and JaipurNeuro clinic.
Please read this article to know more about Parkinson’s disease.
What is Parkinson ’s disease?
Parkinson’s disease is a neurological disorder that affects the movement of an individual. There is a substance in the body, called dopamine which is responsible for the smooth and coordinated movements of the body.
There is a part of the brain “substantia nigra” that produces dopamine in the body.
In Parkinson’s disease, the cells of this substantia nigra start dying, because of this, the dopamine levels in the body reduces. When the level of dopamine drops to 60%- 80%, then the body starts showing Parkinson’s symptoms.
Stages in Parkinson’s disease:
Parkinson’s disease progresses over a period of time. It means the symptoms get worse over time.
Generally, there is a scale Hoehn and Yahr scale which determines the stages of symptoms. There are 5 stages of Parkinson’s disease symptoms starting from the mild level stage 1 to the worst level stage 5.
Stage 1
This stage is the mildest form of symptoms. The symptoms you will experience in this stage are noticeable, however, they will not interfere with your daily activities.
Stage 2
To reach Stage 2 from Stage 1, a person can take several months or years. The symptoms that a patient face in this stage is:
- Stiffness in muscles
- Tremors
- Deformities in facial expressions
- Quivering or shaking
Stiffness in muscles can affect your daily tasks and makes you take more time than usual. Symptoms appear on both sides of the body. Posture changes and facial expressions are quite noticeable.
Stage 3
This is the middle stage at which the symptoms reach a turning point. There are very fewer chances of new symptoms but the symptoms are more noticeable in this stage and can affect your daily tasks.
The movements become slower, which in turn slows down your regular activities. Now, the balance of body got also affected, and hence falls are common.
Stage 4
After reaching stage 4, you will find difficulty in walking without a walker or any assistive device.
Stage 5
This is the most advanced stage. You would not able to stand, and probably you will need a wheelchair.
Delusions, hallucinations, , confusions also happen.
Parkinson’s Disease causes:
The causes of Parkinson’s disease are still unknown, but there are several noticeable factors which cause the disease:
- Genetic Factors: Several researchers have shown that there are certain genetic mutations that can cause Parkinson’s disease. But it happens only when many members of the same family are affected by Parkinson’s disease.
- Environmental factors: Several environment factors such as exposure to toxins and other factors may increase the chances.
- Sex: There are more chances in men to be affected by Parkinson’s disease as compared to women.
- Race: Whites have more chances than Africans or Asians to get Parkinson’s disease.
- Injury in Head: The person’s with head injury are more likely to get affected.
Diagnosis of Parkinson’s Disease:
Currently, there is no specific test for diagnosing Parkinson’s disease. The doctor asks several questions related to family history. Thereafter, he performs a physical and a neurological exam and reviews the signs and symptoms.
There are several imaging tests such as MRI, CAT Scan, to determine if there is any other condition. There is a Dopamine Transporter (DAT) scan which a doctor can also use. These tests do not determine the Parkinson’s disease but can help in identifying to rule out other conditions.
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Parkinson’s Disease Treatment in Jaipur
The treatments of Parkinson ’s cure includes certain lifestyle changes, medications, and therapies.
Proper rest, balanced & hygienic diet, and exercise play a vital role. Therapies of speech, occupational, and physical wellness are good to improve communication and quality care.
Above all, medications are necessary for Parkinson’s disease cure for controlling the various physical and mental diseases due to the disease.
The drugs and medicines in Parkinson’s disease treatment are:
- Levodopa: This is the most common treatment in Parkinson’s disease cure. It helps in restoring the dopamine again. Nearly three-fourths of the cases get benefits from the levodopa. However, many symptoms of the disease do not improve. Generally, Levodopa is given along with the Carbidopa. It delays the breakdown of levodopa, as a result, it increases the availability of levodopa at the blood-brain barrier.
- Anticholinergics: These are used for blocking the parasympathetic nervous system. Cogentin or Benztropine and trihexyphenidyl are anticholinergic Parkinson’s medication.
- Dopamine agonists: Dopamine agonists are used to imitating the effects of dopamine in the brain. However, these agonists are less effective than levodopa but are good to compensate when the levodopa is less effective.
- COMT inhibitors: Catechol O-methyltransferase (COMT) increase the effect of levodopa. Examples of COMT inhibitors is Comtan(Entacapone) and Tasmar(Tolcapone). Tasmar can cause liver damage, it is for those people who don’t respond to other therapies. Comtan doesn’t cause liver damage.
Surgery
If the patients do not respond to the above-mentioned treatments, then is surgery is preferable for the patient.
Deep Brain Stimulation (DBS)
In this surgery, the surgeon inserts electrodes inside the brain which are connected to the generator. Thereafter, pulses are sent to the brain to reduce symptoms.
Dr. Vikram Bohra is a leading Neurology specialist doctor in Jaipur, India. He is having a vast experience of more than 12+ years in Parkinson’s disease treatment. He provides the best Parkinson’s treatment in Jaipur, India. Dr. Bohra has performed 3000+ cases in his career. He is one of the most trusted neurologists in Jaipur, India.
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On the other hand we denounce with righteous indignation and dislike men who are so beguiled.