A member asked:

57y/o male with multiple systems atrophy parkinson-msap. tried sinamet and adv makes him feel sick and not helpful. decline in mobility and pain to muscles with hand tremors. need advice on alt therapies rx or vitamins to suggest to rx dr. thank you.

A doctor has provided 1 answer

Complex: Need to confirm diagnosis. MSA is handled quite differently from Parkinson's, and a therapeutic program will need careful titration. Physical therapy can ease some of the difficulty, but will be only palliative. Wonder if second opinion where you live or Concierge visit here on HT might provide a few valuable interventional tweeks?

Answered 12/30/2020

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