Doctor insights on:
OT can be helpful: After a stroke the function of the arm or hand may be affected. If this is the case the ability to do basic activities of daily living can be impaired. In this situation occupational therapy is part of standard rehabilitation along with other therapy disciplines like phyical therapy and if needed speech therapy. ...Read moreSee 1 more doctor answer
Bilateral babinski/hoffman, hyperreflexia , spasticity, voice gravely, progressive +5 yrs, MRI , spinal tap normal, doc denies mnd. Family normal. ?
Helpful in LBD: I routinely use donepezil effectively in my lewy body disease patients. Although only 40-50% of them actually have cognitive improvements in the here & now, but we suspect it slows the progression of cognitive deterioration anecdotally. Can't comment on personal experience with vascular dementia. ...Read moreSee 4 more doctor answers
What spine md evaluates harrington rod pt (poor surgical candidate) for increasing leg weakness? Physiatrist , orthopod, neurosurgeon? Xrays best?
In theory, it should: Theoretically, Azilect (rasagiline) (an MAO-B inhibitor) should help with many of the symptoms of Parkinson's for a certain period of time. However, as with all treatments for this disease, they are notoriously unpredictable. I've attached an article which I hope might help. Good luck! http://www.reprintsdesk.com/landing/hf.aspx?h=523154&hr=716110317&a=1&u=0&r=826399194 ...Read more
Mild cerebr atrophy MRI psych pt age 65 small lacunar infarct right putamen, mild word finding problems, attention/executive prob
As above: I hope s/he is being seen by a neurologist , if this the case discuss u question with him. ...Read more
The very small : Amount of literature out there is between absolutely no effect and ambivalent when compared to sham air. So, there is no proof it works. I am all for anything that might help, but too many people spend the little bit of life savings they have on these therapies with false guarantees and I do not think that it appropriate. Hbot is good for many things, CP and autism are not them. ...Read moreSee 1 more doctor answer
Yes It is possible: Injections will give you pain relief early, but PT can be just as helpful but will take time to get relief. There is new research coming out that when you are in a lot of pain, you're body actually stops you from performing exercises so that you may not benefit from PT initially. So we believe that if you at least improve your pain first, you can then proceed with the exercise therapy programs. ...Read moreSee 2 more doctor answers
Alzheimer's: University of Pennsylvania and Washington University Medical School found that the antidepressant citalopram lowered the production of beta amyloid proteins in both mice and in healthy humans. Results were published in the Science Translational Medicine journal.. While the results of the study are certainly promising there is more work to be done before the antidepressant will be prescribed for Alzheimer’s prevention. ...Read moreSee 1 more doctor answer
Are there any non standard or special new treatments for multi infarct stroke dementia patient with loss of memory, cognitive functions?
Can patients (age 12) with autism and seizure disorder experience gains in cognitive and social function post seizure activity?
Seizure/Autism: Sure.Get a more detailed answer ›
Can a md. Deny medicare-paid hospice end-stage dementia patient physical therapy if patient's family requests it to maintain movement with new law?
Hmmm . . . : Could there maybe be a disagreement between this physician and your family about what's in the patient's best interests? This is a deep discussion that involves much thought and consideration, and which deserves scheduled time with your relative's doctor to go over treatment plans, prognosis, etc. Maybe such a discussion can resolve these issues? Doctors want to help, not hurt or harm. ...Read moreSee 1 more doctor answer
Yes and no: If there is an illness that runs in your family you should speak to your doctor about it. There are many many types of dementia. Some of them are genetically passed on while others aren't. The most common type of dementia is alzheimers disease and there are 2 forms. The early onset form is highly heritable. Alcoholic dementia is not inherited though a propensity for alcohol dependence can be. ...Read moreSee 2 more doctor answers
May be challenging: We do accept that subjective cognitive impairment may be a valid complaint of an impending dementia. But many medications can cause cognitive clouding, especially in older folks, and thyroid problems, vitamin deficiency, and elevated homocysteine could be issue. Small strokes and early onset of alzheimers perhaps. Neuropsych testing is best approach, but start with your doc. ...Read moreSee 3 more doctor answers
Early dementia: Behavioral and psychological symptoms (bps) are common in the older population and may be an indication of early dementia. Van der linde rm et al 2012 found that wandering and persecution were independently associated with progression to dementia. Early co morbid conditions include obsessive compulsive disorders with evolving paranoid symptoms such as fear of stealing behaviors. ...Read moreSee 1 more doctor answer
Neurological: Dementia is a clinical term that means a progressive impairment of thinking abilities (often but not always memory) that interferes with the person's abilities to perform their usual daily activities. Many types of disorders can cause dementia. Some, such as low thyroid, low vitamin B12 or severe depression are treatable. Others such as alzheimer's disease have some treatments but cannot be cured. ...Read moreSee 2 more doctor answers
In 460 BC: "physicians like hippocrates and later galenus are believed to have been the first practitioners of physical therapy, advocating massage, manual therapy techniques and hydrotherapy to treat people in 460 bc." according to wikipedia: http://en.Wikipedia.Org/wiki/physical_therapy. ...Read more
Incontinence: As dementia worsens, not only does their cognition decline but their body muscles weaken so it becomes more difficult to get out of bed/chair and walk to the bathroom. There's usually a progression from having a difficult time in getting to the bathroom in time, to using a bedside commode, then to diapers. All dementia patients progress to complete incontinence of bowel and bladder at some point. ...Read moreSee 1 more doctor answer
Answer below: Alzheimers (60% - 65%), less common are vascular dementia, lewy body dementia, picks disease (frontotemporal), alcoholic, B12 deficiency, hiv, dementia pugilistica (head trauma), a few rare prion diseases such as jacob kruetzfeld (spongioform encephalopathy), and mixed. Some reversible encephalopathies are occasionally classified as dementias, but not true dementias. ...Read moreSee 1 more doctor answer
Behavior and dementi: Behavioral disturbances are frequently the most challenging manifestations of dementia and are exhibited in almost all people with dementia. Common behavioral disturbances can be grouped into four categories: mood disorders (e.g., depression, apathy, euphoria); sleep disorders (insomnia, hypersomnia, night-day reversal); psychotic symptoms (delusions and hallucinations); and agitation. ...Read moreSee 1 more doctor answer
Earliest Symptoms: Short term memory loss, difficulty performing familiar tasks, changes in mood, behavior, or personality, language problems, word-finding difficulties, decreased judgment, loss of initiative, problems keeping track of things, disorientation to time or place, if you’re experiencing any of these symptoms or are concerned about a friend or relative, talk with your doctor about your concerns. ...Read moreSee 1 more doctor answer
Personality change: There are several distinct types of ftld or fld. One type presents with apathy or disinhibited personality changes. This can slightly resemble depression or mania. Other types present with the gradual loss of the ability to speak starting with nouns. Finally a third form involves speech becoming more telegraphic then finally the person is mute. ...Read more
For symptoms : Dementia cannot be treated directly. There are medicines for many symptoms or interventions involving the environment or training caregivers. Dementia specific medicines like aricept, namenda, Exelon (rivastigmine) can help prevent or treat anxiety, agitation and aggression. ...Read moreSee 2 more doctor answers
Definition: In most kinds of dementia, autopsy reveals widespread degeneration in the cerebral cortex - such as the plaques and tangles which are the hallmark of alzheimer's disease. Alzheimer's disease and frontotemporal dementia are therefore sometimes classed as "cortical dementias." in other kinds of dementia, there is targeted damage to regions lying under the cortex, giving rise to sub cortical dementia. ...Read moreSee 2 more doctor answers