Doctor insights on:
Parkinsons Disease And Stooped Posture
Is it possible to correct stooped posture due to Parkinson's disease and if yes where it can be done?
Parkinso + Spine: Due to muscle forces and weakness in other places, the body tends to start to lean forward. If muscle training and exercise are not able to pull you up, an osteotomy (cutting of the spine and putting it back upright) is an option. It's not a quick operation, but patients tend to do really well afterwards, as long as you have tried everything else. Find a doc who does it a lot! u need experience! ...Read more
Is a degenerative disorder of the central nervous system. The motor symptoms of parkinson's disease result from the death of dopamine-generating cells in the substantia nigra, a region of the midbrain; the cause of this cell death is unknown. Early in the course of the disease, the most obvious symptoms are movement-related; these include shaking, rigidity, slowness of ...Read more
Rigidity: Rigidity in the musculature causes the so called semian posture. ...Read more
Slows gait: Parkinson's slows movements and makes steps smaller. There are also balance difficulties and increased falls. Posture is often bent forward though there is a tendency to fall backwards known as retropulsion. These problems can be mild early on in the illness but can be debilitating if you have had the disease for a number of years. ...Read more
Its relative: The question doesn't really make sense because comparing morbidity of different diseases is impossible. Suffice it to say, infortunately, that there are many bad diseases to suffer from abd that most of them end badly. ...Read more
BUT, Rx Available!!!: Dopamine meds are mainstay of treatment. Modern therapy recommends longer lasting, milder potency meds first: Azilect (mao-b selective inhibitor) & Dopamine agonists (requip xl/mirapex er/neupro). After they've been maximized & stronger meds are needed to adequately manage symptoms, then sinemet +/- Comtan (stalevo is both together) are begun. Tailor rx with side effects in mind for each person. ...Read moreSee 2 more doctor answers
Even DBS surgery!!: Deep brain stimulation therapy of the stn (sub-thalamic nucleus) or gpi (globus pallidus interna) can greatly improve "on" time (good function with minimized symptoms) & greatly reduce dyskinesia (twisting, writhing, jerking movements during "on" time). Good candidates must be not demented, psychiatrically stable, & still demonstrating good symptom relief from meds, but with inconsistent results. ...Read moreSee 2 more doctor answers
Several key issues!!: Physical symptoms can include tremor of limbs at rest>in posture or in action; slow movements & stiff (rigid) muscles causing quiet facial emotions, softer voice, bent forward head & neck posture, decreased arm swing, slow-shuffled walk, small/scratchy penmanship, etc. Non-physical symptoms can include cognitive decline, depression, anxiety, sleepiness, constipation, ed, low bp, acting-out dreams. ...Read moreSee 1 more doctor answer
Parkinson's disease: Parkinson's disease is a degenerative disorder of the brain where the production of Dopamine by specialized nerve cells is impaired. This results in significant motor function impairment (tremors, rigidity, slowing if movements and gait or balance difficulties). Other areas may, to a lesser degree, be involved as well (mood, cognitive, autonomic nervous system). ...Read moreSee 1 more doctor answer
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