Doctor insights on:
Remedies For Bulbar Palsy
...is a corruption of French "paralise" from Latinized Greek "paralysis." In the old days it meant any kind of persistent weakness. To this day Parkinson's disease is also called "paralysis agitans" which is a Latin translation of Dr. Parkinson's original name for it, the "shaking palsy." We've obviously reborrowed the full form "paralysis" into English as well; today ...Read more
Good Rx available!!: Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together). Tailor rx & watch for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for psp patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or clozaril. Remember, response is variable, but worthwhile. ...Read moreSee 2 more doctor answers
Cerebral palsy: CP is considered a 'static encephalopathy', meaning that it does not usually worsen with time. Unfortunately it is not curable, but physical and occupational therapies, certain medications and specialized educational programs can improve quality of life in most cases. Best wishes ...Read moreSee 2 more doctor answers
Upper motor neuron: Pseudobulbar palsy is a disorder of nerves located near the base of the brain, that connect the higher brain centers with the lower spinal cord. Most commonly affects chewing, swallowing, speech, emotional outbursts sometimes. It has multiple causes and the underlying disease will determine how progressive it is; examples are parkinson's, als, certain strokes, ms, brain trauma. ...Read more
What are some alternate treaments for progressive supranuclear palsy (psp) like ayurveda, homeopathy or siddha?
PSP: With any of these other forms of medicine, you would need very skilled, experienced professionals to work with you alongside your conventional neurologist. Many conventional physicians are becoming trained in ayurveda and homeopathy -- i'm sorry, but i know little about siddha although this one originated in india like ayurveda. For homeopathic physicians, you can see: http://tinyurl.Com/lgsovco. ...Read more
What are some alternative treatments for progressive supranuclear palsy (psp) like ayurveda, homeopathy or siddha?
Collaborative care: Psp is a rare degenerative disease of the brain involving movement & balance as well as changes in mood, behavior and personality. Conventional medicine has no cure. Homeopathy does not treat the specific pathological condition, but can help the person by applying the single homeopathic medicine called for by his/her specific experience. You need a very well-trained homeopath to work with you. ...Read more
Yes: The main goal is to promote muscle lengthening, normal range of motion and hand-eye coordination; these are most effective if performed during infancy. Gentle stretching and passive range of motion exercises can be used. Most compensatory adaptation of movement the child tries to use should be discouraged, and normal movement encouraged. Check w/ a physiatrist or osteopathic doctor for specifics. ...Read moreSee 1 more doctor answer
Supportive care: CP is a simple label for a complex collection of issues. The disorder of movement & posture is oft helped by physical & occupational therapy. Yet the child may also have vision, learning, communication, behavior & other pbs.A learned primary physician or CP clinic can coordinate the many added services needed for improved outcome. ...Read more
Antivirals: At the first signs: lid droop, mouth droop, inability to smile, sometimes pain infront of ear, start an antiviral. Use of steroids is controversial but most studies show no effect. Most bell's gets better in 2-6 months but some leave a residual droop which can be surgically addressed at that time. ...Read more
Several: The original kaiser studies suggested that steroid therapies might work well, and later studies suggested some benefit with thiamine. Since there is evidence that both herpes simplex and zoster may cause variations of bell's palsy, anti-virals may be used. However, even if not treated 92.5% of cases fully recover on their own after several weeks. ...Read more
Supportive care: CP is a simple label for a complex collection of issues. The disorder of movement & posture is oft helped by physical & occupational therapy. Yet the child may also have vision, learning, communication, behavior & other pbs.A learned primary physician or CP clinic can coordinate the many added services needed for improved outcome. ...Read moreSee 2 more doctor answers
Bells palsy: Supportive care, keep the eye on the affected side well lubricated with artificial tears during daytime and with eye ointment at night. Protect the eye at night with eye patch and gauze to prevent accidental cornea laceration and dryness. The use of Acyclovir is safe in 2nd and 3rd trimester. Prednisone is a category d in pregnancy, should discuss with physician before using this medication. ...Read moreSee 2 more doctor answers
Yes: Bell's palsy is an exclusionary diagnosis that first needs to be verified. Treatment is geared to maintain moisture of the cornea. Treatments range according to severity of disease. Possibilities include lubrication with drops or ointment, taping the eye shut while sleeping, temporarily sewing the eye closed, placing a weight in the upper lid to aid in closure. These are just to name a few.... ...Read moreSee 1 more doctor answer
Can try, but unlikel: Unfortunately, the death of central (brain) nerve cells is not reversible. However other nerves can take over function of dead nerves. I am a strong believer in doing whatever modalities can be effective in returning neural function in damaged areas of the nervous system. Acupuncture has been affective in nerve disorders and anesthesia for thousands years, a lot we don't understand, but no harm. ...Read moreSee 1 more doctor answer
Good History & exam!: Good history & exam are the keys. In expert hands, that is all you really need. However, a new test/imaging procedure called datscan can determine if the person is suffering from a true Dopamine degenerative state (parkinsonian sundrome) or not, it cannot destinguish b/w these parkinsonian syndromes, however! ...Read more
Can you suggest any alternative treaments for progressive supranuclear palsy (psp) like ayurveda, homeopathy or siddha?
Stem cells : This is a neurologic condition which has no real cure. I currently am implanting stem cells for patients with this condition, into the CSF. These are autologous cells from your own fat. IRB-approved patient-funded study. Contact 949-642-6787 for more details. Make sure you have a second opinion on the diagnosis. ...Read more
Perhaps: With new techniques in developing stem cells which can regenerate specific tissues. We can only hope. ...Read more