Doctor insights on:
Treatment For Parkinson's Tremors
I have encephalitic parkinson since 2009, after initial 18 months there has been no improvement in my rigid limbs and tremors. Is there any treatment?
Yes: Some cases of Parkinsonism do not respond well to L-DOPA, so a different therapeutic approach is advised. Would suggest trial of Stalevo, (carbidopa and levodopa and entacapone) which contains entacapone, which may enhance the Sinemet effect, and you may be better off with a longer duration agonist such as Neupro patch. Would do active physical therapy, and maybe BOTOX, for the rigidity. Find movement disorder center at medical school ...Read moreSee 1 more doctor answer
What are the causes, symptoms and treatment options for Parkinson's disease in elderly women. Is mild tremor of the hands indicative of the illness?
Gods 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--cautiously in the elderly). If these are inadequate & stronger meds are needed to manage symptoms, then sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together) are begun. Tailor rx with side effects in mind. ...Read moreSee 1 more doctor answer
Please help my mum said my dad has Parkinson's,has no tremors, the only test he's had is a memory one, can this confirm it alone! Doesn't sound right!
Parkinson's: A good diagnosis is going to involve a thorough neurologic exam combined with MRI, and can certainly be supplemented by a good neuropsychological exam, which is likely what your mum is calling a memory test. Also not every person with this disease will show significant tremors. ...Read more
Parkinson's Disease: The most common symptoms besides tremor include: stiff muscles (rigidity) and aching muscles. Slow, limited movement (bradykinesia), especially when the person tries to move from a resting position. Weakness of face and throat muscles cause talking and swallowing difficulties. Walking and balance problems are likely to make a patient take small steps and shuffle, bend forward slightly. ...Read moreSee 2 more doctor answers
I have Parkinson's & have just started to cut down on repinerole & have started taking Entacapone.
Why has my tremor got worse?
ROpinirole: Dopamine agonists such as and especially rOpinirole are particularly effective for tremor. You realize of course that rOpinirole and entacapone do completely different things. Entacapone isn't a dopamine agonist; it is an adjunct to levodopa to prolong its effect. One drug doesn't replace the other. ...Read more
My right thumb has been tremoring sporadically over the last 2-3 months. I only notice it when I text. I'm extremely fit and active. Parkinson's?
Tremoring thumb: PerC ~ no this would be an extremely unusual way for parkinsons disease to manifest. Since it appears to be so directly related to texting, have you considered that it may be an overuse injury? You will know for sure if you stopped texting for a week and see if this gets better. I am almost certain it will ! thanks ...Read more
Prob not: The symptoms of Parkinsons are 1) resting tremor, a tremor at rest, normally on one side 2) slowness of movement 3) increased muscle tone 4) unexplained falling If you have all of these, there is a good chance of PD. Do you have any of these? Most people with a tremor have essential tremor. It is quite different. The tremor is on both sides and obvious when the hands are held up. ...Read more
Medication working?: may be your medication is working. it is a good news ,is it? check with your neurologist for a peace of mind. ...Read more
Yes: I have seen cases where the tremor in Parkinsons diminishes as the disease advances. Unfortunately dementia tends to go along with it and you may not be able to appreciate the reduction in your tremor. This of course is just one doctor's experience. Talk to your doctor about your case and your treatment options. I wish you well! ...Read more
Eval tremor: There is no test for parkinson's disease, the diagnosis is a clinical diagnosis based upon history and physical findings. Though tremor is one of the core features, other features are required for the diagnosis. There are multiple reasons that you may have a tremor other than pd., including age, essential tremor , medications, too much caffeine, etc. If the tremor is concerning have it evaluated. ...Read more
Neurologist: I would consider seeing a neurologist.Get a more detailed answer ›
MANY DRUGS: Traditionally, l-dopa should do a fine job, if you tolerate the med, but Dopamine agonists also will work, such as ropinorole, pramipexole, or Neupro (rotigotine) patch. In some cases, Azilect seems to assist. Might spend some time with your neurologist and custom design an approach. A movement disorder specialist might also help. ...Read more
Are Parkinson's tremors intermittent or always present when at rest? Is Parkinson's the only cause of resting tremor?
Tremors are variable: In patients with Parkinson's Disease(PD), the degree of tremors is quite variable different patients. The tremors can also vary depending on the effect of treatment as the medication works well for a few hours and then the effect wears off. Besides resting tremors, patients with PD have muscle rigidity which slows down their movements (Bradykinesia).No other condition causes resting tremors. ...Read more
PD Meds &Tremors: Sinemet (carbidopa and levodopa) (carbidopa/levodopa) is the medication that has the most symptomatic effect on tremor, however, dopamine agonists can cause a significant reduction in tremor as well. Introduction of Sinemet (carbidopa and levodopa) is usually delayed, especially in patients400mg in 4-6 years. ...Read moreSee 1 more doctor answer