Dr. Ajit K. Sinha

Physiotherapy for "Parkinson's Disease": 

Parkinsons Disease Physical Therapy, emphasizing gait retraining and motor control relearning, may help overcome postural instability. The individual can be trained to focus on foot positioning to provide a more stable base for posture and gait. Other helpful techniques include teaching the individual to turn around in a wide arc, rather that pivoting, in order to avoid the risk for loss of balance and postural stability, thus decreasing the risk for falls. Instructing the individual to consciously take longer steps with the help of verbal and visual (object) cues may help overcome the effects of freezing and festination. With the help of a neurologic music therapist, the physical therapist can provide parkinson's disease physical therapy exercises in a rhythmic fashion, that is, movements coupled with musical or drum-beating rhythm. Other specific exercises should include aerobic conditioning to improve endurance, strengthening of back extensor and abdominal muscles in order to promote a more upright posture, and stretching of trunk flexor muscles. 

Impairments Resulting from Parkinson's Disease: 

1.Motor 
2.Gait 
3.Movement initiation and execution 
4.Bradykinesia 
5.Tremor 
6.Rigidity 
7.Sensory/pain 
8.Autonomic dysfunction: 
9.Orthostatic hypotension 
10.Constipation 
11.Cognitive 
12.Behavioral and affective 
13.Depression 
14.Anxiety 

1.Relaxation techniques to decrease rigidity 
2.Slow rhythmic rotational movements 
3.Gentle range-of-motion and stretching exercises to prevent contractures, quadriceps and hip extensor 
4.isometric exercises 
5.Neck and trunk rotation exercises 
6.Back extension exercises and pelvic tilt 
7.Proper sitting and postural control (static and dynamic); emphasis whole body movements 
8.Breathing exercises stressing both the inspiratory and expiratory phase 
9.Functional mobility training, including bed mobility, transfer training, and learning to rise out of a chair by rocking; may require a chair lift 
10.Stationary bicycle to help train reciprocal movements 
11.Training in rhythmic pattern to music or with auditory cues such as clapping may help in alternating movements. Standing or balancing in parallel bars (static and dynamic) with weight shifting, ball throwing 
Slowly progressive ambulation training (large steps using blocks to have patients lift legs, teaching proper heel-to-toe gait patterns, feet 12-15 inches apart, arm swing; use inverted walking stick, colored squares, or stripes as visual aids) 
12.Use of assistive devices (may need a weighted walker) 
13.Aerobic conditioning (swimming, walking, cycling) 
14.Frequent rest periods 
15.Family training and home exercise program 

The unbearable and throbbing pain characteristic of a migraine can throw life off balance, affecting one's physical health beyond imagination. In extreme cases, the migraine pain that usually affects one side of the head (can be both sides as well), along with the associated discomfort (such as vomiting, dizziness, increased sensitivity towards sound or light, nausea) can last for several days, piling on the agony.

Serotonin is an important neurotransmitter that is involved in a host of functions including the regulation of cognitive and behavioral abilities or enhancing the mood of a person. Various research and scientific studies reveal that there is a sharp dip in the serotonin level during migraine attacks. Imbalance in the estrogen level is also found to trigger migraine pains in women. Stress and anxiety have also been found to play a pivotal role in triggering a migraine.

Homeopathy to keep Migraines at bay
Migraine attack is not a small disorder. It is a condition that can affect a person for lifelong, if not managed on time. When we talk about the treatment and management of migraine, homeopathy emerges as the best option. Homeopathy believes that the trigger for migraines varies among individuals. Therefore, the homeopathic approach involves proper evaluation of the affected individual to get to the base of the problem (trigger for migraines). The homeopathic treatment next aims to eliminate the contributing factor(s) through a concoction of lifestyle modifications and homeopathic medicines. In spite of the effectiveness of the homeopathic medicines in treating migraines, one should never go for SELF MEDICATION.

• Not known to many but the choice of foods can play a catalytic role in elevating the incidence of migraine. Salty and processed foods, alcoholic (wine in particular) and caffeinated drinks and beverages, cheese (aged), food additives and preservatives such as MSG and aspartame, missing out on one or more successive meals in a day or maintaining long gaps between the meals are the worst nemeses for migraines.
• Homeopathy emphasizes the importance of a healthy and nutritious diet. Daily intake of dark and green leafy vegetables (spinach, lettuce, beet greens, kale, arugula, to name a few), red meat, beef and beef liver (natural grass fed), eggs, nuts and seeds (walnuts, almonds, cashew nuts, sesame seeds, sunflower seeds), whole grains, fish (salmon, tuna, herring, mackerel, sardines), can work wonders to provide relief from migraines.
• Proper rest and sleep can contribute immensely to relax a person both physically and mentally keeping stress and migraines at bay.
• While exercises and physical activities are healthy, refrain from rigorous or strenuous activities (can worsen a migraine).

Some of the homeopathic medicines for migraines
Belladonna comes as a relief for patients dealing with an excruciating and throbbing pain that originates at the temporal region of the head. The face of such patients appears red and hot and there is an increased sensitivity to light and sound.

For migraine pain affecting the left side of the head that gradually radiates over to the left eye, Spigelia provides fruitful results. In case you have a concern or query you can always consult an expert & get answers to your questions!