Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Overview

Last Updated: Dec 08, 2021
Change Language

Parkinson's Disease: Treatment, Procedure, Cost and Side Effects

What is the treatment? Stages Causes How is the treatment done? Complication Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? Food What are the alternatives to the treatment?

What is the treatment?

Basics Treament: The aim of most popular Parkinson's treatments are to restore proper balance of the neurotransmitters acetylcholine and dopamine. This is usually done with medication, but some patients are candidates for implantation of a deep brain stimulator or DBS.

Alternative Treatment Options : Since there isn’t any known cure for Parkinson's disease, but it can be managed -- the symptoms of the disease can be relieved or reduced.

Known Parkinson's Medications: The two general approaches to treating Parkinson's disease via medication are: first attempt is to increase levels of dopamine in the brain; the second attempt is to improve by other means.

Surgery : Generally, surgery is only considered as a treatment for Parkinson's disease when medication cannot adequately control symptoms. Two surgical approaches used for Parkinson's are pallidotomy and thalamotomy.

Deep Brain Stimulation: Deep brain stimulation (DBS) is a way to inactivate parts of the brain that cause the symptoms of Parkinson's disease.

Gamma Knife Treatment: Not actually a 'knife' at all, the gamma knife is a machine that emits hundreds of powerful, highly focused gamma radiation beams. It allows for a more precise and concentrated treatment than with other radiation treatments.

Alternative Treatment Options: Vitamin E, coenzyme Q10, and uric acid are among alternative treatments that have been studied as treatments for Parkinson's disease. However, they were not found to be effective.

Parkinson's Disease Research: Some Parkinson’s disease treatments currently being studied involve fetal cell transplantation, the use of stem cells, and gene therapy.

hat are the 5 stages of Parkinson’s disease?

Parkinson’s disease is an abnormality related to the neurological system. It is progressive. Five stages are involved in it such as follows:

  • Stage One: The appearance of mild symptoms that include tremors along with other symptoms of movement which usually involve a single side of the body.
  • Stage Two: The appearance of comparatively severe symptoms including tremors and rigidity that involves both sides of the body.
  • Stage Three: Loss of control of balance and slow-paced movement of the body are the symptoms. Daily physical activities such as eating, dressing are affected.
  • Stage Four: This is the severe condition, characterized by the inability to walk without a walker and impaired daily activities.
  • Stage Five: This is the most severe condition which is characterized by the inability to walk or stand due to stiffness in the legs. The affected person gets on a wheelchair or becomes bedridden.

What does Parkinson's smell like?

Parkinson’s disease has a characteristic smell that is musky and distinctive. Based on this signature smell, a test is possible to be performed for an easier and proper diagnosis of the condition. This facilitates the identification of Parkinson's disease in its early stages which can undergo proper treatment based on the severity. However, the smell cannot be easily detected by any person as a person with a strong sense of smell can only distinguish it.

What are the main causes of Parkinson's disease?

The main causes of Parkinson’s disease include:

  • Damage to the nerve cells or their loss also. These nerve cells are responsible for the secretion of dopamine that plays a role in the control and coordination of body movements.
  • Heredity.
  • Factors related to the environment.
  • Certain medications including antipsychotic drugs.
  • Brain abnormalities such as multiple system atrophy and supranuclear palsy.
  • Cerebrovascular disease.

What organs does Parkinson disease affect?

Apart from the nervous system that gets affected in Parkinson’s disease, cardiac systems involving the heart and blood vessels are also affected in such neurologic conditions. Apart from a significant drop in blood pressure, alteration in the heart rate is also observed in patients with Parkinson’s disease. A change in electrocardiogram is also evident which involves a PR interval being prolonged and so is the QTc interval.

How is the treatment done?

Medications is only limited to help you manage problems with walking, movement and tremor. These medications increase or substitute for dopamine, a specific signaling chemical (neurotransmitter) in your brain. People with Parkinson's disease have low brain dopamine concentrations. However, dopamine can't be given directly, as it can't enter your brain. You may have significant improvement of your symptoms after beginning Parkinson's disease treatment. Over time, however, the benefits of drugs frequently diminish or become less consistent, although symptoms usually can continue to be fairly well-controlled.

What happens if Parkinson's is left untreated?

Parkinson’s disease is a neurological disorder that is progressive in nature, however, the progression rate varies from patient to patient. It is a disorder that is degenerative and continues to progress till the symptoms keep on worsening and the patient reaches severity. If it is left untreated, it may lead to serious complications such as early death due to chronic damage to brain cells and functions.

Who is eligible for the treatment? (When is the treatment done?)

Deep brain stimulation - a surgical procedure used to treat several disabling neurological symptoms, such as tremor, rigidity, stiffness, slowed movement and walking difficulties. An electrode is implanted deep inside the brain, where movement is controlled. A pacemaker-like device (neurostimulator), which controls the amount of stimulation delivered by the electrode, is placed under the skin in the upper chest. A wire travels under the skin and connects the neurostimulator to the electrode. Electrical impulses are sent from the neurostimulator, along the wire, and into the brain via the electrode. They interfere with the electrical signals that cause symptoms, effectively blocking them. Deep brain stimulation is generally used when the patient is in the advance stages of Parkinson’s disease, and has unstable medication responses. The procedure has some risks, including brain hemorrhage and infection. Patients who do not respond to carbidopa-levodopa therapy do not benefit from deep brain stimulation.

Who is not eligible for the treatment?

Deep brain stimulation is most often offered to people with advanced Parkinson's disease who have unstable medication (levodopa) responses. DBS can stabilize medication fluctuations, reduce or halt involuntary movements (dyskinesias), reduce tremor, reduce rigidity, and improve slowing of movement. DBS is effective in controlling erratic and fluctuating responses to levodopa or for controlling dyskinesias that don't improve with medication adjustments.

Are there any side effects?

Unfortunately, it can cause side effects, like nausea, vomiting, sleepiness, and low blood pressure. If you take levodopa over a long period of time, you may experience involuntary twisting or writhing movements (dyskinesia), and possibly psychotic delusions or hallucinations. Their most common side effect of COMT inhibitors is diarrhea. They may also lead to sleep disturbances, dizziness, or hallucinations. Side effects of anticholinergics may include dry mouth, constipation, urinary retention, or confusion. People who take levodopa for 3-5 years may eventually have restlessness, confusion, or unusual movements within a few hours of taking the medicine. Changes in the amount or timing of your dose will usually prevent these side effects.

What are the post-treatment guidelines?

The available guidelines for clinicians for the eligibility for deep brain stimulation (DBS) in the main conditions in which these forms of therapy are generally indicated-Parkinson's disease (PD), tremor, and dystonia-is presented. In general, the literature shows that DBS is effective for PD, essential tremor, and idiopathic dystonia. In these cases, key points in patient selection must include the level of disability and inability to manage symptoms using the best available medical therapy. Overall, currently available literature is able to guide physicians on basic aspects of patient selection and indications for DBS; however, a few points are still debatable and controversial.

How long does it take to recover?

The recovery time depends on the condition of the patient and cannot be predicted by the doctor beforehand without running a few tests on the patient.

What is the price of the treatment in India?

Information not available

Are the results of the treatment permanent?

If the treatment is followed as prescribed by the doctor then the results show a huge improvement in the patients life.

What foods should Parkinson's patients avoid?

Diet habits certainly affect the condition of Parkinson’s disease significantly. Hence it is important for us to know about the food items that act as aggravating factors and need to be avoided. Those food and eatables include:

  • Excess intake of sugar which involves cold drinks and high sugar food items.
  • Excessive protein intake include overconsumption of beef, cheese, and fish.
  • Sources of trans fats as well as saturated fats.
  • Sources of cholesterol.
  • Sources of sodium.

Are bananas good for Parkinson's?

Bananas are considered to be a beneficial food item in the case of Parkinson’s disease. The reason is the presence of the amino acid levodopa in the banana. Levodopa is present in certain medicines related to the treatment of Parkinson's disease and hence its presence in bananas makes the fruit significant and worth consumable for patients with Parkinson's. However, the amount of levodopa is much less in a single banana.

What are the alternatives to the treatment?

Other then DBS or medication there are no known alternatives for this treatment.

Summary: Parkinson’s disease is a neurological disorder that is progressive in nature. It is degenerative and continues to progress till the symptoms keep on worsening and the patient reaches severity. If it is left untreated, it may lead to serious complications such as early death due to chronic damage to brain cells and functions. Some of the food items preferred to be consumed in such cases include amino acid levodopa-rich foods such as bananas.

Popular Questions & Answers

My wife 75 years has alzheimer for last 6 years. Her tsh is 0.11 today. Lab report. She is taking half 5 mg tablet that is 2.5 mg after lunch. Should increase neo mercazole dosage. Please advise.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear user. I can understand. Please don't be panic but be serious about the symptoms. Consult your neurologist for physical investigation. Please provide more information so that we can start the diagnosis process and the treatment. I am here to h...
1 person found this helpful

My mouth remains dry. A thick white layer on my tongue. Feeling so lethargic. Pain in legs, back and neck all the time. A lot gastric problem. A swede headache. Feels something is scrawling in my head.

MS - Obstetrics and Gynaecology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Shimla
I am sorry to hear about your concern but will be happy to assist you. Dry mouth can be due to certain health conditions, such as diabetes, stroke, yeast infection (thrush) in your mouth or alzheimer's disease, or due to autoimmune diseases, such ...
1 person found this helpful

I am suffering from depression and having veniz xr 75 for 2 years. I want to know that does this medicine cause any other mental illness like dementia or alzheimer etc?

M.Sc - Biotechnology , B.Sc Biochemistry, B.Sc (Microbiology), PhD
Psychologist, Pune
Nothing of these side effects are reported, avoid or limit the uptake of alcohol while using this medicine. It is advised to refrain from driving vehicles and operating heavy machinery while using this medicine.

My mother has severe dementia. She is having starring problem. She is taking T.Ativan 1 mg and Valance syp 2.5 ml. Suggest treatment for starring. T. Eptoin 100 did not give good result.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear Narain. Dementia Not a specific disease, dementia is a group of conditions characterised by impairment of at least two brain functions, such as memory loss and judgement. Symptoms include forgetfulness, limited social skills and thinking abil...
1 person found this helpful

Popular Health Tips

Treating Dementia - Things You Should Know!

MD - Psychiatry, MBBS
Psychiatrist, Bhopal
Treating Dementia - Things You Should Know!
Diagnosing dementia can be more difficult than you can imagine. Medically, the patient needs to have at least two areas of mental functionality impaired to an extent where it interferes with their everyday life. However, diagnosis is just the begi...
1827 people found this helpful

Dementia And Alzheimer's Disease In Elderly - Could Hearing Loss A Reason?

MS - Otorhinolaryngology, Diploma in Otorhinolaryngology (DLO)
ENT Specialist, Mumbai
Dementia And Alzheimer's Disease In Elderly - Could Hearing Loss A Reason?
Aging comes with many health problems including mild hearing loss. Usually, this mild hearing loss does not come alone. According to medical studies, adults, particularly males with hearing loss, mild or severe, are at a higher risk of developing ...
3451 people found this helpful

Alzheimer's - Ways That Can Help You Cope With It!

International Certified Addiction Professional
Psychologist, Mumbai
Alzheimer's - Ways That Can Help You Cope With It!
A number of organizations, from all over the world concentrate on raising the awareness about Alzheimer s disease and dementia. Alzheimer s disease is a very common type of dementia. It falls under the group of disorders in which mental functionin...
5169 people found this helpful

Alzheimer's Disease & Depression - How They Are Related?

MBBS, MD - Medicine, DM - Neurology
Neurologist, Gurgaon
Alzheimer's Disease & Depression - How They Are Related?
Depression is possibly regarded as the first sign of Alzheimer s disease. According to a research, the connection between Alzheimer s disease and depression is very interesting. It has been found that the life of people who are suffering from deme...
2301 people found this helpful

Diabetes and Vascular Dementia - What You Should Know?

DM - Neurology, MD - General Medicine
Neurologist, Ahmedabad
Diabetes and Vascular Dementia - What You Should Know?
Diabetes and dementia have more in common than the letter D . Diabetes is a disorder where the body cannot produce enough insulin. It may also make the patient s body resistant to insulin. As a result, the body s glucose levels fluctuate. This, in...
2461 people found this helpful
Content Details
Written By
MBBS,MS - General Surgery,MCh - Neuro Surgery
Neurology
Play video
Dementia - Things You Should Know About It
"Hello, my name is Dr. Santosh Bangar. I am a consultant psychiatrist with special interest in geriatric or senior citizens mental health. I have trained in UK and achieved this qualification, so let's talk about dementia today. Dementia as you ma...
Play video
Alzheimer's Disease
Hi, I am Dr. Kunal Jadhav, Neurologist. Today I will talk about alzheimer's disease. 1% of our population above 60 years is suffering from this problem. It is a disorder of dementia. It causes lack of memory. It happens because of abnormal collect...
Play video
Lifestyle Disorders
Individuals from all age groups have been affected by obesity and diabetes. Anxiety and depression are also on the rise. Other lifestyle disorders like Alzheimer's disease, Stroke, Arteriosclerosis, Hypertension, Hypothyroidism, Cancer (mostly ski...
Play video
Lifestyle Disease
Hi, I am Dr. Vinod Pandey, Ayurveda. Today I will talk about lifestyle disease. Lifestyle disease metabolic disease ka hi part hai. Ye problems aapko tab hi hoti hai jab aapka unhealthy lifestyle ho, diet ho, aap exercise na karen. Apko nature ki ...
Play video
Visceral Fat
Hello friends! This is Archana Desai. Since 18 years I am delivering weight loss results successfully in this field. Today I will enlighten upon the topic which is very important in the weight loss which many times we ignore and we are not aware o...
Having issues? Consult a doctor for medical advice