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Overview

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

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.

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.

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 are the alternatives to the treatment?

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

Safety: Disease Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range: Information not available

Popular Health Tips

Parkinson's Disease - Know What's It's All About

DM - Neurology, MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Medicine
Neurologist, Ghaziabad
Parkinson's Disease - Know What's It's All About

Parkinson’s disease adversely affects the way you move, as it is a neurodegenerative disorder. This happens when there are problems with certain nerve cells in the brain. These nerve cells produce an important chemical called Dopamine, which in turn sends signals to the region of our brain that takes care of the movement. This chemical help muscles to function smoothly and allow in carrying out one’s daily activities. When somebody is suffering from Parkinson’s disease, the nerve cells break down, thus hampering movements of limbs.

What Causes This Disease?

Over the years, a lot of research has taken place to find out the exact reasons due to which people get affected by Parkinson’s disease but till now neither scientists nor doctors have been able to come up with any solution. They are thinking on the lines of aging or hAarmful chemicals in the environment, to be possible causes for this neurological problem. Sometimes researchers even feel that this could be a hereditary problem but there is no concrete evidence to substantiate this statement.

Symptoms Of Parkinson’s

As discussed earlier, Parkinson’s occur in aged individuals, when nerve cells break down, when the chemical called Dopamine is no longer able to send signals to the brain. You can easily recognize Parkinson’s disease in any of your family members, if you come across certain symptoms, which are generally four of them:

  • Trembling or shaking of limbs and these tremors can affect different body parts like, hands, arms and legs.
  • Muscles become stiff, due to which it becomes tough for the affected individuals to move their limbs freely.
  • Due to stiffness of muscles, movement becomes slow and thus each and every activity of theirs takes much more time than usual.
  • People are unable to keep their balance and walk freely without any hindrance.
  • Generally, tremor is the first thing you would notice in a person and thus instantly get to know that the person might be suffering from Parkinson’s.
  • Problems of constipation or facing difficult in swallowing tend to happen as the disease goes on to affect all the muscles in one’s body.
  • During the latter stages, someone who has Parkinson’s, might well have a blank expression to the face with problems being faced while trying to speak and other related issues. The symptoms of this disease usually start for people aged between 50 and 60 but at times, it can even crop up at an earlier stage.

Preventive Measures And Treatment

Let’s take a look at how you can prevent yourself from getting crippled by Parkinson’s Disease.

Unfortunately, as the disease is mostly age related, so after attaining the age of 60, if not from 50, there would be very few individuals who would not be the victims of Parkinson’s.

Research has revealed that having less of dairy and red meat and consuming more of fruits, vegetables and high-fibre foods, thus maintaining a healthy diet, can protect people from the dreaded disease.

Parkinson's Disease - Are You Aware Of These Signs?

DNB (Neurology), MD/MBBS - General Medicine
Neurologist, Delhi
Parkinson's Disease - Are You Aware Of These Signs?

Neurology is the branch of science and medicine dealing with the central and peripheral nervous system. The nervous system is made of the brain and spinal cord. The disorders, illness or injuries of the nervous system can become problematic for people suffering from them. One of the worst diseases of the nervous system is Parkinson’s disease.

It is a progressive disorder affecting the central nervous system that leads to slowing down of movement and slurring of speech over a period of time. It is a condition where the nerve cells in the brain producing dopamine (a neurotransmitter) are affected.

Some of the early signs of Parkinson’s include:

  1. Tremor: If you have noticed a slight shaking of your hands or limbs, then Parkinson’s might be the cause. The trembling can range from mild to severe as the disease progresses. The back-and-forth rubbing of your thumb and forefinger is known as pill-rolling tremor. One of the most prominent signs is your hand shaking even when it is rested.
  2. Bradykinesia (slow movement): As the disease progresses, you may find it difficult to move your hands or legs or going from one place to another. Even making the smallest movement will require an increased effort on your part.
  3. Rigid Muscles: The muscles in your body can become stiff causing you pain and making it difficult to perform physical activities.
  4. Masked Face: Your face may experience spasms or become stiff periodically. It can also lead to complete paralysis on one side of the face.
  5. Stooping or improper balance: Having Parkinson’s disease can make your body posture imbalanced resulting in stooping or hunching over.
  6. Decreased Automatic Movements: You may experience difficulty in smiling, blinking or swinging your arms while walking.
  7. Alteration in voice or speaking: Your voice can become soft or you may slur while talking. You can also experience a monotonous voice.
  8. Writing may become small: You can experience changes in your handwriting as it becomes small and crowded.
  9. Loss of Smell: The smell of food sitting right in front of you may not register in your olfactory resulting in loss of appetite.
  10. ConstipationHaving Parkinson’s disease can lead to patients experiencing irritable bowel syndrome.
  11. Have Trouble Sleeping: It might be difficult to fall asleep for people suffering from Parkinson’s. Also, there are sudden movements during the sleeping process.
  12. Dizziness: People suffering from Parkinson’s may faint from time to time.

These were some of the symptoms and signs by which you can tell whether a person has Parkinson’s or not. However, as of now it is not curable and can only be treated with medicines. But, early detection can definitely help in preventing it from affecting the whole body.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1815 people found this helpful

6 Signs Of Early On-Set Parkinson's That You Need To Look Out For

MBBS, MD-Medicine, DM - Neurology, MBA, PGD Hospital Administration, PGD Echocardiography, Fellow Neuro-Sonology, PGD Sonology
Neurologist, Jalandhar
6 Signs Of Early On-Set Parkinson's That You Need To Look Out For

If you are young chances are you aren’t worried about this particular neurodegenerative disease, and rightly so since the only people afflicted by it are above the age of 50. Although, there are a lot of cases where it develops in the younger age bracket, so you need to be careful and examine the signs of early onset Parkinson’s and be wary if any of these symptoms apply to you.

Parkinson’s is a neurological disorder wherein the dopamine-producing neurons are affected in a particular area of the brain. It can cause tremors and balance problems, eventually worsening over time. Here are some signs that you should keep an eye out for:

  1. Tremors: If you are experiencing tremors, while at rest, in your hands, arms, fingers or your jaw then it is a sign that you need to be aware about. In an excitable or stressful situation, the tremors may even worsen.
  2. Micrographia: Your hand movements become restricted and, as a result, your handwriting may become cramped and the words smaller in size. Examine your handwriting from the past with your present one, if you find a noticeable difference in the size and positioning of the letters and if you feel like the sentences are extremely crowded together, be wary.
  3. Olfactory issues: One of the symptoms of early onset could be the loss of the sense of smell. If you feel like you can’t sense stronger aromas like that of spices and pickle or even bananas as well as others and it isn’t because your nose is blocked then you need to be on the lookout.
  4. Sleeping troubles: There are times when you feel restless in bed while trying to sleep. If this becomes a routine then it could be a sign that you are prone to Parkinson’s. Sudden movements and jerking while sleeping is a bad sign.
  5. Stiffness: If your arms and joints feel stiff without reason, and you feel like free body movement is restricted or limited if you feel like you can’t swing your arms or move your fingers freely, it is a definite sign that you might have Parkinson’s. Stiffness can even lead to muscle pain in various parts of the body. Bradykinesia or slowness of movement is common with the stiffness of the body.
  6. Constipation: If every time you have to defecate you have to strain yourself and put a lot of pressure on your bowels, and bowel movement does not come naturally or easily, even with the inclusion of roughage in your diet, it is a symptom.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1731 people found this helpful

Neurological Disorders - What Triggers Them?

MBBS, MD - Medicine, DM - Neurology
Neurologist, Gurgaon
Neurological Disorders - What Triggers Them?

Neurological disorders are referred to as disorders of the nervous system that occur due to structural, biochemical or electrical abnormalities in the brain, spinal cord or nerves. They are diseases of central and peripheral nervous system.

Types of neurological disorders:
As any disease of the nervous system is a neurological disorder, there are many types of them; as many as more than 600 diseases. Some of the most common are-

  • Stroke: It can occur suddenly if the flow of the blood to the brain stops and it leads to further brain damage. The two kinds of strokes are Hemorrhagic and Ischemic. Blood clots or blocking of the blood vessels causes these attacks.
  • Migraine: It is a chronic neurological disorder that causes frequent headaches. It can last for two days or more.
  • Brain tumors: Rapid growth of abnormal brain cells results in brain tumors. They can be malignant or benign.
  • Multiple Sclerosis: This disease damages the myelin sheath or the protective layer surrounding the nerve cells.
  • Spinal Cord Disorders: Head injuries, blocked blood supply, fractured bone, tumor in the spinal cord, its compression and infection causes these disorders.

Few more neurological disorders are
Muscular dystrophy and Huntington’s disease, caused by faulty genes. Spina bifida, caused by problems with the nervous system development. Degenerative diseases like Parkinson’s disease and Alzheimer’s disease - Meningitis, Epilepsy.

Causes of neurological disorders:
The causes of neurological disorders are quite diverse. The nervous system has numerous membranes of which the nerve is a vulnerable and delicate spot that can be injured and damaged easily. These disorders have a number of causes

  1. Lifestyle-related
  2. Genetics
  3. Infections
  4. Nutrition-related
  5. Environmental influences
  6. Physical injuries

Symptoms of neurological disorder:
Symptoms of neurological disorders can be emotional or neurological, as well as indicative of other disorders and conditions. Some physical symptoms are

  1. Paralysis
  2. Weakness of muscle
  3. Loss of sensation
  4. Seizures
  5. Difficulty with reading and writing
  6. Poor cognitive abilities
  7. Unexpected pain
  8. Decreased alertness
  9. Headaches
  10. Blurry vision
  11. Fatigue
  12. Changes in behavior
  13. Numbness of arms and legs
  14. Slurry speech
  15. Tremors

Symptoms of stroke

  1. Dizziness
  2. Weakness and sudden numbness of face, arms or legs
  3. Severe headache
  4. Trouble with speech
  5. Loss of balance

In case you have a concern or query you can always consult an expert & get answers to your questions!

3303 people found this helpful

What Are The Most Common Neurological Disorders?

DM - Neurology, MD - General Medicine
Neurologist, Ahmedabad
What Are The Most Common Neurological Disorders?

The brain is like the central processing unit of a computer that controls the entire body’s function. Both structurally and functionally, it is an extremely complex and vital organ and disorders occur due to a variety of reasons – old age, internal injury, accidents/trauma, infections, and malignancy being the most common. The brain has a highly sophisticated network of nerves which arise out of it and the spinal cord and ensures the body works in complete synchrony and coordination. The neurological disorder is a generic term that is used to denote problems in all these – brain, spinal cord, and associated nerves.

The different categories of neurologic disorders include are listed below along with some details on how they affect the individual as a whole.

  1. Developmental defects like spina bifida and hydrocephalus
  2. Genetic disorders like Huntington’s disorder and muscular dystrophy
  3. Infections (bacterial, viral, parasitic) are another major category of neurological disorders, causing symptoms both from the infection per se and aftereffects.
  4. Degenerative disorders like Alzheimer’s, different types of dementias, multiple sclerosis, Parkinson's disease, etc.
  5. Traumatic injuries as a result of sports, accidents, etc.
  6. Functional issues like epilepsy, migraine and other headaches
  7. Vascular issues like stroke and haemorrhages.
  8. Malignancy including benign and malignant brain tumours
  9. Malnutrition related disorders.

Let us look at some of the most common ones

  1. Epilepsy: This happens due to inappropriate firing in the brain, resulting in convulsions. While it is hereditary in some people, the exact cause is not identified in most people. Effective medications are available which can completely cure the condition.
  2. Stroke: When a blood vessel is blocked due to plaque formation, blood supply is cut off to that part of the brain, leading to paralysis and sometimes even death. Timely intervention can, however, lead to the arrest and even reversal of symptoms.
  3. Parkinson’s disease: This is gradual degeneration causing reduced pace of movements (bradykinesia), tremors of the hands and feet, rigidity of movements, and loss of balance. The disease progression happens over a number of years, and it is usually genetic. Medications are available to manage the condition, but a complete cure is still under evaluation.
  4. Headaches: While headache can be a disorder in itself, it is also often the symptom of another neurological disorder. Migraines are very common, especially in women, and are characterised by throbbing, pounding headaches associated with sensitivity to light and noise and vomiting. There are usually triggers like menstruation, chocolates, alcohol, etc., which can be managed. Medications are useful in controlling the pain symptoms.

If detected in the early stages, the progression of most neurological disorders can be arrested and in some cases, symptoms even reversed. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

3453 people found this helpful

Popular Questions & Answers

My father is suffering with shivering of hands and legs also over tension. We have consulted many doctors some says that it is because of diabetes. Before one week ago we had consulted a neurologist he says its Parkinson disease, he have given some medicine. Now its one week later and there is no any changes. Can anyone suggest anyways for this problem?

MD - Psychiatry
Psychiatrist, Chennai
The shivering can be due to various reason, it can be diabetes, parkinson's, anxiety, or Vitamin B complex deficiency 0r idiopathic tremors, kindly do all tests before confirming the diagnosis and then get treated. All the best.

My mother aged 80 years suffering from parkinson and was under treatment for Syndopa cr daily once was suddenly asked to stop due to which she had tremors and right now ridden.

MBBS, MD - Consultant Physician, DNB (General Medicine), DM - Neurology
Neurologist, Vijayawada
You should not stop syndopa suddenly. She needs to be restated on medication and we should also check for other causes of worsening. She will recover with medication.
2 people found this helpful

My mother has bipolar disorder since last year Her medication going on are [diva of 500 (1 in mrng; depran-h (1 in mrng and night ;doreme-25 (1at night) at the starting her only one thumb of the leg was moving involuntarily but nw she has trouble in speaking walking due to shaking of head legs and hands is this Parkinson disease and should you evaluate her condition further.

MBBS, DPM
Psychiatrist, Bangalore
Dear lybrate-user, It is better to evaluate her for parkinson or other conditions causing these involuntary movements. It may be due to Divaa od also. In that case the psychiatrist will change her mood stabiliser. Usually the psychiatrist himself may be able to assess her since psychiatrists are trained in neurology and they know Divaa od's side effects. Rarely she/he may take a neurologist opinion.

Mere mummy ko Parkinson h 15 saal se unki recoport normal aaye h CT scan or MRI (brain) Dr. ne symptoms Dekh Kar Parkinson bataya h unki age 59 year h par unko bham ki bhi problem ho rahi h sycraterest se bhi treatment Chal raha h par dabai asar nahi ho rahi h bahut koshis karte h samjhane ki Kuch nahi h unko lagta h bahar koi Unka naam Le Kar Kuch bol raha h.

DM - Neurology
Neurologist,
Jisko aap vaham kah rahe hain, usse medical bhaasha mein auditory hallucination kehte hain, aur uski vajah psychosis hoti hai; sambhav hai aapki maataji ko schizophrenia - jaisi koi bimari bhi ho, ya toh dawaiyon ke side-effects se auditory hallucinations ho rahe hon. Par samajh ne wali baat ye hai ki unke liye jo aawazein sunaiy de rahin hain, woh utni hi vastavik hain jitni hamare liye hoti hain jab koi sach mein baat kar rahaa ho - unko chahe aap kitna bhi samjhayen, woh is baat ko samajh nahin paayengi. Psychiatrist isska sahi nidaan karke sahi ilaaj kar sakte hain - dawaon ka asar bhi seemit hotaa hai. Agar Parkinson Disease ko lekar koi samsya ho to mujhe bataiye, shaayad main koi sevaa kar sakun.
2 people found this helpful

Meri mummy ko Kuch saal se leg pain raheta tha or walk karne me dikat hoti tha doctor ne symptoms Dekh Kar Parkinson bataya h lekin MRI (Brain) or CT scan me Sab normal h to phir doc Parkinson Kyo bata rahe h. please tell me ki mri ke bases par Parkinson pata Chal sakta h ki nahi.

D.P.M, MBBS
Psychiatrist, Mumbai
Parkinsons disease ct Ya mri se pata nahi chal sakta. Woh sirf patient ke symptoms dekh ke diagnosis kiya jaata hai. Lekin ct scan/mri karna zaroori hota hai ye dekhne ke liye ki unn symptoms ki aur koi wajah toh nahi.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
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?
What are the alternatives to the treatment?
Play video
Neurological Disorder: Parkinson's Disease
Hello,

Myself is Dr. Harshita Sethi I am Ayurvedic practitioner and diet and lifestyle counsellor too. After finishing my MD in Kaya Chikitsa branch of ayurved in 2003, I started my own practice with the name of Avedna Ayurveda, after that I spent few years in UK and coming back in 2014 I started, I extended my practice into panchkarma centre and opened a panchkarma wellness clinic with the name of Avedna Ayurveda Wellness Panchkarma Centre. I have got two branches of it, one is in Gurgaon and one is in Noida.

And today I am going to talk about neurological disorders which is a Parkinson s disease. Parkinson s disease normally seen in elderly patients, so you know patient is usually 65 years of age but nowadays we are seeing early onset of Parkinson s disease and what happens in Parkinson s disease patient start with the symptom of uncontrolled movement of finger and thumb. Basically it's a degenerative disorder, so what happens in our brain there is a part of brain stem where the loss of function of specialised group of cells happens and it stops the production of neurotransmitters which is dopamine, it is chemical basically which is released by a nerves cell and it passes the signal to another nerve cell. So when there is a deficiency of this particular neurotransmitter then there are some motor changes starts happening in our body and patient you know they experience that some kind of tremors in their hands, arms and gradually it extends to leg also. It becomes very difficult for the patient to do daily task, you know like opening or closing of button of their shirt becomes very difficult and then gradually goes to the legs also and which hampers their gate and the patient also get very expressionless face and sometimes they give a very mask face kind of feeling to us and in some patients we see the loss of memory also happens with Parkinson s disease. So what we do in Parkinson s disease basically, in ayurveda also it is mentioned very beautifully with the name of kampavata or vepathu it is a kind of Vata disorder. When the Vata increases in our body our excessive predominance of Vata or any imbalance of Vata happens in our body then this kind of movements we see, uncontrolled moment we see in our body. So in this we treat Vata we do Vata chikitsa with oleation therapy with Abhyanga with particular oils like ashwagandha oil and bala oil and we gives certain herbs which can regenerate or even if they cannot regenerate they can prevent the detoration of further nerve cells. So the cells which we have the intact nerves cells, we can prevent them from further deteriorating. So and there are some herbs which show the activity of this natural they have got natural leveropinedat so we give these kind of herbs to those patients along with the complete treatment of lifestyle and daily regime according to Vata pacifying diet and Vata pacifying herbs we give it to them. If there is a predominance of other doshas like if there is a association of some other doshas like Pitta or Kapha than we treat them accordingly, so we give the herbs like guduchi, shankhpushpi, jatamansi then there is a one more drug of choice is atmagupta, which is very very effective in Parkinson's disease. So atmagupta is basically micuna pruriens but we give this in very control supervision of a Ayurvedic physician and there are some therapies also we do in Parkinson's disease to prevent it further going on for the deterioration there are some Abhyanga massages we do, vasti chikitsa to do, in which we give medicated enema to prevent the Vata from the sthan of its sanchreya where it is originating, So we relieve the constipation and we control the Vata from the place of its origination and then there are there is another way of preventing Parkinson's disease is continuously mantra chanting you know when we are repeating something or singing something or like in hindu culture we have a culture of chanting mantra s according to the days, there are different mantra s for the different days like for the Sunday there is a god son we chant different mantra s for god sun, for Monday it's a day of lord Shiva so we chant different mantra s for lord Shiva, like Tuesday is a day of hanuman so we chant hanuman chalisa which has got 40 verses in that. So we memorize it and chant it without looking at it, so what it does with it stimulates our brain cells and it prevent further deterioration of our brain cells. So I would advise all the people should start putting this into practice when they reach the age of 50 which is a innerway we can prevent Parkinson's disease and other therapies we do it at do at our Panchkarma Centre is Potli massage is Abhyanga, shirodhara and to prevent neurological muscular disorders we do Shasti shali pinda sweda also in which cook special kind of rice in the milk and applied all over your body. So it is useful in paralysis and muscular weakness kind of disease.

So here I end for today now, so you can contact me through Lybrate or you can contact me two of my Avedna Ayurveda Panchkarma Centre, one is in Noida and one is in Gurgaon. I hope you find this information useful, Thank you.
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