Overview Of Conventional Treatment For Parkinsons
Nearly all authors agree that treatment with carbidopa-levodopa ) is the single most helpful medication. Levodopa has enabled patients with Parkinsonism to live normal life spans, and greatly ameliorates symptoms in most patients .
There is presently considerable controversy as to the value of adjunctive agents to levodopa. As a summary, it seems prudent to recommend an approach which incorporates levodopa, direct dopamine agonists, and potential neuroprotective agents such as seligiline. Patients with significant deficits which cannot be adequately treated with drugs may be suitable candidates for surgical approaches. An algorithm for managing parkinsonism published by the American Academy of Neurology can be found here.
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The Gastrointestinal Tract And Parkinsons
As promised in a previous blog, I now return to the topic of the gastrointestinal tract and Parkinsons disease . As most of you know, GI symptoms are very common in PD. We will discuss what those symptoms are, why they occur, and the current research that links what is happening in the gut to theories as to why PD occurs at all. Many of you have suggested gut-related topics for this blog including a discussion of symptoms such as bloating and constipation, and a discussion of the use of probiotics in PD. I will address these issues as well. Submit additional topics that you would like to read about here.
GI symptoms can be among the most bothersome of the non-motor symptoms of PD. Constipation is the most common of these symptoms, affecting 80-90% of people with PD. APDA has a helpful brochure with practical tips to prevent and treat constipation in PD.
GI pathology in Parkinsons disease however, can involve the entire GI tract and includes sialorrhea and dysphagia . In addition, delayed gastric emptying, in which the digestive contents are held up in the stomach and do not move normally into the small intestine, can cause sensations of nausea and bloating.
The gut has its own nervous system
The gut as a biomarker
Entry to the brain
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Falls And Parkinson’s Disease
A loss of balance often resulting in falling affects many with Parkinsons. This is due in part to general motor dysfunction caused by the disorder. Falling can depend on each persons symptoms and how they respond to medication. This should be monitored for any pattern noted at the time of these changes or fluctuations.5 Syncope is one of the most commonly overlooked causes of dizziness in people with Parkinsons.2
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How Upper Cervical Chiropractic Benefits Dizziness Patients
Upper cervical chiropractic is a niche within the chiropractic field that focuses solely on the top two bones of the neck. Rather than popping or twisting the spine, upper cervical chiropractors use low force corrections that help the neck realign naturally. This is a safe way to get the atlas and axis back into place. Their realignment can help vertebral arteries do their job properly again, improving blood flow to the brain and relieving conditions caused by the previous reduction in blood flow.
to schedule a consultation today.
To learn more about what upper cervical chiropractic may be able to do for you. Contact a practitioner in your area and schedule a no-obligation consultation.
Tinnitus And Hearing Loss
Not every person suffering tinnitus experiences hearing loss, and not every person with hearing loss has tinnitus. However, these two conditions are linked in many cases. Many of those who suffer from noise-induced hearing loss have reported prolonged or constant ringing in their ears. It is not entirely clear why noise-induced hearing loss leads to tinnitus, but it likely involves the cochlea.
The cochlea is a spiral-shaped organ in your inner ear. The inside is lined with sound-sensitive cells that help you process what youre hearing. When the cochlea is exposed to loud, excessive noise, tinnitus and hearing loss can occur. Many people experience tinnitus after concerts, gunfire, or other loud noises. However, when the ringing doesnt go away, tinnitus becomes a problem.
While tinnitus and hearing loss are not inherently linked, there is a definite correlation between the two. So its safe to say that an elderly person suffering from hearing loss might experience tinnitus as well. Tinnitus can cause a host of problems on its own, many of which might worsen dementia symptoms.
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Walking Or Gait Difficulties
Bradykinesia and postural instability both contribute to walkingor gaitdifficulties in Parkinsons, particularly as the disease progresses. A common, early symptom of Parkinsons disease is a decrease in the natural swing of one or both arms when walking. Later, steps may become slow and small, and a shuffling gait may appear. Gait problems in Parkinsons disease can also include a tendency to propel forward with rapid, short steps . People with advanced Parkinsons disease may experience episodes of freezing, in which the feet appear to be glued to the floor.
Is There A Link
Some people have MS and Parkinsonâs.
Research suggests that the damage that MS causes to your brain can lead some people to develop Parkinsonâs later on.
If you have MS, your immune system triggers ongoing inflammation. This can create lesions in your brain that cause Parkinsonâs disease. If lesions form in certain spots in your brain, they can affect how it makes dopamine.
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Preventing And Treating Orthostatic Hypotension: As Easy As A B C
Drug therapy alone is never adequate to treat orthostatic hypotension. A patient-oriented approach that emphasizes education and nonpharmacologic strategies is critical. This article provides easy-to-remember management recommendations, using a combination of drug and non-drug treatments that have proven effective.
Misaligned Atlas And The Ringing Ears
For one thing, a misaligned atlas can affect the structures of the ear. The eustachian tubes, in particular, play a vital role. These tubes drain away excess fluid from the ears so they can drain harmlessly. However, if tube function is inhibited, fluid can build up and lead to tinnitus. Therefore, even when ringing in the ears is caused by a blockage, the problem may still be in the neck.
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Caffeine May Worsen Temporary Hearing Loss After Noise Exposure
Ever left a really noisy event and your hearing felt funny and muffled? You likely experienced temporary threshold shift , a sign that your the delicate hair cells of your inner ear are overworked and fatigued. Under normal conditions, your hearing should recover in a few days, if not sooner. It might help to skip any large doses of caffeine until your hearing is back to normal: Daily consumption of caffeine may prolong recovery from TTS, a 2016 study showed. However, the study was conducted on a small group of guinea pigs, so it likely does not translate to the same effect in people.
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What Research About Mnires Disease Is Being Done
Insights into the biological mechanisms in the inner ear that cause Ménières disease will guide scientists as they develop preventive strategies and more effective treatment. The NIDCD is supporting scientific research across the country that is:
- Determining the most effective dose of gentamicin with the least amount of risk for hearing loss.
- Developing an in-ear device that uses a programmable microfluid pump to precisely deliver vertigo-relieving drugs to the inner ear.
- Studying the relationship between endolymph volume and inner ear function to determine how much endolymph is too much. Researchers are hoping to develop methods for manipulating inner ear fluids and treatments that could lower endolymph volume and reduce or eliminate dizziness.
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Risk Factors That Increase Risk Of Cardiovascular Disease
Recent research showed that people with Parkinsons who have a high or medium risk of cardiovascular disease tend to have more problems with walking and memory. While both cardiovascular disease and PD become more common as people get older, this study found that people with poorer cardiovascular health also had worse walking and memory problems, even in the early stages of PD. The study authors suggest that assessment and treatment of vascular health may help improve these patients PD symptoms as well.4,5
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Stress Anxiety And Depression
Depression and anxiety are often mistakenly thought of as purely psychological issues, where in fact they have real physical effects on the functioning of our body processes. A sudden flare up in this area , excessive exposure to stress , or prolonged, unmanaged anxiety and depression, can all lead to irregular nervous system activity which can produce various symptoms of dizziness.
These causes are commonly overlooked as both patients and medical providers can dismiss this as a legitimate source of dizziness. However, proper treatment can be highly effective in managing and eliminating your symptoms.
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How Do I Take Care Of Myself
If you have Parkinsons disease, the best thing you can do is follow the guidance of your healthcare provider on how to take care of yourself.
- Take your medication as prescribed. Taking your medications can make a huge difference in the symptoms of Parkinson’s disease. You should take your medications as prescribed and talk to your provider if you notice side effects or start to feel like your medications aren’t as effective.
- See your provider as recommended. Your healthcare provider will set up a schedule for you to see them. These visits are especially important to help with managing your conditions and finding the right medications and dosages.
- Dont ignore or avoid symptoms. Parkinsons disease can cause a wide range of symptoms, many of which are treatable by treating the condition or the symptoms themselves. Treatment can make a major difference in keeping symptoms from having worse effects.
Understanding The Neurologic Control Of The Cardiac System
Before we explore this issue, lets first learn a bit about the autonomic nervous system and about the cardiac systems place within it. The ANS is part of the peripheral nervous system, a network of nerves throughout the body. The ANS exerts control over functions that are not under conscious direction such as respiration, heart function, blood pressure, digestion, urination, sexual function, pupillary response, and much more. The ANS is further subdivided into the parasympathetic nervous system and the sympathetic nervous system. Both the parasympathetic and sympathetic nervous systems regulate most major organs. Often, they have opposite effects, with the sympathetic nervous system activating a system and the parasympathetic system calming it down.
One of the systems controlled by the ANS is cardiac regulation. Blood pressure sensors, known as baroreceptors, reside in the heart as well as in the carotid artery, the major artery in the neck. If the baroreceptors sense a change in the blood pressure, a signal is sent to particular areas in the brain. From there, the autonomic nervous system sends signals to the heart to control heart rate and cardiac output. Signals are also sent to the blood vessels to change the size of their diameter, thereby regulating blood pressure.
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Vemp Recordings And Measurements
All VEMPs were recorded using disposable silver/silver-chloride surface electrodes abrasive gel was applied before attaching the electrodes to ensure that the impedance levels were below 2 kOhms, with a maximal side-to-side impedance difference of 1 kOhms. The ground electrode was place at Fpz.
For oVEMP recording, the active electrodes were placed symmetrically over the middle part of the lower eyelids, on top of the inferior orbital edges, and the reference electrodes were place 2 cm below these. During the measurements, subjects were asked to sit upright and to look upward at a fixed target . The peak latencies of the N1 and P1 were measured, as were the N1-P1 peak-to-peak amplitudes .
For cVEMP recording, the active electrodes were placed symmetrically over the upper middle part of the sternocleidomastoid muscle bellies with the reference electrode over the sternal manubrium. The patients were asked to lift their heads up from a headrest and turn their heads away from the ear that was being stimulated. The peak latencies of the P13 and N23 were measured, as well as the P13-N23 peak-to-peak amplitude .
Upper Cervical Chiropractor And Tinnitus
Tinnitus refers to a ringing, buzzing, whistling, or rushing sound in the ear. Do you hear that ringing sound, or is it just me? If you find yourself asking this question , the problem could be tinnitus.
- Why does tinnitus occur?
- How could it be connected to the upper neck?
- Is there a natural way to find relief?
We will address the answers to these questions and more in our article.
SOURCE:Anonymous, Tinnitus Battle,
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The Dizziness Connected To Parkinsons Linked To Cerebral Blood Flow
Dizziness is a common symptom of many conditions. Perhaps your doctor was able to identify the underlying cause of your dizziness. If so, youre actually in the minority. In most cases of dizziness, the cause is a mystery. As a result, a patient may remain to wonder if the symptom will return.
In other cases, the underlying cause of dizziness is identified, but there is no cure for the condition. One condition where this is the case is Parkinsons disease.
Health Check Certified By: Dr. Gerald Morris
Parkinsons diseasea chronic and progressive brain disorder that causes loss of muscle controlaffects nearly one million people in the U.S. This disease results in the death and malfunction of nerve cells in the brain, many of which produce dopamine, a chemical responsible for controlling movement and coordination.
While symptoms such as tremors, slowed movement and speech problems are among the most common symptoms of Parkinsons, they tend to present themselves only once the disease has progressed. To detect Parkinsons disease in the early stages of development, the following are 12 signs to keep an eye out for.
Parkinsons Disease: Dr Chris On How To Spot Early Signs
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Parkinsons disease is a condition that causes the brain to become progressively more damaged over time, said the NHS. You could be at risk of the neurodegenerative condition if you find that youre unusually dizzy, without any obvious reason, its been revealed.
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Does Caffeine Make Tinnitus Worse
Hello everyone and welcome back. In my previous post, titled diet and tinnitus, I chatted about caffeine and its effect on tinnitus. I simply said that there is no conclusive proof that caffeine is either good or bad if you are suffering from tinnitus. Today I will revisit this topic and discuss some interesting findings .Enjoy this read.
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Sensory Flicker As A Treatment
Dr. Singer and her colleagues in the Wallace H. Coulter Department of Biomedical Engineering at Georgia Tech and Emory University are developing a novel approach to treating the disease that involves light and sound pulsing at 40 Hz.
The idea is that the flickering sensory stimuli will entrain nerves deep within the brain to fire at the same frequency, which may, over time, restore their lost connectivity.
In murine models of Alzheimers, the researchers found that sensory entrainment at gamma frequencies leads to immune changes that clear beta-amyloid, a toxic protein associated with the disease.
However, the effects of this type of sensory flicker on the brains of people with Alzheimers are unknown.
The question also remained whether humans would tolerate the treatment and stick with the necessary daily regimen of sensory stimulation.
To test its safety and tolerability, Dr. Singers lab enrolled 10 participants with MCI associated with early Alzheimers.
They selected people with mild disease to ensure that they would be able to describe how well they tolerated the treatment.
In addition, they excluded anyone with a history of migraine, tinnitus, or seizures from the study because flickering sensory stimuli can exacerbate these conditions.
The researchers randomly assigned the volunteers to either 8 weeks of 1 hour of flicker treatment per day or 4 weeks without treatment followed by 4 weeks of treatment.
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What Is Menieres Disease
Meniereâs disease is an inner-ear condition that can cause vertigo, a specific type of dizziness in which you feel as though youâre spinning.
It also can cause ringing in your ear , hearing loss that comes and goes, and a feeling of fullness or pressure in your ear. Usually, only one ear is affected. The hearing loss eventually can be permanent.
The disorder takes its name from a French doctor, Prosper Meniere, who suggested in the 1860s that the symptoms came from the inner ear and not the brain, as most people believed.
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How can I prevent dizziness?
Tuesday September 04, 2012
Dizziness can have multiple causes in Parkinsons. Most common, is low blood pressure, specifically a drop in blood pressure with standing a condition caused orthostatic hypotension. People of use the term dizziness to describe many different problems. The term dizziness is also used to describe a sense of imbalance when standing or walking, vertigo or sense of motion caused by inner ear or vestibular problems and a lack of mental clarity.
Low blood pressure can cause dizziness, passing out, fatigue, walking problems, and thinking problems.
Dizziness due to orthostatic hypotension can be treated. Most of these treatments work by increasing the volume of blood in your circulatory system, increasing blood pressure and optimizing heart function.
Monique L. Giroux, MD
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