What Are The Symptoms Of Parkinsons Disease
Symptoms of Parkinsons disease and the rate of decline vary widely from person to person. The most common symptoms include:
Other symptoms include:
- Speech/vocal changes: Speech may be quick, become slurred or be soft in tone. You may hesitate before speaking. The pitch of your voice may become unchanged .
- Handwriting changes: You handwriting may become smaller and more difficult to read.
- Depression and anxiety.
- Sleeping disturbances including disrupted sleep, acting out your dreams, and restless leg syndrome.
- Pain, lack of interest , fatigue, change in weight, vision changes.
- Low blood pressure.
Common Skeletal & Bone Changes With Pd
- Frozen shoulder: stiffness, pain and loss of range of movement in the shoulder, many people experience this symptom before a PD diagnosis.
- Flexed fingers, toes or feet : one finger may extend, the thumb may fold inwards, fingers may clamp down onto the palm. In the leg, the foot may flex down or turn in, the big toe may flex upward while the other toes curl under.
- Stooped posture : the spine bends forward when walking, in the most severe cases by as much as 90 degrees. This posture arises because the hips and knees are flexed and will go away when lying down.
- Leaning sideways : involuntarily tilting of the trunk to one side when sitting, standing or walking always to the same side.
- Scoliosis: sideways twisting, or curvature, of the spine.
- Dropped head : the head and neck flex forward the chin may drop all the way down to the sternum or breastbone .
- Bone fractures: people with PD are at risk of broken bones from falling, especially from landing on the hip. Kneecap fractures also are common, painful and sometimes overlooked.
- Low bone density/osteoporosis: bones may become weak and at risk for osteoporosis from lack of weight-bearing exercise, like walking, and from too little calcium and vitamin D. Other risk factors for osteoporosis include older age, female sex, low body weight, and smoking. A person with PD who has osteoporosis is more likely to break a bone if they fall.
Ankle Stretches For Parkinsons
Seated Option: Ankle ABCs
*Use your ankle for the motion, not your knee or hip.
Standing Option: Split Stance Weight Shifting
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What Is Your Advice On Footwear For People With Parkinsons
Make sure your shoes fit well, as shoes that dont fit correctly can damage your feet and increase the risk of tripping or falling.
Try to choose shoes that have a low, broad heel, and that fasten over the top of the foot close to the ankle. Shoes with laces, Velcro or a strap and buckle have a better hold on the foot.
Leather-soled shoes should be avoided as they can increase the risk of trips and falls.
Pain Is An Unfortunately Common Problem In Parkinsons Disease
Of course, pain is common in the general population, especially among older people. A recent American study found that pain affected about twice as many people with Parkinsons Disease than those of the same age and gender without PD. About 50% of Parkinsons Disease patients in that study suffered from painful disorders. Men and women seem to be about equally affected. A very well described scenario is the patient who is followed for a painful frozen shoulder for a year or so before a tremor develops leading to a diagnosis of PD. Pain clearly plays a major role in quality of life. Everyone with chronic pain enjoys life less, leading to a vicious cycle in which pain causes depression or isolation which in turn leads to more pain.
Parkinson patients suffer from the same pain problems that other people have, often amplified by the motor dysfunction, but they also have additional pain problems which are unique to PD.
One recent review classified the types of pain Parkinsons Disease patients have into: musculoskeletal, in which the pain results from problems with the muscles , bones or joints dystonic, which is due to abnormal muscle contractions caused by the Parkinsons Disease or the medications used to treat it radicular pain, which is feels like the pain caused by pinched nerves central pain, which is presumed due to abnormalities in the brain, and is a continuously present pain that cannot be explained otherwise and discomfort related to an unpleasant urge to move.
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/4in Parkinsons An Individuals Movement Slows Down
Parkinsons disease is a disorder of the nervous system that affects the movement of an individual. In this disorder the dopamine producing neurons of the brain are affected. When dopamine levels decrease in the brain, abnormal brain activity, leading to impaired movement is seen in an individual and this is one of the major symptoms of Parkinsons disease.
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Parkinsons And Foot Care From The Parkinsonian
WHAT FOOT PROBLEMS CAN PEOPLE WITH PARKINSONS EXPERIENCE?
There are a number of general foot problems, such as corns,bunions and verrucae, that can affect everyone, regardlessof whether they have Parkinsons or not. But there areother difficulties people may experience because of theirParkinsons symptoms.
DYSTONIA AND TOE-CURLING
People with Parkinsons may experience muscle cramps anddystonia in their feet. This is where one of your muscles or agroup of muscles tighten or shorten involuntarily.Sometimes this may cause the toes to curl in, in a claw-like way.Occasionally, the ankle may also turn inwards and put pressure on the outside of the foot. There mayalso be hyperextension of the big toe, which causes it to stickup and rub on the shoe. This can lead to pressure problems onareas of the foot that are not meant to deal with such pressure.In some cases, dystonia can be connected to your Parkinsonsmedication speak to your specialist or Parkinsons CommunityEducator to see if changing your dosage helps. A podiatrist canalso advise you on suitable treatments for toe-curling.Dystonia can also affect the Achilles tendon at the back of theheel, causing it to tighten up and pull the foot in a downwardposition. This is another possible cause of toe-walking.
WHICH PROFESSIONALS CAN HELP?
WHAT CAN I DO TO HELP MYSELF?
GENERAL FOOT CARE TIPS
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Calf Stretches For Parkinsons
Seated Option: Calf Stretch with Strap
Standing Option: Wall Push-offs x 20
*To increase the intensity of the stretch, back away from the wall until you reach a distance where you feel a strong stretch in your calves when youre leaning forward against the wall. Be sure to keep your heels down throughout the exercise.
How Can Foot Dystonia Affect People With Parkinsons
Dystonia is a movement disorder that causes contractions in various muscles. This is when muscles become tighter and shorter than normal, making them difficult to stretch. This can happen in your feet.
One feature of foot dystonia is toe curling. This is where your toes cramp and curl under your foot. You may also experience your ankle turning inwards.
Dystonia in your feet can be linked to the off period, where your medication wears off and is not as effective at controlling your symptoms. Talk to your specialist or Parkinsons nurse to see if adjusting your medication regime may help.
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Tips For Dealing With Chronic Pain
Chronic pain is one that last more than 3-6 months , or pain that extends behind the expected period of healing. This blog post explains the different types of pain caused by Parkinsons disease and how to address pain brought on by the disease, by medications, or by comorbid disease. It is always best to treat pain before it becomes chronic.
How Is It Diagnosed
Diagnosing Parkinson’s disease is mostly a clinical process, meaning it relies heavily on a healthcare provider examining your symptoms, asking you questions and reviewing your medical history. Some diagnostic and lab tests are possible, but these are usually needed to rule out other conditions or certain causes. However, most lab tests aren’t necessary unless you don’t respond to treatment for Parkinson’s disease, which can indicate you have another condition.
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Types Of Pain In Parkinsons
One review classified the types of PD pain as follows:
- musculoskeletal, in which the pain results from problems with the muscles , bones or joints
- dystonic, which is due to abnormal muscle contractions caused by PD or the medications used to treat it
- radicular pain or nerve pain
- central pain, which is poorly understood and thought to be due to abnormalities in the brain itself
How To Deal With The 6 Common Causes Of Leg Pain In Pd
Severe leg pain is a common complaint from people with PD. Lately, it is understood that central pain is common to Parkinsons disease, and can even be the first sign of PD, usually bilaterally. This blog post lists six causes of lower limb pain, and the importance of treating it. Treatments depend on properly identifying the source of pain. Some treatment suggestions are included.
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How Soon After Treatment Will I Feel Better And How Long Will It Take To Recover
The time it takes to recover and see the effects of Parkinson’s disease treatments depends strongly on the type of treatments, the severity of the condition and other factors. Your healthcare provider is the best person to offer more information about what you can expect from treatment. The information they give you can consider any unique factors that might affect what you experience.
What Are The Early Warning Signs Of Parkinsons Disease
Parkinsons warning signs can be motor symptoms like slow movements, tremors or stiffness. However, they can also be non-motor symptoms. Many of the possible non-motor symptoms can appear years or even decades ahead of motor symptoms. However, non-motor symptoms can also be vague, making it difficult to connect them to Parkinsons disease.
Non-motor symptoms that might be early warning signs include:
- Sleep problems such as periodic limb movement disorder , rapid eye movement behavior disorder and restless legs syndrome.
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Foot Stretches For Parkinsons
Seated Option: Rainbow Rollouts with Tennis Ball
*Try to keep your knee as still as possible, only moving at the ankle.
Standing Option: Rainbow Rollouts with Tennis Ball
BONUS: Arch Rollouts with Tennis Ball
Managing Pain In Parkinson’s
This article summarizes the incidence, types, and causes of reported pain in Parkinson’s Disease . A table of recommendations on how to involve patients with Parkinson’s in their own pain management is provided, along with approaches to pain assessment. Finally, there is a discussion of pain management principles in PD, including optimization of dopaminergic medications, use of analgesics, and innovative treatments for pain management .
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Negative Impact Of Severity Of Pain On Mood Social Life And General Activity In Parkinson’s Disease
This case control study designed for clinicians and rehabilitation specialists to effectively identify pain from the patient’s point of view determined that PD patients had significantly higher pain severity scores compared to controls. PD patients with depressive symptoms had significantly higher pain severity and pain interference scores than controls without depressive symptoms. PD patients reported greater scores on Global BPI pain interference and all components of the pain interference subscale. Therefore, PD and depression seem to be correlated with higher perceived pain, severity and interference. A report on this study, by Jose Marques Lopes, PhD., was published in Parkinson’s News Today, September 21, 2018.
Managing Pain In Parkinsons
This article summarizes the incidence, types, and causes of reported pain in Parkinsons Disease . A table of recommendations on how to involve patients with Parkinsons in their own pain management is provided, along with approaches to pain assessment. Finally, there is a discussion of pain management principles in PD, including optimization of dopaminergic medications, use of analgesics, and innovative treatments for pain management .
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How Does This Condition Affect My Body
Parkinsons disease causes a specific area of your brain, the basal ganglia, to deteriorate. As this area deteriorates, you lose the abilities those areas once controlled. Researchers have uncovered that Parkinsons disease causes a major shift in your brain chemistry.
Under normal circumstances, your brain uses chemicals known as neurotransmitters to control how your brain cells communicate with each other. When you have Parkinsons disease, you dont have enough dopamine, one of the most important neurotransmitters.
When your brain sends activation signals that tell your muscles to move, it fine-tunes your movements using cells that require dopamine. Thats why lack of dopamine causes the slowed movements and tremors symptoms of Parkinson’s disease.
As Parkinson’s disease progresses, the symptoms expand and intensify. Later stages of the disease often affect how your brain functions, causing dementia-like symptoms and depression.
When Should I See My Healthcare Provider Or When Should I Seek Care
You should see your healthcare provider as recommended, or if you notice changes in your symptoms or the effectiveness of your medication. Adjustments to medications and dosages can make a huge difference in how Parkinsons affects your life.
When should I go to ER?
Your healthcare provider can give you guidance and information on signs or symptoms that mean you should go to the hospital or seek medical care. In general, you should seek care if you fall, especially when you lose consciousness or might have an injury to your head, neck, chest, back or abdomen.
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How To Cope With Dystonia
I have PD. First thing in the morning as I am getting out of bed, my left foot cramps severely and my toes curl downward, making it very painful to walk. I have found that it helps if I put my feet flat on the floor immediately after sitting up in bed. Also foot massages help. If I can force the cramped foot so it turns outward, my toes uncurl. nelleford
When my dads legs cramp, massage helps relieve them. You can usually feel where the spasms are. Rub your hands together to warm them up first. Start below where the spasm is and work up towards them. With your fingers and palms, give a deep massage where the cramp is. Give your loved one mustard or pickles to relieve the cramp. I know it is weird, but it works. To prevent them, exercise is best. Try to get them to walk every day, even if it is only half a block. This will also help prevent falls. A good multivitamin every day can be beneficial. Look for one with magnesium and potassium in it. These minerals helps to prevent cramping. My dad eats bananas almost every day for this reason. kathyt1
Calcium governs muscle contraction, and magnesium governs muscle relaxation. I take a magnesium supplement if Im having leg cramps. Perhaps have your loved ones levels evaluated with a simple blood test. Potassium can be dangerous if its too high or too low, and too low can often cause muscle cramps. sherry1anne