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Thursday, May 23, 2024
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Therapeutic Regimen For Parkinson’s Disease

Duopa And Other Infusion Therapies

Parkinson Disease: Treatment by a Physical Therapist

The Ohio State University Wexner Medical Center offers infusion therapies at convenient locations across central Ohio when oral medications no longer offer patients the best results.

During an infusion, your prescribed medication is delivered through a small needle inserted under the skin or through a small tube, called a catheter, which is placed in your small intestine via a tiny hole in the stomach wall. If you have a catheter, we can connect this to a convenient portable pump for continuous delivery of medication. Settings on the pump can be adjusted to control the amount of medication provided at different times of the day for maximum benefits with minimum side effects.

A commonly prescribed medication is Duopa, a gel infusion that has proven effective for people with PD who have disabling symptoms that interfere with daily activities, inadequate results or bothersome side effects from current medications, or frequent bouts of disabling rigidity, slow movements, tremor due to on-off fluctuations or excessive uncontrollable movements.

Dr Farley Is The Leading Expert In Finding Which 30 Root Functional Causes Are Primary For You

My laboratory has never had anything but an extremely professional and proficient relationship with Dr. Farley and his staff. I believe that in the future more patients will seek care that is based on root functional causes rather than just managing symptoms.

Anyone who uses Dr. Farley today is getting insight, care and a dependable trusting doctor that should be the standard in doctoring across the United States and abroad.

I hope that patients can open their minds to understanding these concepts and not dismiss them because their doctor doesnt know about them. This healABILITY approach is an old and new evidence scientific based approach that frankly most doctors have absolutely no training in. Dr. Farleys office is run like a fine hotel that provides excellent customer service. So not only will you get exceptional care, but youll also be treated with a kind, warm and dependable staff. This book can aid anyone in getting insight into Dr. Farleys method of functional physiological based approach that has the potential to really help almost any condition. There are 30 key hidden root functional causes. Dr. Farley will help find which one of these 30 root functional causes are most important to correct for you to get well. Each person is unique in their physiology and biochemistry. Dr. Farley is the leading expert in finding which 30 root functional causes are primary for you.

Dr. Naveed Ashfaq MD emphasizes how powerful Dr. Farleys methods are and the impact they have.

How Does Light Therapy Work

Light therapy, or Photobiomodulation , is the non-thermal delivery of waves of light energy with a therapeutic benefit.At an optimal wavelength, intensity and exposure time, light aimed at human tissue sets off a series of biochemical events that can result in chronic pain relief, reduced inflammation, and even increased dopamine and serotonin production in the colon.

The PDCare Laser therapy increases gut fermentation of dietary fibre, which in turn facilitates the production of helpful gut metabolites .SCFAs are important for manufacturing the neurotransmitters dopamine and serotonin that are in short supply in a Parkinsons patient . In essence, the gut takes on an even greater load and compensates for the reduction of dopamine production in the brain.

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Can Parkinson’s Disease Be Cured

No, Parkinson’s disease is not curable. However, it is treatable, and many treatments are highly effective. It might also be possible to delay the progress and more severe symptoms of the disease.

A note from Cleveland Clinic

Parkinson’s disease is a very common condition, and it is more likely to happen to people as they get older. While Parkinson’s isn’t curable, there are many different ways to treat this condition. They include several different classes of medications, surgery to implant brain-stimulation devices and more. Thanks to advances in treatment and care, many can live for years or even decades with this condition and can adapt to or receive treatment for the effects and symptoms.

Alternative Treatments For Parkinsons Disease

Pharmaceutical Treatment of Parkinson

Alternative therapy may also be used to treat Parkinsons disease. The most touted in recent years has been the effect of Vitamin E on reversing the progression of the disease although, this effect is still being debated by the scientific community.

Relaxation and guided imagery have also been suggested to help with stress, depression, and anxiety. Medical studies have shown that relaxation and guided imagery may help slow the progression of symptoms as well as quicken healing time after surgeries or injuries.

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What Medications Are Used To Treat Parkinsons Symptoms

Since many of the motor symptoms of Parkinsons are the result of a lack of dopamine in the brain, most drugs used to treat Parkinsons are aimed at temporarily replenishing or imitating dopamine. The following list is a guide to medications approved by Health Canada to treat symptoms of Parkinsons1. Speak to your doctor for detailed information regarding effectiveness and side effects of a particular drug.


  • Converted into dopamine in the brain and stored in nerve cells to replace depleted dopamine
  • Combined with another drug, carbidopa or benzerazide, allows more levodopa to get to the brain and reduces side effects
  • Helps improve muscle rigidity and movement
  • Side effects include dyskinesias
  • Over years of use, may be associated with wearing off

Dopamine Agonists

  • Mimics or imitates action of dopamine
  • Can be used as initial treatment or with levodopa in advanced stages
  • Side effects include sleepiness, hallucinations, leg swelling and obsessions with food, sex and activities such as shopping, gambling and Internet use Amantadine
  • Enhances dopamine release and blocks glutamate, a brain transmitter
  • Used to treat early symptoms
  • Can reduce dyskinesias and improve wearing off

Dopamine Agonist

Gene Therapy For Parkinsons Disease

You may have read about efforts to use gene therapy as a treatment for Parkinsons disease . Its an exciting prospect and studies are underway, with some positive results so far. Understanding these studies and therapies requires some background information about what genes are and how they work, so Ive included a glossary at the end of this article. You might find it helpful to scroll down and get familiar with the terminology before reading the rest of the article.

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What Are The Surgical Treatments For Parkinsons Disease

Most patients with Parkinsons disease can maintain a good quality of life with medications. However, as the disease worsens, medications may no longer be effective in some patients. In these patients, the effectiveness of medications becomes unpredictable reducing symptoms during on periods and no longer controlling symptoms during off periods, which usually occur when the medication is wearing off and just before the next dose is to be taken. Sometimes these variations can be managed with changes in medications. However, sometimes they cant. Based on the type and severity of your symptoms, the failure of adjustments in your medications, the decline in your quality of life and your overall health, your doctor may discuss some of the available surgical options.

Which Types Of Exercise Are Best For Parkinsons

Occupational Therapy & Parkinsons Disease

It is important to state upfront that there is no one best type of exercise for people with PD. It is most important to choose an exercise regimen that you enjoy, and will continue to do.

However, beyond doing exercise that you will stick with, there are some additional concepts to consider when designing an exercise program for someone with PD.

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Medicines For Parkinsons Disease

Medicines can help treat the symptoms of Parkinsons by:

  • Increasing the level of dopamine in the brain
  • Having an effect on other brain chemicals, such as neurotransmitters, which transfer information between brain cells
  • Helping control non-movement symptoms

The main therapy for Parkinsons is levodopa. Nerve cells use levodopa to make dopamine to replenish the brains dwindling supply. Usually, people take levodopa along with another medication called carbidopa. Carbidopa prevents or reduces some of the side effects of levodopa therapy such as nausea, vomiting, low blood pressure, and restlessness and reduces the amount of levodopa needed to improve symptoms.

People living with Parkinsons disease should never stop taking levodopa without telling their doctor. Suddenly stopping the drug may have serious side effects, like being unable to move or having difficulty breathing.

The doctor may prescribe other medicines to treat Parkinsons symptoms, including:

  • Dopamine agonists to stimulate the production of dopamine in the brain
  • Enzyme inhibitors to increase the amount of dopamine by slowing down the enzymes that break down dopamine in the brain
  • Amantadine to help reduce involuntary movements
  • Anticholinergic drugs to reduce tremors and muscle rigidity

Stay Safe With Your Medicines

Read all labels carefully.

  • Tell all your health care providers about all the medicines and supplements you take.
  • Know all the medicines and foods youâre allergic to.
  • Review any side effects your medicines can cause. Most reactions will happen when you start taking something, but thatâs not always the case. Some reactions may be delayed or may happen when you add a drug to your treatment. Call your doctor right away about anything unusual.
  • Use one pharmacy if possible. Try to fill all your prescriptions at the same location, so the pharmacist can watch for drugs that might interact with each other.
  • You can use online tools to see if any of your medicines wonât work well together.

You have the right and responsibility to know what medications your doctor prescribes. The more you know about them and how they work, the easier it will be for you to control your symptoms. You and your doctor can work together to create and change a medication plan. Make sure that you understand and share the same treatment goals. Talk about what you should expect from medications so that you can know if your treatment plan is working.

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Specialist Care Comes Home To The Patient

Another important focus in Per Odins research is the patients who are in the final stage of the disease. They are often in such a bad situation that they are unable to walk without support and have difficulty getting themselves to a neurological department at a hospital. Many live in isolation, are treated incorrectly, and/or receive too little and sometimes even incorrect medication.

In a first European study, Per Odin and his colleagues found that these patients have a better quality of life if they have access to specialist care. A follow-up study named PD Pal is currently underway. Thirty patients in Sweden are participating with 150 in the entire study overall.

We send a Parkinsons nurse to the patients home, who sees the patient on four occasions and together with the patient develops a treatment plan not only for the phase they are presently in but also for the future and even for the palliative final phase. They talk through how things will develop, what is most important for the patient, and how the treatment should best be structured.

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Using Eating Utensils Designed To Help With Parkinsons Tremors

Treatment algorithm for the management of the early stages of ...

The first thing to assess is the cause of your difficulty. Is your grip not strong enough? Is your tremor interfering with eating? There are many utensils that are on the market to help people with PD eat more independently. These include built-up utensils that have a wide circumference to hold onto, weighted utensils, and stabilizing utensils, which contain sensors that detect the force and direction of a tremor and move to counteract the tremor. My recommendation as to which is best really depends on the person. Weighted utensils can work well for some people with tremor. My favorite weighted utensils are manufactured in stainless steel by Vive Health. They have enough weight in them to really work. Stabilizing spoons can be expensive and they dont solve the problem for everyone.

Positioning is an important thing to consider. Are you trying to eat in your recliner chair or in bed? If so, you will probably find it difficult to get food to your mouth when lying back. The best position for eating is sitting in a supportive chair at a kitchen table. Occupational therapists can assess your positioning and find the best setup for you.

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Treatment Options For Parkinsons

While there is no cure for Parkinsons at this time, there are a number of treatments that can ease symptoms. Parkinsons medications are the mainstay of treatment, but modalities are often used in combination. Physical, occupational and speech therapy can be critical to the treatment plan. Surgical options also have an important role for a subset of patients with Parkinsons disease. Finally, complementary therapies can be used to treat some Parkinsons disease symptoms. Your physician and other healthcare professionals can help you determine the best treatment plan for your symptoms.

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What Should I Know About Parkinsons Disease And Medications

There have been rapid and remarkable changes over the past decade in treating Parkinsons disease . The development of new medicines and the understanding of how best to use them and the older drugs have significantly improved the quality of life for people with the disease.

There is currently no treatment that has been proven to affect the disease progression or development of medication that can slow the disease process. There are two general approaches to the treatment of PD improve the symptoms with medications and engage in physical therapy. Most patients with PD can be adequately treated with medicines that alleviate their symptoms. For the approximately 15% of patients for whom medicines are not sufficiently effective, new, highly effective, and safe surgical treatments are available.

Choices about medicines made early in the course of the disease have a strong impact on the long-term course of the illness. Therefore, you should seek the advice of doctors specially trained in treating PD even when the illness is only suspected. Movement disorders specialists are neurologists who have completed their training in neurology and have received special advanced training in treating PD and other related diseases.

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Find A Post Acute Medical Center Near You

Parkinson’s disease is a complex disorder that affects every person differently. If you or a loved one have Parkinson’s disease, you can still enjoy life and engage in fun activities. An individualized physical therapy program can help keep you on your feet and enhance your overall well-being.

At Post Acute Medical, our compassionate physical therapists are trained to help individuals with Parkinson’s disease improve their symptoms and reach their goals. To learn more about our comprehensive Parkinson’s disease rehabilitation program, contact a Post Acute Medical facility near you.

Who Can Use It

Parkinson’s Disease Thinking Changes: Engaging Occupational Therapy

This high-quality In-step LserCane is designed for people suffering from gait problem due to Parkinsons disease. The cane is also useful for those suffering from ALS, stroke or other brain conditions. Even if you dont have any of the above-mentioned illness and simply want to improve your stride length, the In-step lasercane is a good choice for you.

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How Is The Light Being Delivered

In studies using white light, the eyes are used to detect the light. The light is therefore delivered via a lightbox or a screen.

Near Infrared Light is not in the wavelength range that is detectable by eye. It is thought that to be used as a therapy, it needs to be delivered more directly to brain tissue. Therefore, other delivery methods have been devised.

Additional delivery methods include:

  • Via a helmet containing light sources that is worn on the head the light is meant to penetrate through the skin and skull
  • Via a light-emitting device that is implanted in the brain

What is the brightness of the light?Many clinical trials for light therapy used Lux levels in the 10,000 range. Light brightness per area is measured in Lux. A moonless night would register 0.0001 Lux. A very dark overcast day would register 100 Lux. Full daylight would register 10,000 Lux.

What is the length of a session of light therapy?

For light therapy to be feasible to incorporate into a persons day, a practical amount of time spent in front of the light needs to be selected. Past trials have used times ranging from 30 min to 1.5 hours a day.

How many sessions of light therapy are given?

Variables to consider here include how often would the therapy need to be given during the day ? How many times a week? For how many weeks? Does the treatment need to be ongoing or do the effects of the treatment last after the treatments are stopped?

What time of day is the therapy given?

Understanding The Science Behind Neurobiomedicine And Our Approach To Helping You Restore Proper Function To Ultimately Help You Feel Better Look Better And Recover Your Health

Dr. Farleys Neurobiomedicine Health System can easily be understood when applied to the science of Translational Medicine, Psychosomatic Medicine and Somatopsychic Medicine as described from the National Institutes of Health. Please to learn more about Translational Medicine, Psychosomatic Medicine, Somatopsychic Medicine. Allopathic Medicine and even Integrative Medicine asks, Whats the diagnosis. Neuro-Biomedicine asks, Why you are personally having this happen?, and, What are your specific multifactorial causes?

Most doctors offices rely on outdated protocols that are 17-20 years behind the basic scientific research. The reason for this is lack of initiative by most doctors, and for medical legal reasons, they will not deviate from typical protocols even when they are outdated and produce terrible results for patients. The focus is not on the individual patient and their unique requirements, instead, the patient is literally pushed from office to office with the goal to just move the responsibility to another doctor or office . We do not treat any disease, instead we focus on your functional neuro-metabolic deficits. We will fight for you and your health! We will provide new possibilities and potential for greater healABILITY, greater depth of understanding, more compassionate listening, and ultimately, superior results aimed at restoring proper function. This, in turn, can have profound and positive improvements for the patients that qualify.

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