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About Parkinson's

The medications used to treat Parkinson's are normally very effective for treating symptoms at first. When medicines stop working as well, one option that may be right for you is called DBS Therapy. Why consider DBS now?

Definition and Symptoms

Parkinson's is a progressive, degenerative neurological movement disorder. It is considerably more common in people over 60, but the number of people diagnosed at a younger age is increasing.1

As Parkinson's progresses, it becomes increasingly disabling, making daily activities like bathing or dressing difficult or impossible. Many of the symptoms of Parkinson's involve motor control, the ability to control your muscles and movement.

The four primary symptoms of Parkinson's are:

  • Tremor (involuntary, rhythmic shaking of a limb, head, or entire body) – The most recognised symptom of Parkinson's, tremor often starts with an occasional tremor in one finger that eventually spreads to the whole arm. The tremor may affect only one part or side of the body, especially in the early stages of the disease. Not everyone with Parkinson's disease has tremor.
  • Rigidity (stiffness or inflexibility of the limbs or joints) – The muscle rigidity experienced with Parkinson's disease often begins in the legs and neck. Rigidity affects most people. The muscles become tense and contracted, and some people may feel pain or stiffness.
  • Bradykinesia or akinesia (slowness of movement or absence of movement) – Bradykinesia is one of the classic symptoms of Parkinson's. Over time, a person with Parkinson's may develop a stooped posture and a slow, shuffling walk. They eventually also may lose their ability to start and keep moving. After a number of years, they may experience akinesia, or "freezing," and not be able to move at all.
  • Postural Instability (impaired balance and coordination) – A person with postural instability may have a stooped position, with head bowed and shoulders drooped. They may develop a forward or backward lean and may have falls that cause injuries. People with a backward lean have a tendency to "retropulsion," or stepping backwards.

Causes and Risk Factors

Parkinson's is caused by the degeneration of a small part of the brain called the substantia nigra. As brain cells in the substantia nigra die, the brain becomes deprived of the chemical dopamine.

Dopamine enables brain cells involved in movement control to communicate, and reduced levels of dopamine lead to the symptoms of Parkinson's. According to the National Parkinson Foundation, 60 to 80% of dopamine-producing cells are lost before the motor symptoms of Parkinson's appear.2

Parkinson's often becomes increasingly disabling over time. If you are living with Parkinson's you may have trouble performing daily activities such as rising from a chair or moving across a room. As the disease progresses, some people need to use a wheelchair or may become bedridden.

Learn More About Parkinson's

The following organisations provide information and support to people who have Parkinson's disease and their families.

Parkinson’s UK

Cure Parkinson’s Trust

European Parkinson’s Disease Association


References

1

Basic Info About PD. American Parkinson Disease Association. www.apdaparkinson.org. Accessed November 4, 2013.

2

What is Parkinson's Disease? National Parkinson Foundation. www.parkinson.org. Accessed November 4, 2013.


Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.