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Parkinson's Disease: Symptoms and Treatment

Explains Parkinson's disease symptoms, including tremors and stiffness. Covers causes like genetics and discusses management options such as dopamine therapy and lifestyle interventions.

  • 03 Feb 2025
  • 8 min read
  • 43 views

Parkinson’s disease is a brain disorder that affects the nervous system and causes unintended or uncontrollable movements controlled by the nerves. The symptoms of Parkinson’s disease start slowly, and include shaking, stiffness in the body, and difficulty in balance and coordination that goes unnoticeable sometimes but progresses over time; it causes stiffness and slowdown movement Although it has been reported till now that Parkinson's disease cannot be cured and some medications might significantly improve our symptoms.

What is Parkinson’s Disease?

Parkinson’s disease is a progressive neurological disorder in which a person’s nervous system is affected. A smooth and coordinated bodily muscle movement in our body is due to the release of dopamine in our brain which is produced by the part of the brain called “substantia nigra.” In Parkinson’s disease, substantia nigra cells die which reduces the dopamine level in the brain and symptoms of Parkinson’s disease start appearing. Some research studies are of the opinion that this disease affects more men than women but the reason is still unclear to understand factors that may increase a person’s risk. This disease is age-dependent and occurs mostly after 60 years or so.

Causes of Parkinson’s Disease

Now that you know what is Parkinson’s disease, let us now discuss what causes Parkinson’s disease. It is interesting to note that the exact cause of Parkinson’s is unknown but it is still believed that it may be due to both genetic and environmental components. It has been studied those low levels of dopamine and the norepinephrine hormone that regulates dopamine, have been linked with Parkinson’s disease. Abnormal proteins called Lewy bodies have reportedly been found in the brains of people with Parkinson’s disease. While there is no definite list, Parkinson’s disease is caused by a range of factors. So, based on the research some other factors that may cause this disease are:

  • Sex: Men are more likely to develop to develop Parkinson’s than women.
  • Race: According to research, there is a higher prevalence of Parkinson’s in white people compared with Black or Asian people due to geographical location.
  • Age: Parkinson’s usually appears among people with age between 50 and 60 years.
  • Family history: People are more likely to develop Parkinson’s disease if they have any family history with the case of Parkinson’s disease
  • Toxins: Continuous exposure to certain toxins might increase the risk of Parkinson’s disease in some people with low immune systems.
  • Head injury: People who experience severe head injuries are more prone to develop Parkinson’s disease due to changes in dopamine in the brain cells.
  • Idiopathic Parkinson’s disease: Experts believe idiopathic Parkinson’s disease happens because of changes in shape that might be due to protein misfolding in the sub-unit called α-synuclein

With every passing year, researchers are still looking for the exact cause of Parkinson’s disease.

Symptoms of Parkinson’s Disease

Some of the early symptoms of Parkinson’s that may begin several years before motor problems develop are tremor that occurs at rest, slow movements, stiffness of arms, legs, and trunk problems with balance and a tendency to fall. Other symptoms are decreased ability to smell, cramped handwriting, changes in voice, stooped posture, blank facial expression, and low-volume speech.  

The symptoms of Parkinson's Other symptoms are Parkinsonian gait which is a condition to take shuffling steps while walking. Early symptoms of this disease are subtle and occur gradually in the patient. Some people may feel mild tremors or may feel difficulty getting out of a chair. One may notice that the patient starts speaking too softly, their handwriting is slow and looks small. Friends or family members may be the first person to notice changes in a person’s face with lack of expression and they might notice that a person does not move an arm or leg normally.

Symptoms often begin to appear on one side of the body in which the movement from one limb or one side of the body slows down and it eventually affects both sides with the progression of the disease.

Some people with Parkinson’s disease may experience changes in their cognitive function which means problems with memory, maintaining focus and attention, and the ability to plan and accomplish tasks are increasing along with stress and depression.

Over time, as the disease progresses, some people may develop which is Parkinson’s dementia because of that the person experiences loss of memory and thinking problems

Other associated symptoms may include flaky white or yellow scales known as seborrheic dermatitis, increased risk of melanoma, a serious type of skin cancer, sleep disturbances including vivid dreams, talking, and movement during sleep also adds up to the symptoms of  Parkinson’s disease.

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Diagnosis of Parkinson’s Disease

There are several diagnostic methods and tests available for the diagnosis of Parkinson’s disease stages. The most common is the Computed Tomography (CT) scan. This technique involves the use of powerful X-ray that makes detailed pictures inside of our body scan. Next is, Positron Emission Tomography (PET), which is a scan done to take out a three-dimensional image to look for lymphoma in the bone marrow. Apart from these two scans, Magnetic Resonance Imaging (MRI) is a powerful technique that uses magnets and radio waves to make pictures of the brain cells. Some blood tests can also help diagnose Parkinson’s disease. These tests are done to check the effectiveness of treatment by taking white and red blood cell counts. One increasingly growing popular method of diagnosis is Genetic testing. Genetic testing is done using a karyotyping test in which blood or body fluids are withdrawn from a suspected patient to analyse the chromosomes to look for the inherited gene in case of any family history previously reported.

Treatment of Parkinson’s Disease

There is no definite or established cure for Parkinson’s disease but certain medicines, surgical treatment, and other therapies can often help us to relieve some symptoms:

Medicines can help us to treat the symptoms of Parkinson’s disease by increasing the level of dopamine in the brain. Medicines can also boost brain chemicals, such as neurotransmitters to transfer information between brain cells. The main therapy for Parkinson’s is levodopa which makes dopamine. Another medicine carbidopa can also be used to prevent the side effects of levodopa therapy — such as nausea, vomiting, low blood pressure etc. People with Parkinson’s disease should never stop taking levodopa medicine without the consent of the doctor as a sudden stop of this medicine can cause serious illnesses like being unable to move or having difficulty breathing. Some other medicines that doctors may prescribe to treat Parkinson’s symptoms are dopamine agonists to stimulate the production of dopamine in the brain. Anticholinergic drugs are also prescribed to reduce the symptoms like tremors and muscle. Some enzyme inhibitors like MAO-B inhibitors and COMT inhibitors are given to patients who can block the enzyme receptors responsible for slowing down the release of dopamine.

Deep brain stimulation can also help manage Parkinson’s disease. This involves a surgical procedure in which electrodes are implanted into part of the brain and are connected to a small electrical device which is implanted in the chest that is generally painless and stimulates specific areas in the brain to control movement that may have stopped.

Other therapies include following a healthy diet by taking lean protein, whole grains and full-fat dairy products can help to maintain strength during treatment. Other things like involvement in the activities like meditation, and breathing exercises can help to ease the stress and can improve the quality of life of Parkinson’s patients. The patients should take sessions about their wellbeing by enrolling them in certain wellbeing programs which can mentally help them to stay strong.  Some massage therapies can help to reduce stress. Some sort of yoga can also help to increase stretching and flexibility in body movements.

Support for Individuals Living with Parkinson’s Disease

With the progression of Parkinson’s disease, a person’s daily routines may be challenging. When diagnosed with Parkinson’s disease the psychological and emotional stress affecting us are overlooked by people. So we should learn to cope with these challenges which can benefit our mental health. There are a range of side effects that we may suffer when treated for this disease.  We should learn to be involved in activities like meeting people living with Parkinson’s disease and joining the community to discuss the daily challenges that one might be experiencing during the treatment can join support groups that provide information, advice, and connections to resources for those living with Parkinson’s disease, their families, and caregivers. Additionally, having a robust health insurance plan can help cover the costs of medications, therapies, and support services, making it easier to manage the financial aspects of living with Parkinson's disease.

Disclaimer: The information provided in this blog is for educational and informational purposes only. It is not intended as a substitute for professional advice, diagnosis, or treatment. Please consult your general physician or another certified medical professional for any questions regarding a medical condition. Relying on any information provided in this blog is solely at your own risk, and ICICI Lombard is not responsible for any effects or consequences resulting from the use of the information shared.

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