Parkinson's disease treatment

Submitted by Emma Hamilton on Mon, 10/10/2011 - 1:17pm

There is currently no cure for Parkinson’s disease but there are a number of treatments and lifestyle approaches that can help manage the symptoms of Parkinson’s disease.

Treatment of Parkinson’s disease may include medications, surgery, exercise and lifestyle changes.

Medications

In the early stages of Parkinson's disease medications may not be needed and symptoms will be manageable. As symptoms progress, medications can help manage problems with movement and tremor. Medications can also have many side effects.

At first, symptoms may be well controlled on drug therapy but medications taken for Parkinson's disease can have a lesser effect over time.

People with Parkinson’s disease can experience a "wearing off" of medications. This "wearing off" of medication can cause symptoms of Parkinson’s disease to worsen just before medication is due, only to disappear after the next dose of medication is taken.

People with Parkinson’s disease need to have a good understanding of the medications they are taking and stick to the routine as outlined by their doctor.

Medication times for people with Parkinson’s disease can seem very regimented but taking medications at the wrong time can impair movement and ability. A large part of a carer's role can be managing medications.

Carers need to be on the alert for unwanted side effects of some medications such as hallucinations and changes in behaviour. Always ask a doctor what side effects should be expected and write the information down. Ask your pharmacist to pack medications in a handy blister pack for convenience.

Exercise

Exercise will not stop the progression of the disease; but, it can play an important role in managing the symptoms of Parkinson's disease.

Physical activity helps maintain muscle tone, strength and flexibility. People with Parkinson's disease have problems with movement and balance. Certain exercises may help prevent falls by improving balance and movement.

As the disease progresses daily activities can become a challenge. Exercise can help prevent joints from stiffening making everyday tasks easier. Physical activity may also keep a person independent at home for longer.

People with Parkinson's disease should always consult their doctor before starting an exercise regime. Too much physical activity can increase fatigue and possibly worsen Parkinson's symptoms.

Surgery

For some people surgery is an option. Surgery will depend on a person’s age, health and response to medication. Surgery includes deep brain stimulation and pallidotomy/thalamotomy.

Lifestyle changes

Managing the symptoms of Parkinson's disease can be made easier by making adjustments about the home and using assistive devices.

An occupational therapist can advise you on how to make some simple adjustments about the home to make activities of daily living easier and safer.

This may involve installing grab rails in the bathroom or ramps to improve safety. Using assistive devices such as walking frames and reachers can improve independence and increase quality of life.

Parkinson's disease and support