Is there a good type of Parkinson's? Answer to Comment

[@mercedessomeillan6287]

Thanks for your help. Few months ago I was diagnosed by a neurologist with "a mild case of parkinson" after going thru a nuclear test at the hospital. For two months i have been taking Pramipexole 0.25 mg (3 tablets a day). To date I have not seeing a great progress but i was told there is not a cure for this disease. My biggest frustration is i have poor balance and have to walk with a cane. Before this medication and after seeing a different doctor I took sinement, ropinirole and another one i do not remember now but they were giving very bad effects. I have gone to therapy but did not helped me much. Now I am doing exercises on youtube which are pretty good. I am an old lady and any help will be appreciated. Thanks for your time.

[@carolbrenner3121]

I walk 30 minutes with a cane on no meds in the morning. I’ve been diagnosed over 12 years and take levodopa. Balance issues get worse end of day.

[@carolbrenner3121]

Blood test will be out in a year for Parkinson’s ❤

[@TheParkinsonsDoctor]

I recommend an evaluation with a movement disorders specialist in your area to look into the details of your medications and symptoms to make a better diagnosis. Sometimes it is difficult to make a formal diagnosis.

[@jimmcconnell7328]

@@carolbrenner3121 Could you tell me more about this blood test for Parkinson’s. I haven’t heard of this.

[@jayjacks2228]

Thank you for your excellent explanation.

[@TheParkinsonsDoctor]

Thanks!!

[@centralcoastcamper9631]

The type that progresses slowly! Which I wish I had!!

[@TheParkinsonsDoctor]

Focus on exercise and a good diet. Lifestyle is critical.

[@chinko1953]

Thanks for the lecture. Very informative. What is your take on the vibrating gloves to treat PD?

[@TheParkinsonsDoctor]

We are still waiting to learn more about it. I look forward for alternative treatments.

[@datarite4955]

I have seen a discussion about “good Parkinson’s” that described “tremor-dominant Parkinson’s” as “good Parkinson’s” because it usually has a better long-term prognosis than does Parkinson’s with postural instability (PIGD - Postural Instability Gait Disorder). What are the differences between PIGD and rigidity and/or slowness?

[@TheParkinsonsDoctor]

PIGD is the most challenging of all. Your comment above is accurate.

[@datarite4955]

@@TheParkinsonsDoctor I found that you already discussed PIGB a year ago in the video titled "Types of Parkinson SD 480p'"

[@jiljackson2877]

My partner has Parkinson’s he is on co-careldopa that has helped, he is stiff but doesn’t shake, he mainly gets tired and is constipated We are going to try high dose thiamine B1 .he has only just started we will post if it shows improvement. Many people have had success with this treatment.

[@TheParkinsonsDoctor]

Keep us posted about his results.

[@jamesphillips558]

Thanks for your information. I have seen testimonials about the benefits of stem cell therapy. What is your take on this?

[@mandeepthapa4357]

Dr levodopa response me for 2 hours and at that time I can speak,my hands and legs works.i am writing this comment in levodopa response period

[@TheParkinsonsDoctor]

I see many people coming to the clinic with similar situation. We adjust timing, dosage, use extended formulations trying to extend the benefits timeframe.

[@mandeepthapa4357]

I don't understand what extended formulations means 😊

[@centralcoastcamper9631]

It means its absorbed more slowly and stays in your system longer.

[@lawprovider]

Is the root cause protocol by doctor morely robbins on to something regarding parkinsons? He says it is toxic iron buildup in the substantia nigra

[@TheParkinsonsDoctor]

Unfortunately, I am unable to provide a definitive answer to your question at this time, as I currently lack sufficient data to support an argument either for or against the matter. However, I assure you that I will continue to investigate the subject and will update you as soon as I have more information that could help us reach a conclusion.

[@michelebegg5073]

I am 54 years old. I just completed DAT scan. I am also beginning a clinical trial for a possible new medication. I am hearing conflicting information regarding beginning medication this soon, at my age. Is there a downside to beginning medication at my age? Should I hold off taking medication for as long as possible. Only symptoms are tremors in arms and legs, stiffness, gate is not normal. What would you suggest? Sooner is better, or hold off as long as possible, due to medication side affects?

[@TheParkinsonsDoctor]

This is how I discuss this issue with my patients. I aske them: How is your quality of life is being affected by your symptoms? How different lie would be if we can improve your "tremors, stiffness, slowness, walking, etc."? If the answer is that it owed be a major change, that could justify treatment. Every person is different. I am bringing a video soon about when to begin medicines for PD.

[@jimmcconnell7328]

Hello Dr. Could you tell me if essential tremor can develop into Parkinson’s? And if so what are the percentages that do. Thanks

[@TheParkinsonsDoctor]

Usually not. There are a few cases of a genetic mutations that associate ET and PD, but generally, the answer is no.

[@mandeepthapa4357]

Dr baclofen pump is also implant in my body what does baclofen pump do can baclofen pump stop dyskinesia

[@TheParkinsonsDoctor]

I am not aware of baclofen helping with dyskinesia.

[@mandeepthapa4357]

Dr I was diagnosed with Japanese encephalitis in 2010 and after 5-6 months tremor has been appeared and in 2019 my parents consult with neurologist and he diagnosed me with PD and my question for you is how effective is dbs surgery for secondary parkinson patient

[@TheParkinsonsDoctor]

Hmmm. Did you have a DatScan to assess dopaminergic dysfunction? Are you levodopa responsive? I’m not a fan of DBS in secondary Parkinsonism, except if tremors are a major issues, which can respond. Interesting case.

[@mandeepthapa4357]

Dr levodopa respond me for 2 hours and at that time I can speak, my hands and legs works

[@mandeepthapa4357]

Dr I don't understand what extended formulation means

[@TheParkinsonsDoctor]

Extended formulation refers to a version of the tablet that has been made with the intention of lasting longer, providing longer benefit. However, this is not the case all the time as we learned over time.

[@mandeepthapa4357]

Dr can drugs induced parkinsonism be curèd

[@TheParkinsonsDoctor]

Drug Induced Parkinsonism can be reversed over time.

[@satyanarayanachinta3300]

I Hi I am Satyanarayana aged about 57 years I am suffering from atypicall Parkinsonism plus is there r Any treatment or medication for That please reply to me thank your

[@TheParkinsonsDoctor]

Atypical Parkinson’s can be challenging. Working with a movement disorders specialist is very important. Clinicaltrials.gov has info about studies and trials.

[@theresahyland2498]

​@@TheParkinsonsDoctoro