No cure exists for Parkinson’s, but treatment is possible

DEAR DOCTOR K: My husband was just diagnosed with Parkinsons disease. Can you discuss it in your column? I dont know anything about it.

DEAR READER: Parkinsons disease (PD) is a disease of the central nervous system. It causes problems with body motions and movement. PD worsens over time.

Brain cells talk to each other by making and releasing chemicals called neurotransmitters. When one cell releases a neurotransmitter, another picks up the signal. One type of neurotransmitter is dopamine.

Dopamine is made in an area deep in the brain called the basal ganglia. That is also where movements are coordinated. The dopamine made by cells in the basal ganglia is necessary for the basal ganglia to function properly.

PD develops when dopamine-producing nerve cells (neurons) in the brain die and not enough dopamine is produced. This affects movement. (Ive put an illustration of this process on my website, AskDoctorK.com.)

PD usually begins as a slight tremor or stiffness that is most obvious at rest. When the hands of a PD sufferer are resting in his lap, they may tremble. But when he reaches for a cup of coffee, for instance, his hands may stop trembling.

As the illness worsens, tremors become more widespread. PD also causes rigidity and a slowing of body movements. A persons face slowly becomes expressionless. Initiating a movement, like sitting up from a chair, may take many seconds to start. A person walks slowly, with short, quick steps.

If your husbands PD gets much worse, he will likely have difficulty walking and performing daily activities such as dressing or using utensils. But in some people PD progresses very slowly.

There is no cure for PD, but symptoms can be treated with medications. Medication may not be necessary at first. Treatment usually begins when symptoms interfere with work or home life, or when it becomes difficult to walk or maintain balance.

Medications used to treat PD either boost levels of dopamine in the brain or mimic the effects of dopamine. The most commonly used medication is levodopa. It is usually prescribed in combination with another drug called carbidopa. Other medications can also be used, either alone or in combination with levodopa.

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No cure exists for Parkinson’s, but treatment is possible