Dear Dr. Roach: A friend of mine has Parkinsons disease. She is 90 years old and has been very active for her age, but recently she has not enjoyed life as much as she had. What do you know about Parkinsons? Are there any cures or relief? W.W. Answer: Parkinsons disease is caused by loss of dopamine in cells in a deep area of the brain. The cells are responsible for smooth, coordinated movement. As a consequence, people with Parkinsons usually have a tremor, a rhythmic shaking of the hands while at rest, often worse on one side. Pillrolling is a characteristic movement of the forefinger and thumb. Muscles become rigid, and as the disease progresses, the muscle rigidity causes people with Parkinsons to get frozen, unable to move at all for a few seconds or longer. Slow movement is common. The gait can become shuffling, which can predispose the patient to falls. Parkinsons disease affects more than a million North Americans and usually is diagnosed in people over 60. Those diagnosed younger than age 60 frequently have a more rapidly progressive form, but the disease is variable. Often, the face shows less emotion than before the diagnosis, but its … Continue reading
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