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Early signs and symptoms of parkinson’s disease

 Early signs and symptoms of parkinson’s disease

1.lack of facial changes/masked face i.e blinking,staring

2.swing only one arm when walking i.e feeling out of balance

3.stooped posture i.e standing or walking

4.frozen shoulder or limb

5.dragging/limping of one leg

6. loss of taste and smell

7.softness of the voice or voice changes

8.resting tremor i.e.internal tremor,a feeling of trembling within one of  legs or arms

9.depression

10.anxiety

11.apathy

1.lack of facial changes/masked face i.e blinking,staring

2.swing only one arm when walking i.e feeling out of balance

3.stooped posture i.e standing or walking

4.frozen shoulder or limb

5.dragging/limping of one leg

6. loss of taste and smell

7.softness of the voice or voice changes

8.resting tremor i.e.internal tremor,a feeling of trembling within one of  legs or arms

9.depression

10.anxiety

11.apathy

My book

http://www.patientslikeme.com/forum/show/54379?post_id=751008#751008

secret recipe behind the mask

http://www.patientslikeme.com/forum/show/48679?post_id=665691#665691

Antidepression: Cymbalta

Do not take Cymbalta together with thioridazine (Mellaril), or a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Cymbalta. After you stop taking Cymbalta, you must wait at least 5 days before you start taking an MAOI

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Parkinson’s progression

Symptoms of Parkinson’s usually begin slowly, develop gradually and in no particular order. 

 Everyone with Parkinson’s is very different and may have a different collection of symptoms and response to treatment.
 
The nature and severity of symptoms and the rate at which the condition progresses will also be individual. The symptoms may take years to progress.

 However, since Parkinson’s is a progressive condition, symptoms will worsen over
time and new ones may appear. It is difficult to estimate how quickly or slowly Parkinson’s
will progress in each person. It may progress more quickly in people who are older when the
symptoms first begin.

Currently, there is no cure for Parkinson’s. However, many of the motor symptoms can be
treated with medications. Medications used to treat the symptoms either replace the lost
dopamine or mimic the action of dopamine in the brain. Medications can alleviate the symptoms,
but do not slow the progression of Parkinson’s. As the symptoms change, medications will need
to be adjusted.

feature of stoop posture

  • Difficulty or slowness to start walking as a result of developing bradykinesia.
  • Shortened stride.
  • Bending forwards while walking, with rapid, small, shuffling steps and a tendency to run (festination). Festination may only develop at later stages of the disease and becomes more pronounced as the disease progresses.
  • Stiff, flexed posture is due to rigidity or increased muscular tone.
  • Tendency to stoop and lean forward while walking.
  • Difficulty in maintaining balance on turning is due to impaired postural righting reflexes.
  • Reduced arm swing while walking, especially on the side where Parkinson’s is more pronounced.
  • Tendency to fall, due to poor balance, may develop at a later stage of Parkinson’s disease.
  • Freezing – inability to move or start walking or stopping in mid-step, as if frozen on the spot (’statue’
  • slowness

    Posted: Mon Jul 06, 2009 10:22 am Post subject: Slowness

    ——————————————————————————–

    I understand that two of the “hallmark” symptoms of PD are slowness and stiffness. Of course these symptoms are also common to aging. What characteristics are there to PD induced slowness and stiffness that are different than those of normal aging?

    Ray

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    Dr. Fernandez

    Joined: 20 Jan 2007
    Posts: 90

    Posted: Tue Jul 07, 2009 10:53 pm Post subject:

    ——————————————————————————–

    Certainly if one is slower/stiffer on one side significantly more than the other, then that is abnormal and maybe representative of PD rather than normal aging.

    If the slowness and stiffness is accompanied by tremor at rest, then it is probably PD.

    If the stiffness and slowness is accompanied by other signs such as soft voice, shuffling gait, decreased eye blink, decreased facial expression, slow and small handwriting, difficulty getting up from a low seat, decrease in arm swing when walking, stooped posture, then these all point to PD rather than normal aging.

    If the symptoms a gradually getting worse over time, then it may be more than normal aging.

    Yours,
    _________________
    Hubert H. Fernandez

    Antioxidant and you

    Vitamins:
    Vitamin C
    An antioxidant that may slow the progression of the disease and postpone the need for drug therapy. In a 1979 study of patients with early Parkinson’s disease who were given 3,000 mg of Vitamin C and 3,200 IU’s of Vitamin E daily, progression of the disease was slowed for up to three years.
    Vitamin E
    Works along with vitamin C to slow the progression of Parkinson’s disease and postpone the need for drug therapy. These antioxidants are free radical scavengers that work to protect the brain from free radical damage. Large amounts of both vitamin C & E are recommended for the disease. These amounts can not be gotten from food sources so must be gotten through supplementation.
    B Vitamins
    Extremely important in brain function and enzyme activity.
    Vitamin B5
    Aids in speeding messages from one nerve cell to another.
    Vitamin B3
    Improves brain circulation. Caution: do not take B3 (niacin) if you have a liver disorder, gout, or high blood pressure.
    Vitamin B6
    Brain dopamine production depends on adequate supplies of this vitamin. Caution: Do not take this supplement if you are taking a levodopa preparation.

    Parkinson’s Kit
    —$10 Savings—
    (complete nutritional coverage of vitamins, minerals, amino acids, etc.)

    Amino Acids:
    L-Tyrosine
    Helps to regulate mood. Caution: Do not take this supplement if you take an MAO inhibitor drug.
    L-Phenylalanine
    Alleviates symptoms and works to counter depression. Caution: Do not take this supplement if you are pregnant or nursing; if you take an MAO inhibitor drug; or if you suffer from panic attacks, diabetes, high blood pressure, or PKU.
    L-Glutamic acid
    Improves nerve impulse transmission.

    Nutrient Cofactors:
    Ginkgo Biloba
    Over time improves circulation and delivery of oxygen to improve brain function, minimize leg cramps and tremors, and increase a feeling of well-being.
    Coenzyme Q10
    Is a powerful antioxidant and also increases oxygenation of cells and is involved in the generation of cellular energy.

    • STRESS RAW FOOD SOURCES IN YOUR DIET: Make sure that three-fourths of your dietary intake comes from raw food sources (seeds, nuts, grains, raw milk for example).
    • Pumpkin is a good source of the amino acid l-phenylalanineINCLUDE FOODS WITH PHENYLALANINE: Since the amino acid L-phenylalanine may help alleviate the symptoms of Parkinson’s disease include foods such as almonds, Brazil nuts, fish, pecans, pumpkin, sesame seeds, lima beans, chickpeas, and lentils in your diet.
    • CUT BACK ON PROTEIN INTAKE: Limit your the amount of protein in your diet to seven grams per day. Instead of meat and poultry eat other sources of protein such as barley, tofu, yogurt, beans, lentils, etc. If you are taking levodopa concentrate your protein consumption in the evenings as some of the amino acids in these foods may prevent the levodopa from reaching the brain.
    • MONITOR YOUR B6 IF YOU ARE TAKING LEVODOPA: B6 may interfere with the potency of this drug so if you are on levodopa monitor your intake of B6 foods such as bananas, fish, beef, liver, oatmeal, peanuts, potatoes, and whole grains. Do not take supplemental B6 if you must take levodopa.
    • STRESS CARBOHYDRATES: If you have Parkinson’s disease take seven grams of carbohydrates to one gram of protein.
    • BEWARE THE FAVA BEAN: This bean contains dopamine and eating more than 1/2 cup of these beans along with a daily dose of the drug levodopa can cause symptoms of a dopamine overdose. The fava bean is primarily used in Mediterranean and Middle Eastern dishes.

    Should christians practice Yoga?

    http://www.cbn.com/health/fitness/bagby_yoga-alternative.aspx?option=print

    THE PURPOSES OF EXERCISE FOR THE IMMOBILE PATIENT

    To maintain joint mobility is done by putting each of the patient’s joints through all possible movements to increase and/or maintain movement in each joint.
    To prevent contracture, atony (insufficient muscular tone), and atrophy of muscles.
    To stimulate circulation, preventing thrombus and embolus formation.
    To improve coordination.
    To increase tolerance for more activity.
    To maintain and build muscle strength.
    TYPES OF EXERCISES

    Passive. These exercises are carried out by the nurse, without assistance from the patient. Passive exercises will not preserve muscle mass or bone mineralization because there is no voluntary contraction, lengthening of muscle, or tension on bones.

    Active Assistive. These exercises are performed by the patient with assistance from the nurse. Active assistive exercises encourage normal muscle function while the nurse supports the distal joint.

    Active. Active exercises are performed by the patient, without assistance, to increase muscle strength.

    Resistive. These are active exercises performed by the patient by pulling or pushing against an opposing force.

    Isometric. These exercises are performed by the patient by contracting and relaxing muscles while keeping the part in a fixed position. Isometric exercises are done to maintain muscle strength when a joint is immobilized. Full patient cooperation is required.