Parkinson’s Disease is a progressive neurological disorder that primarily affects movement. While it is often associated with the elderly, the "shaking palsy" as it was once called can affect individuals differently, and early intervention is the key to maintaining a high quality of life.
As a Best Neurologist in Vadgaon Budruk, Pune, I often see patients who have ignored subtle changes in their movement for years. Understanding that Parkinson’s is a manageable condition is the first step toward regaining control.
Parkinson’s occurs when nerve cells (neurons) in a specific part of the brain called the substantia nigra become impaired or die. These neurons normally produce dopamine, a chemical messenger that allows for smooth, coordinated muscle movements. When dopamine levels decrease, it results in the movement symptoms characteristic of the disease.
The symptoms of Parkinson's often start subtly and on one side of the body. If you or a loved one in Pune are experiencing these "non-motor" and "motor" signs, a neurological consultation is recommended.
Tremors: A slight shaking in a finger, hand, or jaw while at rest (resting tremor).
Bradykinesia (Slowness of Movement): Tasks like buttoning a shirt or walking to the store in Vadgaon Budruk may take longer than they used to.
Muscle Stiffness: A feeling of rigidity in the limbs or trunk that doesn't go away with stretching.
Micrographia (Small Handwriting): A sudden change where your handwriting becomes significantly smaller or crowded.
Loss of Smell: Difficulty smelling foods like coffee, bananas, or licorice.
Masked Face: A person might appear to have a serious, depressed, or blank expression even when they are in a good mood.
While there is currently no cure for Parkinson’s, modern medicine has made it possible for patients to live active, fulfilling lives for many years after diagnosis. At our clinic in Vadgaon Budruk, we use a multi-modal approach to treatment.
The goal of medication is to replenish dopamine levels.
Levodopa/Carbidopa: The gold standard for treating Parkinson's symptoms.
Dopamine Agonists: Chemicals that mimic the effects of dopamine in the brain.
MAO-B Inhibitors: Help prevent the breakdown of brain dopamine.
Exercise is a vital "medicine" for Parkinson's. Specialized physical therapy can help improve balance, gait, and flexibility. Occupational therapy helps patients adapt their daily environments—whether at home in Pune or at work—to stay independent.
Many patients develop a soft voice or "slurred" speech. Speech-Language Pathologists use techniques like the Lee Silverman Voice Treatment (LSVT) to help patients speak more clearly and loudly.
For patients whose symptoms are no longer well-controlled by medication, Deep Brain Stimulation (DBS) is a transformative option. This involves a surgical procedure to place electrodes in the brain that regulate abnormal impulses.
Living with Parkinson's in a busy city like Pune requires a proactive lifestyle:
Fiber-Rich Diet: Constipation is a common side effect of both the disease and medications; staying hydrated and eating fiber is essential.
Regular Movement: Walking, swimming, or even Parkinson ’s-specific dance classes can significantly slow the progression of motor symptoms.
Mental Well-being: Depression and anxiety are clinical symptoms of Parkinson’s, not just a reaction to the diagnosis. Don't hesitate to seek psychological support.
Early diagnosis is critical because several other neurological conditions can "mimic" Parkinson’s (Parkinsonism). As a specialist, I conduct thorough evaluations, including:
Clinical Neurological Exams: Assessing muscle tone, strength, and reflexes.
DaTscan/Imaging: When necessary, to visualize the brain's dopamine system.
Medication Trials: Observing how a patient responds to dopamine-replacement therapy.
Q: Is Parkinson’s Disease hereditary? A: While most cases are "sporadic" (occurring without a known cause), about 10-15% of cases are linked to genetics. If you have a strong family history, a consultation can help assess your risk.
Q: Does having a tremor always mean I have Parkinson’s? A: No. Many other conditions, such as Essential Tremor or thyroid issues, can cause shaking. A neurologist is needed to differentiate between these causes.
Q: Can lifestyle changes slow down Parkinson's? A: Yes. Clinical studies consistently show that vigorous exercise can have a "neuroprotective" effect, potentially slowing the rate at which symptoms progress.
Dr. Vilas Shingare is a highly skilled Consultant Neurologist serving the Vadgaon Budruk and Sinhagad Road communities in Pune. With over 17 years of experience and advanced degrees (MBBS, MD, DM Neurology), he is an expert in movement disorders, stroke management, and epilepsy.
At Dr. Shingare’s Paralysis & Neurocare Center, he combines clinical precision with a compassionate approach, ensuring that every patient receives a personalized management plan tailored to their specific needs.
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