Yearly, the month of April is noticed as ‘Parkinson’s Consciousness Month’, and on April 11, individuals from all over the world come collectively to boost consciousness about this degenerative mind dysfunction.
In keeping with Dr Pankaj Agarwal, head of the Parkinson’s and Motion Issues clinic and DBS Program at International Hospitals Mumbai, it’s the degeneration of dopamine-producing cells within the substantia nigra, a small however essential space situated deep contained in the mind, which is the basis reason for Parkinson’s illness (PD).
“Dopamine is the chemical that carries the sign inside motor circuits of the mind, and when its ranges lower or are usually not sufficient, one develops the shaking, slowness and stiffness of physique elements typical of PD,” defined Dr Agarwal.
He shared some widespread myths and misconceptions round a number of features of PD.
Delusion 1: ‘Parkinson’s means solely shaking fingers’
Truth: Tremor is widespread in PD, however 10-15 per cent of sufferers might not have tremors in any respect. These sufferers might as a substitute have slowness, stiffness of their physique elements, strolling issue and lack of steadiness as their principal issues. Every affected person with PD has totally different signs and no two sufferers are alike.
Delusion 2: ‘Parkinson’s solely causes physique movement-related (motor) issues’
Truth: ‘Non-motor’ signs resembling despair, sleep disturbances, constipation, lack of scent, urinary incontinence, and dizziness on standing are all widespread and essential options that want correct consideration and therapy in PD sufferers, alongside the extra apparent motor options.
Delusion 3: ‘There is no such thing as a good therapy for Parkinson’s’
Truth: There are a number of therapies that enable sufferers to reside a lot better, and even near-normal lives, when correctly utilized by PD specialist medical doctors resembling motion issues neurologists. Dopamine-altering medicines of varied varieties, physiotherapy and way of life modification all play an essential position. In some sufferers, the place the illness is superior or extreme, surgical procedure (DBS) will very successfully management signs, in addition to have an excellent high quality of life for a protracted time period.
Delusion 4: ‘If I’ve Parkinson’s, I’ll grow to be disabled or die early’
Truth: Not true. PD shouldn’t be a deadly illness, in contrast to a extreme coronary heart assault or stroke. Most sufferers with Parkinson’s, if supplied early and applicable neurological care, can lead near-normal lives with a near-normal lifespan and manageable signs.
Delusion 5: ‘If I’ve PD, there may be not a lot I can do moreover taking medicines lifelong’
Truth: There are various easy way of life modifications for PD. Consuming proper, wholesome meals, common train, yoga and meditation all assist preserve a way of independence and a greater high quality of life for a protracted time period. Additionally for chosen sufferers with extreme illness, there may be surgical therapy accessible for superior PD, referred to as deep mind stimulation (DBS). DBS is a process during which electrodes are positioned within the mind in areas straight controlling physique actions, to very successfully scale back tremor, stiffness and slowness.
Delusion 6: ‘Parkinson’s is discovered solely in outdated individuals’
Truth: Though nearly all of PD sufferers are over the age of 60 years, early — or young-onset PD, when signs begin earlier than the age of 40 — can also be more and more widespread. Don’t be stunned should you see somebody with PD of their 30s and even 20s.
Delusion 7: ‘Parkinson’s by no means runs in households as it isn’t hereditary’
Truth: Whereas this can be true within the majority (80%+) PD circumstances, at the least 15-20 p.c of Parkinson’s is now thought-about to be genetic in origin. A number of genes are actually well-known to trigger PD and trigger in lots of members of 1 household.
Delusion 8: ‘Stem cell remedy can remedy Parkinson’s’
Truth: Incorrect. There is no such thing as a scientific proof that it helps and it might probably even be dangerous. Worldwide, scientific Parkinson’s communities advise sufferers to avoid stem cell remedy and different unscientific claims of a remedy. Certainly there isn’t a remedy for PD but and analysis is underway.
Delusion 9: ‘Deep mind stimulation is “experimental” remedy’
Truth: Whereas it might sound scary and futuristic, it’s been round and efficiently used for many years, with >150,000 PD sufferers having undergone DBS worldwide. DBS works very equally to a pacemaker, besides the wire is within the motor a part of the mind, not within the coronary heart. It is among the most secure mind surgical procedures that exist, as it is extremely minimally invasive. Scientific proof in favour of DBS has been round for 20 years and is certainly growing yearly. It’s been a normal process for PD worldwide for the previous 20 years.