Parkinson’s disease and movement disorders neurology

What are the symptoms of Parkinson’s disease?

The main movement symptoms are:

• Uncontrollable shaking of the hands or fingers (tremor), often at rest
• Slowness of movement
• Stiffness of the limbs and trunk
• Problems with balance and coordination

As symptoms progress, walking, talking and everyday tasks can become harder. Many people also have non-movement symptoms, such as sleep problems, constipation, low mood or changes in thinking.

When should you see a doctor?

See a clinician if you notice a new tremor, slowness, stiffness, a change in your handwriting or walking, or frequent falls.

How is Parkinson’s disease diagnosed at INPM?

There is no single test that confirms Parkinson’s disease. Your neurologist relies on your medical history and a detailed neurological exam to look for typical movement problems, and may order laboratory or imaging tests to rule out other causes.

• Skin biopsySmall fiber neuropathyLearn more about Skin biopsy

What treatment options are available?

Medicines, such as levodopa, can improve movement symptoms. Exercise, physical therapy and speech therapy help many people. For some patients, deep brain stimulation (DBS) is an option; Dr. Nicholson assesses candidacy for DBS surgery and programs the device for patients who have one. She also performs neurotoxin injections for movement disorders such as dystonia.

Who treats Parkinson’s disease at INPM?

• 

  Dr. Alexandra Nicholson

  Neurologist · Parkinson’s disease and movement disorders

Where can you be seen?