Parkinsons

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 NEJM Video
A 58-year-old man with a 10-year history of idiopathic Parkinson's disease presented with an incapacitating freezing of gait. However, the patient's ability to ride a bicycle was remarkably preserved. (In Video 2, the patient is not wearing a safety helmet because in the Netherlands,
wearing a safety helmet is neither required by law nor customary.)

New England Journal of Medicine - T'ai Chi and Posture

What are the causes?
Genetic - People with close relatives that have Parkinson's are at greater risk. 2011, Mount Sinai School of Medicine published research indicating that mutations in a gene called LRRK2 are associated with the most common inherited form of the condition.

Environmental exposures to herbicides and pesticides increase a person's risk of developing Parkinson's disease.

Drugs - Certain drugs, when taken for long periods of time or amounts greater than recommended; Haldol (Haloperidol) and Thorazine (Chlorpromazine), used to treat psychiatric disorders, as well as drugs used to treat nausea, such as Reglan (Metoclopramide ). The anti-seizure drug, Depakene (Valproic Acid), also may cause some of the features of parkinsonism, notably severe tremor. These medications do not result in Parkinson's disease, however, and symptoms resolve when the medications are no longer used. 
Some of the illegal hard-core drugs have been linked to the disease.

Estrogen levels - Reduced estrogen levels.

Avoid:
Caffeine - triggers the production of adrenaline, a hormone that can worsen tremors.
Alcohol – affects the central nervous system and can aggravate essential tremor.
Exercise:
T’ai Chi
QiGong
Light Hand Weights

  • Coenzyme Q10, 1,200 mg a day - may be beneficial with a meal containing fat for best absorption.
  • Acupuncture and osteopathic manipulation can be helpful.

Dr. Weil recommends trying DMSO (dimethyl sulfoxide) topically. You can buy it at your health food store or on the internet. It penetrates the skin and promotes healing of pockets of inflammation. Make a 70 percent solution of DMSO by diluting a 100 percent solution with distilled water and apply it to the shoulder with absorbent cotton. Let it dry. Apply the solution three times a day for three days. If you do not see any improvement, stop using it. If you do notice improvement, cut back to twice a day for three more days, then once a day for a final three days. After that your body can continue healing on its own.
One of the issues that people with Parkinson's disease sometimes find themselves dealing with is an overactive bladder, or urge incontinence. Dr. Weil recommends trying these approaches for urge incontinence before resorting to drugs:
Watch your weight - excess pounds can stress the bladder and increase the risk of incontinence.
Do not smoke. Incontinence is twice as common among smokers as it is among nonsmokers.
Avoid bladder irritants such as caffeine, alcohol, and spicy foods. Avoid feminine deodorants, which can irritate the urethra.
Practice Kegel exercises to strengthen pelvic-floor muscles and improve bladder control.
Consider biofeedback, which can help you identify and strengthen your pelvic floor muscles and can help with Kegel exercises.
Discuss bladder retraining programs with your physicians. These can help you control the urge to "go" by scheduling bathroom trips and gradually lengthening the time between them.
In addition, try keeping a bladder diary, which may help reveal what triggers your urge symptoms.
Anti-inflammatory diet; colorful vegetables and fruit, slow-digesting carbohydrates, plant-based protein, and healthy fats.
  Parkinson's disease information compiled by the National Institute of Neurological Disorders and Stroke (NINDS).

Ask your Doctor if Exercise is right for you.

Lifestyle changes that may be helpful, some of these are in the Parkinson's section:
  • Good nutrition: try to buy organic food, limit your red meat and products that have hormones
  • Eat foods high in antioxidants: blueberries, nuts, green tea, strawberries
  • Enhance your immune function
  • Avoid pesticides
  • Avoid taking products that contain aluminum: some anti-acid medicine and some tomato sauce products contain aluminum. Also avoid deodorant with aluminum.
  • Start with small changes in your diet. Try it for a couple of weeks and see how you feel. Make a menu of plant based diet. Go organic if possible, avoid red meat and avoid Gluten.
  • Avoid stress; stress can lead to shrinkage of the memory centers of the brain.
Exercise
Exercise will help you with stress, increase flexibility, strength, calmer lifestyle, energizes your life and body conditioning.
  • Laugh - not only helps you with stress, but it is a fact that after you laugh, your stress hormone cortisol lowers. Also, it changes your body chemistry and lowers the risk of heart attack
  • Exercise several times per day with rest periods in between. Combine exercise with meditation: Yoga or T’ai Chi.
  • Light hand weights.
  • Go dancing every week 
  • Flexibility - Stretching exercises.
  • Balance - Teach your brain you are not going to fall by doing simple exercises. 
  • Open the Joints
  • Exercise your Lungs  
  • Kegel exercise
  • QiGong
  • Play Music: Music stimulates your mind and relaxes your body. Vibration is important in our lives.
  • Sing: vocal exercises improve speech and helps swallowing
Keep Memory Skills
  • Pay attention
  • Make a diary, write a to-do list, have a schedule
  • Repeat, visualize, associate
  • Travel - Do you know that using a map helps you?
  •  Visit museums and art galleries. Pay attention to the little details in the paintings. Look at the different colors. Make up a story of what the artist tried to represent
  • Learn to do one thing at a time; don’t multitask
  • Learn to use the computer; write your biography
  • Meditate: start slow if you’ve never done it. Increment your time or do it twice a day. By learning to meditate you will learn to regulate the breath.
  • Physical therapy, speech therapy (if necessary), and occupational therapy
  • Learn a new skill; new language, new word, read, do crossword puzzles, take a class, learn to play an instrument
  • Do something creative: paint, draw, build, find a new hobby
  • Place railings in commonly used areas of the house (Parkinson’s - Alzheimer’s)
  • Special eating utensils (Parkinson’s - Alzheimer’s)
  • Socialize
Balance and Strength - Easy to follow exercise. Video posted by Clare5792


 
Exercise and Parkinson's - A Neuroscientist discovers a mysterious connection between our hands and legs.
  • Exercise your left brain - These Brain stimulation techniques will assist in strengthening the weak side of the brain and serve to lessen the effects of tremors and weakness due to Parkinson's disease, if done with diligence and consistency.
Do the QiGong exercise each day that you feel comfortable. If need be these exercises can be done sitting down.
 

Qigong exercise for the symptoms of Parkinson's disease: a randomized, controlled pilot study. Schmitz-Hübsch T, Pyfer D, Kielwein K, Fimmers R, Klockgether T, Wüllner U. Department of Neurology, University of Bonn, Germany.

Ask your Doctor if Exercise is right for you. Ask him about Ibuprofen (Alzheimer’s) and Vitamin DLifestyle changes that may be helpful: 
Good nutrition
  • Try to buy organic food, limit your red meat and products that have hormones 
  • Eat foods high in antioxidants: blueberries, nuts, green tea, strawberries 
  • Enhance your immune function 
  • Avoid pesticides  
  • Aluminum - Avoid taking products that contain aluminum: some anti-acid medicine and some tomato sauce products contain aluminum. Also avoid deodorant with aluminum. 
  • Start with small changes in your diet. Try it for a couple of weeks and see how you feel.
  • Make a menu of plant based diet. 
  • Go organic if possible, avoid red meat and  
  • Avoid stress; stress can lead to shrinkage of the memory centers of the brain
Exercise 
  • Exercise will help you with stress, increase flexibility, strength, calmer lifestyle, energizes your life and body conditioning 
  • Laugh - not only helps you with stress, but it is a fact that after you laugh, your stress hormone cortisol lowers. Also, it changes your body chemistry and lowers the risk of heart attack 
  • Exercise several times per day with rest periods in between. Combine exercise with meditation: Yoga or T’ai Chi 
  • Go dancing every week 
  • Flexibility - Stretch 
  • Balance - Teach your brain you are not going to fall by doing simple exercises 
  • Open the Joints 
  • Exercise your Lungs   
QiGong 
  • Play Music: Music stimulates your mind and relaxes your body. Vibration is important in our lives. 
  • Sing: vocal exercises improve speech and helps swallowing
Keep Memory Skills 
  • Pay attention 
  • Make a diary, write a to-do list, have a schedule 
  • Repeat, visualize, associate 
  • Travel - Do you know that using a map helps you? 
  • Visit museums and art galleries. Pay attention to the little details in the paintings. Look at the different colors. Make up a story of what the artist tried to represent 
  • Learn to do one thing at a time; don’t multitask 
  • Learn to use the computer; write your biography 
  • Meditate: start slow if you’ve never done it. Increment your time or do it twice a day. By learning to meditate you will learn to regulate the breath. 
  • Physical therapy, speech therapy (if necessary), and occupational therapy 
  • Learn a new skill; new language, new word, read, do crossword puzzles, take a class, learn to play an instrument 
  • Do something creative: paint, draw, build, find a new hobby 
  • Place railings in commonly used areas of the house (Parkinson’s - Alzheimer’s) 
  • Special eating utensils (Parkinson’s - Alzheimer’s) 
  • Socialize 
  • Read the "Importance of Vibration" under the QiGong section. Try to learn piano, use a keyboard, any musical instrument will do.Use music everyday at all time.
Medical Applications of QiGong- Keneth M. Sancier - PhD - Therapeutic Balancing of the Meridians and Functions of the Body, Examples of Medical application, combinations of Qigong and drugs versus drug therapy alone and studies.
Qigong exercise for the symptoms of Parkinson's disease: a randomized, controlled pilot study.  Department of Neurology, University of Bonn, Germany.

Articles to download:
  1. Stretching and Strengthening - Should be done on top of bed or on the floor before starting your day: View
  2. Siting, Standing, Neck, Shoulders, Rotation, Hip Flexor, Heart Rate Exercises View


Kegel Exercise

The Kegel Exercise was named after Dr. Kegel and consists of contracting and relaxing the muscles of the pelvic floor to improve muscle tone. It may be beneficial in treating incontinence in both men and woman and control. For men it is used for treating prostate pain and swelling.
          Mayo Clinic Kegel Woman
          Mayo Clinic Kegel Men

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