Effective Approaches to Managing Parkinson’s-Related Involuntary Movements

Strategies for Managing Parkinson’s-Related Involuntary Movements

Parkinson’s disease exhibits a range of motor and non-motor symptoms, including rigidity, tremors, cognitive issues, stiffness, and anxiety. While medications have advanced, they often lead to side effects. It’s important to distinguish between Parkinson’s and dyskinesia—the latter being a side effect characterized by rapid, uncontrolled movements affecting the arms, legs, and upper body. Not everyone experiences dyskinesia, but for some, it can significantly disrupt daily life.

Fortunately, various treatment strategies can help mitigate dyskinesia symptoms. These include adjusting Parkinson’s medication or introducing new medicines aimed at reducing abnormal movements. Consulting with an experienced specialist is crucial for effective management, often requiring frequent visits.

Reducing the dosage of Levodopa, a common contributor to dyskinesia, under medical supervision can be beneficial. However, abrupt cessation should be avoided, and your doctor’s guidance is essential. Avoid medications like Entacapone, which may worsen dyskinesia. In severe cases, switching to a Sinemet-only regimen or lowering its dose may be recommended. For some, liquid Sinemet provides relief, and Amantadine might be added to suppress symptoms.

Deep brain stimulation (DBS) surgery is another option for patients with long-standing Parkinson’s, significant dyskinesia, and medication resistance. DBS can alleviate motor symptoms and prevent dyskinesia, improving tremors, stiffness, and walking difficulties. Infusions such as LCIG (Levodopa/carbidopa gel) or CSAI (continuous apomorphine infusion) are alternative treatments.

Choosing the right treatment approach requires consulting a specialist who can evaluate potential benefits and side effects. Personalized care plans can significantly improve quality of life for those battling Parkinson’s-related involuntary movements.