How to slow Parkinson’s and avoid dyskinesia in the elderly?

Question

Hello doctor,

I am 66 years old and was diagnosed with early-stage Parkinson’s disease last year. I have been taking Carbidopa-Levodopa, which has helped reduce my stiffness. However, I am concerned about potential long-term side effects like dyskinesia.

Are there better treatment options that can slow the progression of the disease? Also, does regular exercise or physiotherapy truly make a significant difference at this stage? Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Parkinson’s disease (a progressive brain disorder that affects movement, causing symptoms like tremors, stiffness, and slowed movements) is quite effective in relieving symptoms such as stiffness and slowness of movement. However, it is natural to be concerned about long-term side effects like dyskinesia (having shaky or jerky body movements that one cannot control). This is why a comprehensive approach to treatment is essential.

Regular exercise and physiotherapy (a treatment that uses exercises and movements to help improve strength, balance, and movement after illness or injury) play a crucial role in the overall management of Parkinson’s disease, especially in the early stages. Studies have shown that consistent physical activity can help reduce motor symptoms such as rigidity and bradykinesia (slowness of movement). Moreover, exercise may also provide cognitive benefits, improving areas like attention and working memory.

Physiotherapy, especially when followed for six months or more, has been found to significantly improve motor functions. It can also reduce the need for higher doses of antiparkinsonian medications in patients with mild to moderate disease.

We strongly recommend regular follow-up with your neurologist to monitor disease progression and fine-tune your treatment plan. With a personalized combination of medication, physical activity, and professional support, you can maintain a better quality of life.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.