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What course of action can be taken for Parkinson's disease when diagnosed with dystonia?

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Posted on Thu, 8 Apr 2021
Question: My Dad is suffering from parkinson diseases from the last 10 yrs. He has dystonia. He is bending towards his right side. Lately he loses balance and has a fall. This causes problems as he injures himself. Can you suggest the right course of action? Any stick you suggest which we can give him that will prevent him from having a fall?
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Answered by Dr. Sudhir Kumar (2 hours later)
Brief Answer:
DBS surgery would be the best option.

Detailed Answer:
Hi,

Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.

I have noted your father's symptoms, and he seems to be having motor fluctuations leading to dyskinesia/dystonia. At this stage, deep brain stimulation (DBS) surgery is the best option. In this surgery, a small "pacemaker-like" device is implanted in the brain.

If it is not possible, then, we need to adjust the dose of his medications (however, it may not be of too much help).

Physiotherapy should be continued. Walking stick or a walker can definitely help in preventing falls.

I sincerely hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,     
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sudhir Kumar (1 hour later)
what kind of walker stick would you suggest Doc? Can you send me link to the image of the stick? Usually people who have dystonia, is there any kind o special stick which is used?

Also the surgery you have suggested? How much does it cost? what are the chances of a successful surgery?
doctor
Answered by Dr. Sudhir Kumar (2 hours later)
Brief Answer:
Surgery costs about 9 to 10 lacs rupees.

Detailed Answer:
Thank you for getting back. There is no special walking stick for people with dystonia. He can use any walking stick with which he is comfortable. Regarding the surgery we need to evaluate him to decide whether he is a successful candidate or not. Once found to be fit and suitable for surgery, it works in most people. The approximate cost of the surgeey will be about 9 to 10 lacs XXXXXXX rupees.

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6224 Questions

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What course of action can be taken for Parkinson's disease when diagnosed with dystonia?

Brief Answer: DBS surgery would be the best option. Detailed Answer: Hi, Thank you for posting your query. I am Dr Sudhir Kumar, Neurologist, and would try my best to help you. I have noted your father's symptoms, and he seems to be having motor fluctuations leading to dyskinesia/dystonia. At this stage, deep brain stimulation (DBS) surgery is the best option. In this surgery, a small "pacemaker-like" device is implanted in the brain. If it is not possible, then, we need to adjust the dose of his medications (however, it may not be of too much help). Physiotherapy should be continued. Walking stick or a walker can definitely help in preventing falls. I sincerely hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/