Per 1,000 people, one-to-two will develop Parkinson’s Disease. Even though there is currently no cure for Parkinson’s, our patients see great improvements in slowing down the progression, reducing tremors, improving balance, and improving memory. Early diagnosis and intervention is the key to successful outcomes.
Signs and Symptoms
Patients with Parkinson’s disease often suffer from symptoms including the loss of smell, constipation, frozen shoulder, resting tremor, slowness of movement, rigidity, balance problems, gait problems and reduced facial expression. These symptoms, which often appear gradually and with increasing severity over time, are usually what is first noticed. Typically, symptoms begin on one side of the body and migrate over time to the other side.
What Is Parkinson’s Disease?
Parkinson’s disease is a disorder of the central nervous system that results from the loss of cells in various parts of the brain, including a region called the substantia nigra. The substantia nigra cells produce dopamine, a chemical messenger responsible for transmitting signals within the brain that allow for coordination of movement. Dopamine-generating cells, known as dopaminergic neurons (types of nerve cells) in the substantia nigra part of the brain stop working.
Loss of dopamine causes neurons to fire without normal control, leaving patients less able to direct or control their movement. Parkinson’s disease is one of several diseases categorized by clinicians as movement disorders. Parkinson’s disease is a progressive chronic degenerative disease. Even though there is currently no cure for Parkinson’s, our patients see great improvements in slowing down the progression, reducing tremors, improving balance, and improving memory. Early diagnosis and intervention is the key to successful outcomes.
Our Approach to Diagnostics and Testing
Revive utilizes research-based diagnostics to evaluate function in specific areas of the brain. Looking at eye movements, motor function, sensory function, cranial nerves, cognitive function, balance, and gait. This information allows us to better understand what areas are affected so we can develop a treatment plan that targets those regions and networks to make them stronger and more efficient. These tests include eye movements, motor function analysis, physical exam, cognitive ability and balance.
- The VGN or testing of eye movement gives us a representation of the function of eye muscles, cranial nerves, brainstem nuclei, cerebellum and cortical regions. By measuring things like gaze stabilization, smooth pursuits, saccades, and optogenetics it helps us to differentiate the areas of weakness.
- Motor function analysis enables us to see the strength, tone, and coordination of the movement of muscle groups so we can better understand the regions and networks of involvement. Networks that are utilized in movement are the coordination of movement involve the frontal lobes, parietal lobes, and the cerebellum.
- In our office, the physical examination is focused on not only finding definitive signs of functional deficits but also catching the subtle changes which give us greater insight into the physiology and function (these findings are often considered irrelevant or ‘within normal limits’ in most conventional clinical settings).
- Cognitive testing is utilized as a baseline marker to measure and monitor patient outcomes. These quantifiable tests validate results in many different avenues. Our testing encompasses depression screening, anxiety screening, verbal memory, psychomotor speed, processing speed, simple attention, and motor speed.
- Balance test or vestibular testing gives us an insight into the function of networks that are needed for standing, walking, even riding in a car. We look at the three main factors of balance (Vestibular, proprioception, and vision) both together and individually to isolate the areas of involvement.
Our Approach to Care
At Revive we specialize in providing treatment to the neurological regions affected by Parkinson’s. Your treatment can include balance, gait, and eye training; as well as hand-eye coordination, repetitive transcranial magnetic stimulation (rTMS), hyperbaric oxygen, diet, and supplements.
We offer a unique process that is built to maximize time and results. To reach your personal healthcare goals, it is imperative that your physicians and care providers precisely know your individual story and desires. Your individual goals are the focal point of the comprehensive treatment plan which is based off your exam, diagnostics, and lab results.
Beyond the neurological system, there are many factors that can impact the presentation of Parkinson’s: the immune system, diet, sleep, and stress (to list a few). By integrating knowledge of the brain and influence of these factors, we are able to be very specific with targeted therapies which create lasting neurological changes. Your treatment plan is designed specifically for you and is not a protocol.
This plan is executed over 5-10 days. Patients see measurable improvement during their time in our office and continue to make gains once they leave. To help ensure success on your journey of healing, we create and define a plan for you when you go home. This plan may include sourcing local specialist for a safe and effective continuum of care. Our goal is to see each patient continue to build upon the initial results they achieved in our office.
Research on our treatments