Down Dog it, Migraine Warrior!

We need all the angles we can come up with to fight against migraines, especially when they are frequent and hard to treat. In a study from researchers in India called Effect of yoga as add-on therapy in migraine (CONTAIN): A randomized clinical trial, subjects with migraine and 4-13 headache days per month were randomized […]

Stay one step ahead of Parkinson’s disease.

Parkinson’s disease, a degenerative condition of the brain, affects about 1% of people over the age of 60. The symptoms range from a mild non-disabling tremor to more troublesome symptoms like slowness, troubles with motor movements and troubles with balance leading to falls. It’s known that there are some prodromal – or early – symptoms […]

We’re all a little sick.

One of my mentors in neurology at Yale was making a point to me as we were struggling to figure out how to help an intractable headache patient in clinic one day. Literally nothing helped this person. No standard treatment made any difference. All her tests were normal and she appeared totally normal, yet had […]

Who needs a migraine after surgery?

For those with migraine, the presence of many potential triggers can be a daily minefield.  There are avoidable triggers (certain foods, drinks, activities or habits) and there are unavoidable triggers (menstrual cycle, weather or external stress.)  It’s pretty obvious that something like surgery could be a migraine trigger.  Really any physiologic disruption can trip the […]

Why older folks should go to camp.

A quick search of summer camp options in my area reveals daytime or sleep away camps with activities including the following:  nature exploration, musical theater, rock music performance, fencing, robotics, cartooning, rocket space science, sailing, circus arts, computer coding, zoo veterinarian shadowing, architecture, to name only a few.  And that doesn’t even include all the […]

News reports of the death of aspirin are exaggerated.

Late last year a number of news reports seemed to say the aspirin doesn’t work to improve health or prevent adverse health events.  Like the one linked above, these stories presented the truth about aspirin based on several studies published in the New England Journal of Medicine.  But the headline that too many people heard or […]

Cognition by numbers

Here’s some numbers for you. In a study called Exercise for cognitive brain health in aging: A systematic review for an evaluation of dose, researchers performed what is called a meta-analysis of many studies on exercise and cognitive decline to see if they could determine a “dose” of exercise that is required to make a difference.  They […]

Sleep and cognition

It goes without saying that sleep is important.  Some people need more than others and the rare person can perform well mentally on low amounts of sleep routinely.  (I envy those people!) Recently, two articles looked at sleep and cognition.  The first was called Sleep and cognitive decline: A prospective nondemented elderly cohort study, and looked […]

Demoralization in Parksinson’s Disease

Demoralization is a psychological state characterized by helplessness, hopelessness and a sense of failure.  It often but not always goes along with depression.  We know that depression is common in people with Parksinson’s disease, as with other chronic disabling conditions.  A recent article finds the not surprising fact that people with Parkinson’s often also have […]

Laser shoes for Parkinsons gait freezing.

One of the more difficult issues to deal with in folks with Parkinsons disease is gait freezing.  That’s where the person stands in one place unable to start walking.  The first movement of a foot off the ground just won’t happen.  It can be quite disabling and, as I’ve seen in my waiting room many […]