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 […]

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 […]

Video killed the blog star.

Well, as we know radio is still around and so will be this blog. I have made some educational videos, mostly to promote conditions that I see in my White Plains, NY part-time neurology practice as well as in my regular practice in Norwalk, Connecticut. So far topics are:  Migraine, Parkinson’s Disease, and Stroke. They can be seen […]

Promising treatment for refractory tremor.

Tremor is a common neurologic complaint and can basically come from two diagnoses:  Parkinson’s disease and essential tremor.  Parkinson’s tremor usually affects the hands and is typically present at rest rather than during use of the hand.  The tremor from Parkinson’s can affect the chin and is accompanied by the other symptoms and signs of […]

Parkinson’s Disease and Falls

I always tell my patients with Parkinson’s disease that they can be reassured that the disease progresses very slowly, allowing for time to adapt to new symptoms and adjust medications to minimize disability.  Unless there is a fall.  At that point, things can change fast, especially if there is a broken bone, head injury, or […]

Stand up more to improve Parkinsons symptoms.

My Apple Watch registers each time I stand up and if I make it through the day standing at least once an hour, it beeps to congratulate me. It turns out that in people with Parkinsons disease, just getting up regularly through the day and doing some non-strenuous activity may help improve motor skills more […]

Vascular risk factors and Parkinson’s Disease

Parkinson’s disease is known for its motor-skill manifestations including tremor, muscle rigidity, and bradykinesia (medical terminology for slowness of movement.)  But another major feature of Parkinson’s disease that is more disabling and more difficult to control is gait instability with risk of falls.  Fall risk and the later development of cognitive decline from Parkinson’s disease […]