What is Parkinson's Disease?

Parkinson's disease is a progressive neurodegenerative disorder affecting dopamine-producing neurons in a specific area of the brain called the substantia nigra. It primarily impacts movement, balance, and coordination.

Common Movement Disorders

• Parkinson's Disease & Parkinsonism: Tremor, rigidity, bradykinesia, and gait instability.
• Essential Tremor: Action tremor primarily affecting hands during activities like writing or holding a cup.
• Dystonia: Involuntary sustained muscle contractions causing abnormal postures or repetitive movements.
• Chorea & Ataxia: Irregular involuntary movements and balance disorders.

Cardinal Symptoms of Parkinson's

• Tremor: Rest tremor, often starting in one hand ('pill-rolling' tremor)
• Bradykinesia: Slowness of voluntary movement, difficulty getting up from a chair
• Rigidity: Muscle stiffness and restricted range of motion
• Postural Instability: Balance impairment leading to frequent falls
• Soft voice (hypophonia), reduced facial expressions (masked facies), and micrographia (small handwriting)

Comprehensive Management

Dr. Rajni Fulwariya provides tailored pharmacological optimization (Levodopa/Carbidopa, Dopamine Agonists), Botox injections for focal dystonias and spasticity, and guidance on exercise, physical therapy, and lifestyle adjustments.