Siraj Mithoowani

You may find some of the advice below helpful if you have been diagnosed with Parkinson’s disease. Parkinson’s disease is the most common type of parkinsonism, but there are also some rarer types where a specific cause can be identified. Special brain scans, such as a single photon emission computed tomography (SPECT) scan, may also be carried out in some cases to try to rule out other causes of your symptoms. Your GP will talk to you about the problems you’re experiencing and may ask you to perform some simple mental or physical tasks, such as moving or walking around, to help with the diagnosis.

Symptoms

  • Much progress has been made in the treatment of Parkinson’s disease as the result of clinical trials, where new treatments and treatment combinations are compared with standard ones.
  • You might be offered a device to wear at home that monitors your symptoms.
  • They can help you work out practical solutions and ensure your home is safe and properly set up for you.
  • Although surgery does not cure Parkinson’s disease, it can ease the symptoms for some people.
  • Many people respond well to treatment and only experience mild to moderate disability, whereas the minority may not respond as well and can, in time, become more severely disabled.
  • If you’re newly diagnosed or your symptoms are mild, you could try vigorous activities like team sports, cycling and running.

Consultant-led clinics are held in all the acute hospitals in the county. The clinics see new referrals to the Movement Disorder and Parkinson’s service as well as ongoing follow up of people with Parkinsonian conditions. You may see a Consultant, a Junior Doctor or a Parkinson’s Clinical Nurse Specialist in these clinics.

hours per week on referral management and get their patients

Parkinson’s disease is a condition in which parts of the brain become progressively damaged over many years.
There’s currently no cure for Parkinson’s disease, but treatments are available to help relieve the symptoms and maintain your quality of life. Complex Parkinson’s disease is defined as the stage when treatment is unable to consistently control symptoms, or the person has developed uncontrollable jerky movements (disabling dyskinesia). Although there’s currently no cure for Parkinson’s disease, treatments are available to help reduce the main symptoms and maintain quality of life for as long as possible.

Parkinson’s Community Clinical Nurse Specialists

  • A care plan should be agreed with your healthcare team and your family or carers.
  • Dopamine agonists act as a substitute for dopamine in the brain and have a similar but milder effect compared with levodopa.
  • We produce a wide range of leaflets which provide information about our services and about the treatment you might receive in our clinics or during your stay in hospital.
  • You may find it hard to cope financially if you do have to stop work or work part-time because of your condition.
  • Consultant-led clinics are held in all the acute hospitals in the county.
  • The number of people diagnosed with Parkinson’s in the UK is about 145,000.
  • You cantalk to others about your experiences of Parkinson’s on the Parkinson’s UK community forum.

Many complementary treatments and therapies claim to ease the symptoms of Parkinson’s disease. Most people with Parkinson’s disease are treated with medication, although a type of surgery called deep brain stimulation is used in some cases. You may want to consider talking to your family and care team in advance about where you’d like to be treated and what care you wish to receive. When there’s no cure for an illness, palliative care tries to alleviate symptoms, and is also aimed at making the end of a person’s life as comfortable as possible. You’ll be asked to complete a form providing more information about your condition, as well as details of your doctors and specialists.
“Parkinsonism” is the umbrella term used to describe the symptoms of tremors, muscle rigidity and slowness of movement. This means the part of the brain controlling movement cannot work as well as normal, causing movements to become slow and abnormal. If these nerve cells die or become damaged, the amount of dopamine in the brain is reduced. Parkinson’s UK brings people with Parkinson’s, their carers and families together through a network of local groups, as well as online resources and a confidential helpline. In the early stages, your GP may find it difficult to say whether you definitely have the condition because symptoms are usually mild. Your GP will ask about your symptoms and your medical history to help them decide whether it’s necessary to refer you to a specialist for further tests.

Referral to a specialist

If you’re prescribed levodopa, the initial dose is usually very small and will be gradually increased until it takes effect. These medications stop the levodopa being broken down in the bloodstream before it has a chance to get to the brain. Increasing the levels of dopamine using levodopa usually improves movement problems.

Supportive therapies

The Parkinson’s Nurse Specialist cares for patients and their carers who are affected by the condition. They can assist people with Parkinson’s and their carers to improve quality of life by linking them to the appropriate care services and therapies. Parkinson’s Nurse Specialists can liaise with the GP, the consultant and any other health care professional regarding a person’s individual needs. Parkinson’s is a progressive neurological condition caused by the loss of nerve cells in the brain and other parts of the nervous system.
You can also read more about working and supporting someone’s health or care on GOV.UK. #Helpushelpyou by ordering and collecting repeat prescriptions in advance. If you have run out of prescribed medication, use our Accessing Medicines Guide. They increase awareness of Parkinson’s through education and training of fellow professionals. Our Team is also available to provide information and education about Parkinson’s medications.
Many people with the condition keep working for years after their diagnosis. You cantalk to others about your experiences of Parkinson’s on the Parkinson’s UK community forum. Spouses, partners or carers will inevitably feel anxious or frustrated as well. If your symptoms are complex or progressing, you can try less strenuous activities such as walking, or simple stretching and strengthening exercises. Everyone’s experience of living with Parkinson’s is different, but there are lots of issues and challenges shared by many people living with the condition.

If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician. Dr. Hamid Mithu Mithoowani is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in London, ON, he serves the surrounding communities with a patient-centered approach. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe, ethical, and evidence-based care for all patients.
But some can be harmful and should not be used instead of the medicines prescribed by your doctor. Both selegiline and rasagiline can improve the symptoms of Parkinson’s disease, although their effects are small compared with levodopa. As Parkinson’s disease progresses, you’ll be invited to discuss the care you want with your healthcare team as you near the end of your life. Parkinson’s disease is caused by a loss of nerve cells in part of the brain called the substantia nigra.
His clinical philosophy is grounded in an evidence-based and informative approach, prioritizing thorough assessments, individualized treatment plans, and patient education. Committed to the health and well-being of his patients in London, Dr. Mithoowani speaks English fluently and strives to foster clear communication and trust in his patient relationships. If you are admitted to hospital for any reason, please (where possible) make sure you take a list of your medication, including the doses and the SpinyBet times you take your tablets, to the hospital with you. Some people with Parkinson’s disease find complementary therapies help them feel better. All clinical trials in the UK are carefully overseen to ensure they’re worthwhile and safely conducted. Participants in clinical trials sometimes do better overall than those in routine care.

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