Parkinson’s disease

Parkinsons’s disease - a chronic degenerative disorder of the central nervous system normally affecting elderly patients - needs an individualized and stage-adapted medical treatment. Starting with “unspecific” symptoms, like muscle pain in the shoulder, fatigue, depressive symptoms, constipation and/or sleep disorders. The more typical motor symptoms like shaking (tremor), stiffness (rigor) and slowness of movements (akinesia) occur within the course of the disease. In the late stages additional psychiatric symptoms may develop including dementia. One important goal of the medicinal therapy is to increase the concentration of the neurotransmitter dopamine in the brain. Different antiparkinson medications are therefore available (L-dopa+ carbidopa, dopamine agonists like piribedil, pramipexol, ropinirol etc.). In later stages of the disease other medicinal products may be needed to treat the non-motor symptoms. In some patients further treatment options, like deep brain stimulation, continuous administration of L-dopa or the dopamine Agonist apomorphine with pump systems may be needed in advanced disease . The treatment of parkinsons disease is very complex and needs a lot of experience. Additional supportive measures like physiotherapy, nutrition counselling, physical or speech therapy and many others are important factors and have to be included for a successfull treatment.