Nellol: Slow steps, soft voice, a shaky hand – these signs are often seen as part of aging. But they are probably the earliest whispers of Parkinson’s disease, a progressive neurological condition that affects movement, balance, and overall quality of life.
“Parkinson didn’t explode, it wouldn’t announce its arrival.
Due to the depletion of dopamine (the chemical that coordinates the body’s movement), Parkinson manifests itself through tremors, stiffness, slowness, imbalance and subtle changes in handwriting or speech. Typically, non-motor symptoms, such as depression, constipation, sleep problems, and cognitive changes, precede several years of diagnosis.
“Early discovery is everything, it opens the door to better treatment outcomes and helps patients stay independent for longer,” Dr. Menon stressed.
Treatment is lifelong and multidisciplinary, involving medications for restoring dopamine levels, physical therapy, speech and occupational therapy. In some cases, surgical options are available, such as deep brain stimulation (DBS). Even a lack of a dose of the drug can lead to a period of “fatigue and immobility”.
For patients with advanced Parkinson’s disease, atetinophenine has become an important treatment option after experiencing severe movement fluctuations or sudden “off” periods when routine medications stop working. This effective dopamine agonist is quickly relieved by small injections under the skin. Alternatively, by continuous infusion, it provides consistent symptom control.
This medication is beneficial for those who are not eligible or unwilling to have brain surgery like DBs. Additionally, since daily injections are usually required, it may not be suitable for everyone.
Parkinson’s management depends on strong emotional and family support. Dr. Menon stressed: “Families are the backbone and their power of silence helps fight every day.” She further advocates a healthy diet, adequate hydration and mental health.
Although there are no known ways to prevent Parkinson’s disease, studies have shown that a healthy lifestyle may reduce risks. Regular physical exercise can enhance exercise, mood and brain function. Mediterranean Diet – Dietary fresh produce, whole grains, beans, omega-rich foods and antioxidants – can prevent neurodegeneration.
Environmental exposure also plays a role. Toxins such as toxins (such as paraquatic acid), heavy metals (lead/copper/nickel), and industrial pollutants in air and water are associated with an increased risk of Parkinson’s disease.
To support patients and caregivers, Dr. Menon launched the Nellore chapter of the Parkinson’s Disease and Movement Disorders Association (PDMDS), offering more than 350 free online courses focused on education, therapy and emotional support.
“Parkinson’s disease may not be cured, but with awareness, care and community, it’s absolutely manageable.”
