Common problems in surgical treatment of Parkinson’s disease

From the current clinical experience of Parkinson’s disease, once the disease is diagnosed, the first choice should be drug treatment, in order to supplement the lack of dopamine in patients, patients need lifelong medication. Generally speaking, the disease can be better controlled by drugs in the early stage. When Parkinson’s disease progresses to about 3-5 years, the efficacy of drugs will decline, and the side effects of drugs will also appear, such as dyskinesia and switch phenomena, such as uncontrolled twisting of limbs after taking drugs, like dancing, or long-term medication, the symptoms of patients are like an invisible switch in operation. Sudden stiffness of the whole body, involuntary movement and even difficulty in moving often occur.

Which patients with Parkinson’s disease are not suitable for surgery?

Elderly patients, usually over 80 years old, are generally not recommended for surgery; however, if the patient’s physical quality is good, the age of surgery can also be relaxed appropriately. For patients with dementia and mental disorders, surgery is not recommended because it does not improve symptoms; for patients with severe heart disease, pulmonary heart disease or coagulation dysfunction of blood system diseases, the risk of surgery will increase, and surgery is not recommended.

Do patients with

Parkinson’s disease need to take medicine after surgery?

Surgery is not a radical treatment, most patients still need to take medicine after surgery, a small number of patients with mild symptoms before surgery, after surgery can almost stop the medicine, but with the development of the disease or to take medicine. Brain pacemakers are usually turned on one month after surgery, and the original dosage of most patients can be reduced, but the reduction of 1/3 or 1/2 depends on the patient’s condition.

Will the effect of

Parkinson’s disease patients gradually deteriorate after surgery?

Because Parkinson’s disease is a progressive disease, with the extension of time, whether it is medication or surgery, the effect will decline. At this time, the patient’s brain pacemaker parameters can be adjusted, combined with drug adjustment and treatment, and then achieve better results.

Do patients with

Parkinson’s disease need rehabilitation treatment after surgery?

Rehabilitation exercises can be done before and after surgery, which can help move joints, stretch limbs and exercise balance ability. When the wound recovers after surgery, rehabilitation exercises can begin, but the amount of exercise for each patient should vary from person to person. Overwork is not good for Parkinson’s disease patients, so it is necessary to gradually increase the amount of exercise before surgery.