Friday, August 14, 2009

Melatonin

nonymous
Posted: Wed Aug 12, 2009 7:54 pm Post subject: melatonin

Is the use of a otc sleep aid containing melatonin harmful to a person with Parkinsons?Back to top


Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Thu Aug 13, 2009 5:35 pm Post subject:

I am not aware of this being harmful. I also do not think this is the best sleep aid in PD. Make sure you report this to your doctor and get a specific sleep disorder diagnosis and have he/she tailor the therapy. Some people say melatonin is good for jet-lag!_________________Michael S. Okun, M.D.

Friday, August 7, 2009

NPF Discussion:denture and excess saliva

People with dentures have excess saliva as dentures are foreign substances in the mouth and the mouth produces excess saliva as a reaction perhaps treating the dentures as food


Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Fri Aug 07, 2009 3:35 pm Post subject:

Thanks for the comment. Also remember botox and anticholinergics can dry you up but may also lead to cavities!_________________Michael S. Okun, M.D.

There are complaint by the parkinson's patient to the doctor the drooling saliva and dentures
Therefore Movement disorder specialist deal with medication to minimise the effect of saliva on the patient.
They classified the excess of saliva is the slow saliva swallowing by PD neither the cause the saliva on dentures
The dentist classified the saliva developing dentures slippery and loose is a gap develop between the denture and the gummy ridge.

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Therefore the denture may need repeated relines. Shrinkage of the bone and gums can be minimized or prevented with a proven technique

Dr. Okun



Joined: 19 Jan 2007
Posts: 251
Location: University of Florida

PostPosted: Sun Aug 09, 2009 8:39 pm Post subject: Reply with quote

Thanks for the added comment.
_________________
Michael S. Okun, M.D.

Wednesday, August 5, 2009

Are they difference?

Anonymous






PostPosted: Tue Aug 04, 2009 5:30 am Post subject: Leg freezingReply with quote

Are there differences?


Does Up/down stair or cycling cause leg freezing?

Does Sitting, walking and standing cause leg freezing?

Kindly elaborate
Back to top


Dr. Okun



Joined: 19 Jan 2007
Posts: 251
Location: University of Florida

PostPosted: Tue Aug 04, 2009 8:58 pm Post subject: Reply with quote

There is no rhyme or reason why some people freeze and some people do not? Why some people respond to cueing and some do not? Why some people's freezing responds to meds and some does not?

These are million dollar questions and we need more research to unlock their answers.

One potential answer is that PD is not one disease, and that there are many causes and variations....I know not very satisfying!
_________________
Michael S. Okun, M.D.

Saturday, August 1, 2009

symptoms of Leg freezing

Parkinson patients experience symptoms of freezing as follows

l. stop suddenly while walking

2. beginning to initiate walking and unable to move forward

3. stuck to the ground but the body still wants to move on

4. doing activities:

stepping off after rising from sitting,beginning to speak; when raising
a cup to drink; or starting to get out of bed.

Freezing, which is often preceded by frequent
and small shuffling steps (festination), can also
lead to problems with balance. This increases
the risk of falling and makes freezing a
potential dangerous symptom of Parkinson’s.