How long does the course of Parkinson's disease usually last?

Written by Zhou Yan
Geriatrics
Updated on January 26, 2025
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The course of Parkinson's disease generally lasts for how long? Parkinson's disease, also known as shaking palsy, is a common neurodegenerative disease, and the age at onset varies. For early-onset Parkinson's disease, it generally starts around age 40 to 50, while late-onset Parkinson's disease generally starts after age 50. As age gradually increases, the course of Parkinson's disease is generally about 20 to 40 years. Once diagnosed with Parkinson's disease, it is a lifelong condition. This disease is incurable, and can only be managed through medications, surgical treatments, physical rehabilitation, and psychological therapies to improve or control symptoms, but it cannot be cured. Therefore, once diagnosed with Parkinson's disease, the disease is lifelong.

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Written by Zhang Hui
Neurology
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Early symptoms of Parkinson's disease.

Parkinson's disease is a relatively common degenerative disease in the elderly, primarily causing the death of dopamine neurons in the substantia nigra of the midbrain, leading to corresponding clinical manifestations. Research has confirmed that other systems may also be damaged in the early stages of Parkinson's disease symptoms. The early symptoms may primarily include: First, patients experience persistent constipation, which is a very important early symptom of Parkinson's disease. Second, some patients may experience sleep disturbances, mainly characterized by tossing and turning, shouting out loud during sleep, without being aware of it. Additionally, some patients in the early stages may also experience a reduced sense of smell, constipation, cognitive impairment, and other clinical manifestations. There are also some early motor symptoms, mainly that the patient becomes clumsy and inflexible in the movements of one side of the body. These are the early symptoms of Parkinson's disease.

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Written by Zhang Hui
Neurology
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What is needed to diagnose Parkinson's disease?

The definitive diagnosis of Parkinson's disease primarily relies on the patient's medical history, clinical manifestations, and a thorough physical examination by a neurologist. If the onset of the disease is very slow, presenting with symptoms such as bradykinesia and tremors, and the neurologist observes heightened muscle tone and slow movements during the examination, a high suspicion of this disease is warranted. Additionally, certain auxiliary tests are necessary, commonly including: First, testing the patient's sense of smell is crucial, as a reduced sense of smell is very important in diagnosing Parkinson's disease. Second, some brain MRI scans are needed mainly to exclude some secondary Parkinson's syndromes. Third, a brain PET-CT scan can be performed to examine the functionality of the striatum. Furthermore, an ultrasound of the substantia nigra in the midbrain can also be conducted, which holds significant value in assisting the diagnosis.

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Written by Zhou Yan
Geriatrics
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What is the best way to exercise for Parkinson's disease?

Patients with Parkinson's disease should undergo comprehensive treatment and full management. Drug treatment is the core treatment plan, but it is also necessary to include physical rehabilitation and psychological therapy. For physical therapy, patients should be encouraged to exercise more, as this can help improve symptoms and slow the progression of the disease. The type and intensity of exercise should be chosen based on the patient's motor symptoms. Tai Chi, jogging, brisk walking, and aerobics are all suitable forms of exercise, and it is advisable to exercise four times a week, with each session lasting about 30 minutes. Evidence has shown that Tai Chi can improve patients' balance disorders, and long-term persistence in exercise can help improve their quality of life.

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Written by Zhou Yan
Geriatrics
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The causes of Parkinson's disease

Parkinson's disease, also known as tremor paralysis, is a common neurodegenerative disorder. The cause of Parkinson's disease is not yet clear, but it may be related to several factors, such as aging, genetics, and environmental factors. Since Parkinson's disease is the result of multiple factors, including abnormal protein aggregation, oxidative stress, mitochondrial damage, inflammation, and excitotoxicity of glutamate, these elements lead to the loss of dopaminergic neurons in the substantia nigra of the midbrain and a reduction in dopamine neurotransmitters in the striatum. This ultimately results in the patient's bradykinesia, muscle rigidity, and resting tremor.

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Written by Zhou Yan
Geriatrics
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What should be avoided in the diet for Parkinson's disease?

For patients with Parkinson's disease, we advocate comprehensive treatment and full-course management. Drug treatment is the core treatment method, while surgical treatment can supplement drug therapy. Physical rehabilitation and psychological therapy should also be conducted. What should patients with Parkinson's disease avoid eating? Generally, patients with Parkinson's disease are prone to constipation. Therefore, we should avoid consuming spicy and greasy foods that may lead to constipation, and try to eat vegetables and fruits to keep the bowel movements regular.