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Your donation is greatly appreciated and will help our programs continue to pursue excellence in medicine and provide superior patient care to the community. She always gave the right instructions and medications. But, as important, she helped us to learn how we could live with this disease and still enjoy our life. We are now in his 14 year and living in Fl.

Long Island Parkinson's Movement Disorders Expert David L. Kreitzman

She's the best. She consistently deonstrates real care and concern. Thanks to her, through her timing of medication changes, has led a reasonably normal life. And she always sends me off with at least one backup plan in case planA didn't work. Patient Care. Patient Portal. Get Directions. Our Healthcare Providers. Ataxia describes a lack of muscle coordination during voluntary movements, such as walking or picking up objects. A sign of an underlying condition, ataxia can affect your movements, your speech, your eye movements and your ability to swallow. Functional Movement Disorders FMD are common conditions characterized by abnormal control of movement due to miscommunications in the central nervous system.

Patients affected by FMD can experience tremor, jerking movement, abnormal body posturing, gait and speech problems and often complain of fatigue and difficulties with concentration and thinking. FMD can be triggered by psychological or physical stress and trauma and is a potentially reversible condition. Our clinic offers comprehensive evaluation of FMD patients in a multidisciplinary team and rehabilitation services.

The key to determining the most effective treatment plan is to complete a comprehensive evaluation to understand the individualized needs of each patient. Medications can help you manage problems with walking, movement and tremors. Over time, however, the benefits of drugs frequently diminish or become less consistent, although symptoms usually can continue to be fairly well controlled. The key is constant monitoring and testing to ensure that the proper medications at the most appropriate level are administered to the patient.

Exercise can help improve gait, balance, tremor, flexibility, grip strength and motor coordination in people with Parkinson's disease and other movement disorders. Our team can help patients connect with personal trainers and physical therapists who specialize in Parkinson's disease and movement disorders.

Adrian Pellegrini and case manager, Diane Stretz-Thurmond. The clinic is held Tuesday mornings each month. In deep brain stimulation DBS , surgeons implant electrodes into a specific part of your brain.


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The electrodes are connected to a generator implanted in your chest near your collarbone that sends electrical pulses to your brain and may reduce your Parkinson's disease or tremor symptoms. Learn more about deep brain stimulation. Through clinical trials, some patients can access experimental treatments that are not otherwise available. As a result, additional support is offered including:.

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Management of Parkinson’s Disease 20 Years from Now: Towards Digital Health Pathways

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Physicians in this practice may not see patients at all locations listed below. For details, please call the appointment line for the location you are interested in visiting. Our Louisville neurologists are researchers and professors in the University of Louisville School of Medicine. They are dedicated to not just being on the cutting edge, but defining the cutting edge in treatment for our patients. For more information or to make an appointment, call Clinical Trials. UofL Physicians complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex including discrimination based on pregnancy, gender identity and sex stereotyping when providing or administering health-related insurance or other health-related coverage.

Click here to view the full nondiscrimination notice. Skip to main content. Huntington's disease and other choreic illnesses Huntington's disease is an inherited disease that causes the progressive breakdown of nerve cells in the brain. Gilles de la Tourette syndrome and other tic-related illnesses Tourette syndrome is a nervous system disorder that starts in childhood. Dystonia In dystonia, your muscles contract involuntarily — causing uncontrollable repetitive or twisting movements of the affected body part.

Tremor Tremor is an unintentional, involuntary movement that and can affect the hands, arms, head, face, voice, trunk, and legs. Myoclonus Myoclonus refers to a quick, involuntary muscle jerk. Ataxia Ataxia describes a lack of muscle coordination during voluntary movements, such as walking or picking up objects.

Examination: The neurologic examination includes an assessment of cognition thinking and memory , movement, sensation, gait and balance. Manual motor testing: Patients are asked to perform motor tasks, such as tapping their index fingers to their thumbs repetitively. Videotaping: Diagnosing movement disorders relies heavily on the presence of certain movements that are assessed visually.

Videotaping the movement helps with diagnosis and is an important part of the clinical record. Neuropsychological testing: Changes in cognition and behavior are common in most movement disorders. A neuropsychologist conducts a series of paper and pencil tests to evaluate these functions. This may include some of the following tests: MRI and CT scans PET positron emission tomography scans Electrophysiological tests such as electroencephalogram EEG and electromyogram DaTSCAN: A new test that measures dopamine in the brain and can be used to distinguish Parkinson's disease and parkinsonism from essential tremorLaboratory studies: These can be helpful in the evaluation of movement disorders.

Medications Medications can help you manage problems with walking, movement and tremors. Exercise and Physical Therapy Exercise can help improve gait, balance, tremor, flexibility, grip strength and motor coordination in people with Parkinson's disease and other movement disorders.

Surgical Procedures Deep brain stimulation In deep brain stimulation DBS , surgeons implant electrodes into a specific part of your brain. As a result, additional support is offered including: Written and verbal information about the disease.