Your doctor will usually be your first point of contact and they may be able to help by adjusting your medication. They could also refer you to a doctor who specialises in movement disorders.
In some countries there are Parkinson’s Disease Nurse Specialists or health professionals who specialise in neurology who will be able to monitor your medication and liaise with your doctor about your progress. You may also be referred to a physiotherapist, occupational therapist or speech and language therapist, but this will depend on the country in which you live, the resources available, and your individual needs. As each country is different it is hard to be specific but the following broadly outlines the help you will be likely to receive:
- a physiotherapist will be able to advise on exercises to maintain or improve both mobility and the range of movement in your muscles and joints. They will also give you strategies to perform daily activities in a more effective way, for example how to roll in bed or get up from a chair
- an occupational therapist or physiotherapist will be able to advise on devices and aids to help you in your everyday life. An occupational therapist will also be able to assist with making changes to your routine to help you to stay mobile and independent
- a speech therapist can teach you facial exercises to help you with speech and communication.
Referral procedures to see a specialist will vary from country to country; you could be referred by your doctor or you might be able to make an appointment privately.
Rigidity also tends to respond well to medication, for example levodopa. However, as with all Parkinson’s medications, what works for one person may not work for another. Be prepared for your doctor to try several approaches to see what works best for you.
But, as with all medications, always check with your healthcare professional before altering any of your medications.
