{"id":36023,"date":"2016-01-22T04:59:13","date_gmt":"2016-01-22T04:59:13","guid":{"rendered":"http:\/\/www.richmondneurology.com.au\/dem\/?page_id=36023"},"modified":"2025-02-21T14:05:04","modified_gmt":"2025-02-21T04:05:04","slug":"advanced-parkinsons-therapies","status":"publish","type":"page","link":"http:\/\/www.richmondneurology.com.au\/?page_id=36023","title":{"rendered":"Advanced Parkinson&#8217;s Therapies"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_btn title=&#8221;Now taking new Appointments&#8221; style=&#8221;3d&#8221; color=&#8221;sky&#8221; size=&#8221;lg&#8221; align=&#8221;center&#8221; css_animation=&#8221;bounceIn&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:http%3A%2F%2Fwww.richmondneurology.com.au%2F%3Fpage_id%3D35973|title:Contact%20Us&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text]The first area focused upon by doctors treating Parkinson\u2019s disease is replacing brain\u00a0dopamine, a neurotransmitter that controls and coordinates movement. Parkinson\u2019s\u00a0disease destroys the cells in the brain that create dopamine. As levels of the chemical\u00a0fall, the body is unable to move and function as it once did. Falling dopamine levels\u00a0translate to increasing movement impairment<\/p>\n<p>The most commonly prescribed treatments for Parkinson\u2019s disease seek to stimulate\u00a0dopamine receptors and relieve the symptoms caused by the decline in the\u00a0neurotransmitter dopamine. However, over time, these medications become less\u00a0efficient, and medication side-effects may further compound the motor symptoms of\u00a0the disease<\/p>\n<p>At Richmond Neurology, we offer the most up-to-date evaluation of Parkinson&#8217;s\u00a0symptoms and medication effects and offer treatment with the full range of advanced\u00a0therapies the disease, including:<\/p>\n<ul>\n<li>Deep brain stimulation<\/li>\n<li>Apomine continuous infusion<\/li>\n<li>Duodopa<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_empty_space height=&#8221;10px&#8221;][vc_column_text]<img decoding=\"async\" class=\"size-full wp-image-36026 aligncenter\" src=\"http:\/\/www.richmondneurology.com.au\/wp-content\/uploads\/2016\/01\/neuron-226x167.jpg\" alt=\"neuron-226x167\" width=\"260\" height=\"auto\" \/>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]<strong>Deep brain stimulation for the management of Parkinson&#8217;s, Tremor disorders and Dystonia<\/strong><br \/>\n<a href=\"http:\/\/www.youtube.com\/watch?v=abHuHFt_izI\" target=\"_blank\" rel=\"noopener\">Deep brain stimulation<\/a> is a cutting edge surgical procedure used to treat a range of conditions\u00a0including:<\/p>\n<ul>\n<li>the symptoms of Parkinson&#8217;s disease such as tremor, rigidity, stiffness, slowed movement,\u00a0and walking problems<\/li>\n<li>tremor disorders including essential tremor<\/li>\n<li>Dystonia (a disorder of abnormal muscular contractions)<\/li>\n<li>Obsessive Compulsive Disorder<\/li>\n<\/ul>\n<p>Before the procedure, a neurosurgeon uses magnetic resonance imaging (MRI) or computed\u00a0tomography (CT) scanning to identify and locate the exact target within the brain where\u00a0electrical nerve signals generate the PD symptoms. Brain targets can include thalamus,\u00a0subthalamic nucleus, and globus pallidus<\/p>\n<p>Once the system is in place, electrical impulses are sent from the neurostimulator, usually\u00a0implanted under the skin of the chest wall, up along the extension wire and the lead and into\u00a0the brain. These impulses interfere with and block the electrical signals that cause PD\u00a0symptoms[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_empty_space height=&#8221;10px&#8221;][vc_column_text]<img decoding=\"async\" class=\"size-medium wp-image-36027 aligncenter\" src=\"http:\/\/www.richmondneurology.com.au\/wp-content\/uploads\/2016\/01\/dbs2-303x259-300x256.jpg\" alt=\"dbs2-303x259\" width=\"260\" srcset=\"http:\/\/www.richmondneurology.com.au\/wp-content\/uploads\/2016\/01\/dbs2-303x259-300x256.jpg 300w, http:\/\/www.richmondneurology.com.au\/wp-content\/uploads\/2016\/01\/dbs2-303x259.jpg 303w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]<strong>Apomine Continous Infusion Therapy<\/strong><br \/>\nApomorphine is a highly effective and powerful anti-Parkinson drug that belongs to a group of drugs known as &#8220;<a href=\"http:\/\/en.wikipedia.org\/wiki\/Dopamine_agonist\" target=\"_blank\" rel=\"noopener\">dopamine agonists<\/a>&#8221;<\/p>\n<p>The infusion is given via a small needle placed\u00a0under the skin to provide constant levels of\u00a0medication through the entire day<\/p>\n<p>It benefits patients who experience &#8220;on-off&#8221;\u00a0fluctuations despite their oral tablets and can\u00a0reduce troublesome medication related\u00a0abnormal involuntary movements (<a href=\"http:\/\/en.wikipedia.org\/wiki\/Dyskinesia\" target=\"_blank\" rel=\"noopener\">dyskinesias<\/a>)[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_empty_space height=&#8221;10px&#8221;][vc_column_text]<img decoding=\"async\" class=\"alignnone size-medium wp-image-36028\" src=\"http:\/\/www.richmondneurology.com.au\/wp-content\/uploads\/2016\/01\/apo-369x170-300x138.jpg\" alt=\"apo-369x170\" width=\"260\" srcset=\"http:\/\/www.richmondneurology.com.au\/wp-content\/uploads\/2016\/01\/apo-369x170-300x138.jpg 300w, http:\/\/www.richmondneurology.com.au\/wp-content\/uploads\/2016\/01\/apo-369x170.jpg 369w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]<strong>Duodopa<\/strong><br \/>\n<a href=\"http:\/\/www.richmondneurology.com.au\/wp-content\/uploads\/2016\/02\/Duodopa_Everyday_Screen_111111.pdf\" target=\"_blank\" rel=\"noopener\">Duodopa<\/a> is a new means of delivering the current gold-standard of PD treatment via a pump directly into the small intestine<\/p>\n<p>Patients can experience dramatic improvements in<br \/>\nmedication on time with this novel system.[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_empty_space height=&#8221;10px&#8221;][vc_column_text]<img decoding=\"async\" class=\"alignnone size-full wp-image-36029\" src=\"http:\/\/www.richmondneurology.com.au\/wp-content\/uploads\/2016\/01\/Duodopa-pump-264x187.jpg\" alt=\"Duodopa-pump-264x187\" width=\"260\" \/>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_btn title=&#8221;Now taking new Appointments&#8221; style=&#8221;3d&#8221; color=&#8221;sky&#8221; size=&#8221;lg&#8221; align=&#8221;center&#8221; css_animation=&#8221;bounceIn&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:http%3A%2F%2Fwww.richmondneurology.com.au%2F%3Fpage_id%3D35973|title:Contact%20Us&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text]The first area focused upon by doctors treating Parkinson\u2019s disease is replacing brain\u00a0dopamine, a neurotransmitter that controls and coordinates movement. Parkinson\u2019s\u00a0disease destroys the cells in the brain that create dopamine. As levels of the chemical\u00a0fall, the body is unable to move and&hellip;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-36023","page","type-page","status-publish","hentry","description-off"],"_links":{"self":[{"href":"http:\/\/www.richmondneurology.com.au\/index.php?rest_route=\/wp\/v2\/pages\/36023","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.richmondneurology.com.au\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.richmondneurology.com.au\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.richmondneurology.com.au\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/www.richmondneurology.com.au\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=36023"}],"version-history":[{"count":29,"href":"http:\/\/www.richmondneurology.com.au\/index.php?rest_route=\/wp\/v2\/pages\/36023\/revisions"}],"predecessor-version":[{"id":36248,"href":"http:\/\/www.richmondneurology.com.au\/index.php?rest_route=\/wp\/v2\/pages\/36023\/revisions\/36248"}],"wp:attachment":[{"href":"http:\/\/www.richmondneurology.com.au\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=36023"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}