Movement Disorders

Parkinson's Disease & Tremor Care

Clinical management of Parkinson's disease, essential tremors, gait instability, and dystonias in Delhi NCR.

What is Parkinson's Disease?

Parkinson's disease is a progressive neurodegenerative disorder that primarily affects movement. It occurs when nerve cells in a specific region of the brain (substantia nigra) degrade and stop producing dopamine, a chemical vital for smooth muscle coordination. Symptoms develop gradually, often starting with a slight resting tremor in one hand, progressing to rigidity, slow movement (bradykinesia), and walking difficulties.

Common Symptoms of Parkinson's

Tremor: A shaking, usually starting in a limb, often in the hand or fingers at rest (pill-rolling tremor).
Slowed Movement (Bradykinesia): Over time, movement slows, making simple daily tasks difficult and time-consuming.
Rigid Muscles: Muscle stiffness occurring in any part of the body, limiting range of motion and causing pain.
Impaired Posture & Balance: Postural instability leading to frequent falls and a characteristic shuffling gait.

Our Medical Management & Optimizations

While there is no cure, medications can significantly control motor symptoms. Dr. Rajneesh Kummar specializes in advanced motor control strategies:

Dopaminergic Therapy Customization

We specialize in tailoring Levodopa/Carbidopa and dopamine agonists to reduce motor fluctuations. We focus on managing the 'wearing-off' phenomenon, where the dose effect fades before the next is scheduled, and managing dyskinesias (involuntary writhing movements).

Therapeutic Botox Injections

We administer targeted botulinum toxin injections for focal movement symptoms, including blepharospasm (involuntary eyelid closing), hemifacial spasm, and focal dystonias.

Deep Brain Stimulation (DBS) Selection

For advanced patients whose motor fluctuations are no longer manageable with oral drugs, we evaluate suitability for Deep Brain Stimulation (DBS) surgery. This includes performing Off/On motor testing to verify stimulation responsiveness.

DBS Surgery Patient Guide

Preparing for Deep Brain Stimulation surgery? Read our detailed step-by-step patient checklist.

Read DBS Patient Guide