Learning About and Living with Parkinson's Disease
Michael J. Fox's highly publicized advocacy of Parkinson's research, along with high profile cases of the disease such as those of Muhammad Ali and former U.S. Attorney General Janet Reno, has brought Parkinson's disease to the forefront of the American consciousness. More than one million Americans are affected by this debilitating condition, and there's currently no cure. Use this guide to find information, both basic and advanced, on Parkinson's disease and the ongoing effort to cure it.
Most people associate Parkinson's disease with its most perceptible symptom, muscle tremors. This symptom, along with muscle rigidity, weakness, and impaired balance, coordination, and movement, result from the degeneration of dopamine-producing brain cells. Visit the sites in this section for a more detailed description of the causes and symptoms of Parkinson's, along with overviews of how it's diagnosed and treated.
- If you're searching for information on Parkinson's disease, two trusted methods for finding reliable information, courtesy of the findingDulcinea Health Guide, are to use health-specific search engines and to go directly to the most trusted general health sites (which undoubtedly have articles on Parkinson's). MammaHealth.com, Healia.com, and HealthFinder.gov are examples of health search engines, and the Mayo Clinic, WebMD, and eMedicineHealth.com are examples of general health information portals.
- The overviews in this section are all similar in structure, but bring different degrees of depth, technicality, and coverage to their articles on what Parkinson's disease is.
- While reading online, you may encounter "Parkinson's disease" written as "Parkinson disease" (as in the case of the National Parkinson Foundation and the American Parkinson Disease Association). This is an alternate, seldom used style referring to the same disease.
For overviews ...
MedlinePlus
's "Medical Encyclopedia" is a good starting place for those with little or no understanding of Parkinson's disease. The article is brief but addresses all the major issues relating to what Parkinson's is, including its causes, symptoms, risk factors, tests, and treatments.
The Mayo Clinic
's overview of Parkinson's disease has the same basic outline as MedlinePlus's (and as you'll see, there are certain topics, such as causes, symptoms, and treatments, that are always covered), but is much more thorough in its explanations. There is also information on self-care, when to seek medical advice, and coping.
We Move
, a nonprofit organization working to increase awareness for movement disorders, has a slightly more technical overview of Parkinson's than the Mayo Clinic, incorporating discussions of genetics, the substantia nigra in PD, drugs and treatment decision-making, and the types of surgery used to treat it.
The Michael J. Fox Foundation for Parkinson's Research
has an information section that's broken into three parts: "About Parkinson's," "For Patients and Caregivers," and "Additional Resources." In the "About" section is a useful FAQ that gives an overview of the disease. The highlight of this site is the "Guide for the Newly Diagnosed," found in the "Patients and Caregivers" section. This guide walks you through the practical life issues, answering questions like, "Will PD affect my sex life?" and "Will PD affect my ability to work?"
For children ...
KidsHealth.org
has an overview of Parkinson's disease aimed toward a young audience. The description is simple and straightforward, and uses examples children can relate to, such as a fictional relationship between Maggie, a young girl, and her piano teacher Mrs. Barton, whose right hand Maggie noticed is always shaking.
According to the National Institute of Neurological Disorders and Stroke, genetic mutations, environmental exposures, and poor cell protein disposal could all be causes of Parkinson's. By understanding what makes the dopamine-producing brain cells in the substantia nigra region of the brain die, scientists will be able to more effectively treat the condition. There are currently no diagnostic tests for Parkinson's disease, and a diagnosis is based on a neurological exam and an evaluation of the patient's medical history.
- Because the cause of Parkinson's disease is unknown, there is continual research in this area. Web sites that cover Parkinson's are updated with varying frequency, so your best bet for finding information on the most recent developments can be found in Parkinson's research journals, and in the progress reports released by Parkinson's research foundations. You'll find these in the "News, Blogs, and Research on Parkinson's" and "Parkinson's Organizations" sections of this guide, respectively.
- If you or a loved one displays the symptoms of Parkinson's disease, contact your doctor and leave the diagnosing to a trained health professional.
For causes ...
Mayo Clinic
has a succinct introduction to the causes of Parkinson's disease, highlighting genetic and environmental factors, and also including a brief discussion of the fact that certain medications can cause symptoms of Parkinson's, if taken for long periods of time or in certain dosages. (These symptoms disappear when the drugs are stopped.)
For diagnosis ...
WebMD
's "Parkinson's Guide" has a section, "Exams and Tests," that overviews the procedures used by doctors when diagnosing Parkinson's disease. Although unfamiliar terms within the text are highlighted and link to deeper descriptions, this is just an overview, and isn't for someone interested in an extensive or thorough explanation.
The University of Maryland Medical Center
has an introduction to diagnosing Parkinson's disease that features expanded information on testing, and why it is so difficult to accurately diagnose Parkinson's.
For information on neurological exams ...
The Neurology Channel
has an overview of neurological exams. It provides short descriptions for how the exams test mental status, cranial nerves, motor system, sensory system, deep tendon reflexes, coordination, and gait. As you're reading, note the advertisements inserted into the text, and don't mistake them for original content.
Healthline
's page on neurological exams gives a very in-depth discussion of the various parts of the exam, particularly the examinations of mental status and cranial nerves. The page is not specific to Parkinson's but is a very useful resource if you want to know in detail what the exam will entail.
Presently, there is no cure for Parkinson's disease, and its treatments seek only to alleviate its symptoms. In this section we provide links to Web sites with information on the various medications administered to patients, and on other types of treatment, such as physical therapy, improved nutrition, mental health counseling, and even surgery.
- Clinics, hospitals, and research centers that work with patients suffering from Parkinson's disease often have informative Web sites that provide prospective patients with supplemental information. These organizations, like the University of Maryland Parkinson's Disease and Movement Disorders Center, generally have sections outlining the available treatment options.
- Though there are many treatment options, there is currently no known cure for Parkinson's disease. The National Parkinson Foundation has information on living with the disease.
For treatments ...
The National Parkinson Foundation
's overview of the treatment options available for those suffering from Parkinson's disease is the essential starting point for anyone new to the subject. After beginning with a summary of the treatment options, it moves on to discuss medications, protective treatments ("neuroprotective therapies" to stop or delay the disease's progression), experimental treatments, and surgical treatments. Each topic is given thorough coverage.
WebMD
's "Treatment and Care" section covers seven primary areas: there's a treatment overview, information on home treatment, medications, surgery, other treatments, Parkinson's and diet, and Parkinson's and exercise. The subsections are extensive, informative, and filled with links to additional information.
MedlinePlus
has the premier directory of Parkinson's disease links on the Web. By drawing from organizations such as the National Parkinson Foundation, We Move, National Institute of Neurological Disorders and Stroke, the Cleveland Clinic, and the Parkinson's Disease Foundation, MedlinePlus brings together some of the best information on the Web. The "Treatment" section features info on deep brain stimulation, gamma knife treatment, medication, the Neupro patch, and more. In addition, MedlinePlus offers links to resources for "Alternative Therapy," "Nutrition," and "Disease Management."
For clinical trials ...
PDtrials.org
has a listing of Parkinson's disease clinical trials. The site gives detailed information for those interested in clinical trials, including the length of time commitment, frequency of doctor's visits, and age criteria. In addition to this comprehensive listing of the trials currently enrolling new candidates, PDtrials has a running list of Parkinson's clinical trials news headlines, located towards the bottom of the homepage.
A number of organizations are working to accelerate the search for a cure to Parkinson's disease, increase public awareness of the disease, advocate on behalf of patients and caregivers, and improve the quality of life of those who have the disease. In this section we'll direct you to the Web sites operated by these organizations so you can learn about the disease and the work these groups are doing.
- Because these organizations are actively engaged in furthering public awareness and education of Parkinson's disease, their Web sites are excellent sources of information on the disease.
- In addition to information on the disease itself, you can use these sites to learn about programs, events, and research sponsored by these organizations.
- If you're interested in donating to a Parkinson's disease research fund, you can learn how on any of these sites. By evaluating the work they have done, and exploring how your money would be used, you can select the organization that's right for you.
The Parkinson's Disease Foundation
has a particularly comprehensive body of information on its Web site. The "About Parkinson's" section has a great overview of the disease; the "Research" area provides a thorough breakdown of the various research programs currently being employed with Foundation funds; the "Ask the Expert" section features an expert response to a different user-submitted question each week, plus a compilation of frequently asked questions.
National Institute of Neurological Disorders and Stroke
is a branch of the National Institutes of Health. Beyond explanations of what the disease is and how it's treated, the Parkinson's disease page has a list of publications, links to clinical trials, news, and research literature.
National Parkinson Foundation
's mission is threefold: to find the cause of and cure for Parkinson's disease, to improve the lives of those with the disease and their caregivers, and to increase awareness by educating the public on the disease. At the site you can learn about NPF programs and events, read their publications, and learn all about the disease. Perhaps of particular interest is the section "Discussion Corner Forums," message boards where you address your questions to a doctor, a dietician, a surgical team, or a speech clinician. "Ask The Doctor" is also available in Spanish.
The Young Parkinson's Information and Referral Center
is a branch of the American Parkinson Disease Association aimed at children and young adults with the disease. Here you'll find information on understanding the disease, coping with the disease, finding support, and much more.
The American Parkinson Disease Association
serves those suffering from Parkinson's disease and their caregivers by enhancing research efforts, patient and caregiver support, and education. On the site you can learn how to get involved, and access a variety of the organization's publication.
The Parkinson Research Foundation
has plentiful information about Parkinson's disease and other motor disorders on its site. Use the navigation bar on the left side of the page to access Parkinson's Q&As, journals, articles, an encyclopedia, glossary, and much more. Take note that after you click on a link in the navigation bar, you need to scroll down to see the page-pages load below the visible section of the homepage.
Parkinson's Action Network
is a Parkinson's advocacy organization. Use this site to learn about the legislative impact of the organization and to access a variety of Parkinson's information resources. Here you may be able to find more information about
stem cell research than on other sites, because PAN advocates for freedom in stem cell research.
With advocacy groups raising significant amounts of money and accelerating research (the Michael J. Fox Foundation has "funded or directed more than $95 million in research," for example), there are regular newsworthy developments in issues related to funding, research, and treatment. In this section we'll offer advice on finding the latest headlines.
- To find news stories on Parkinson's disease you have a few options. First, try doing a search for "Parkinson's Disease" on Topix.net. Topix is a search engine that only indexes news stories. Second, visit HealthDay.com and run a similar search using the "Keyword" bar on the right side of the page. In both cases, you will be directed to a results page containing a list of the most recent news stories containing references to Parkinson's.
- Always useful as supplements to straight news are blogs. Because blogs offer commentary on and interpretation of the news by both health professionals and patients, you can gain a deeper understanding of the implications of, say, an experimental breakthrough or a new treatment. Blogs are also written in a style that's more personal, colorful, and informal, which in a sense puts a voice behind the news.
- A good place to find pamphlets, brochures, newsletters, and annual reports are on the Web sites of Parkinson's disease research and advocacy organizations. These sites are included in the "What are some organizations focused on Parkinson's disease?" section of this guide. Look for a "publications" link in each site's navigation bar.
For newsletters ...
The Parkinson's Disease Foundation
has a quarterly newsletter that contains Parkinson's news briefs, a spotlight on PDF-funded research, legislative developments, selections from the Parkinson's mailbag and more. The newsletter can be downloaded and read electronically, or you can have it delivered free of charge to your home.
For research articles ...
PubMed
is a service of the National Institutes of Health. Included are more than 15 million citations from biomedical journal articles dating back to the 1950s. To locate articles that deal with Parkinson's disease, simply enter the term "Parkinson's" in the search bar at the top. Results are sortable by date of publication, author, title, and journal.
For brochures and pamphlets ...
The Parkinson's Disease Foundation
has a variety of other educational materials for the eager readers of the Web. The pamphlets here are freely downloadable, or you can request that they send you a copy in the mail. The brochures deal with a variety of issues, including how to handle a new diagnosis, what the Web's best resources for Parkinson's are, and a Parkinson's question-and-answer sheet.
For blogs ...
The ParkinsonsDiseaseBlogNetwork
is the central location for blogs written by Parkinson's patients and their caregivers. Sort blog posts by date, category, rating, popularity, and traffic using the drop-down menu in the "Our Blog Community" section. The "Must-See Blogging" section showcases a different Parkinson's blog each month.
For the sufferers of Parkinson's disease and their caregivers, support and encouragement from family and friends is invaluable. Yet meeting with others who have experience with the disease affords a unique type of support, one that can be given only by a person who understands what you or your loved one is going through. Use this section to connect with Parkinson's disease support communities.
- With respect to finding support, the Internet can be used in two distinct ways. First, it can be an efficient, effective resource for locating local support groups that offer a very personal, face-to-face experience, and are run by national foundations. Second, the Web can be used to find support of an online variety. Through discussion groups and blogs you can interact with others who understand what you are going through.
- Use caution when taking advice on message boards, as there is no guarantee of credibility.
The National Parkinson Foundation
has a database for finding support groups. On this page you'll find an explanation of why you or a loved one might benefit from contact with a support community. A link at the center of the page takes you to the database, where you can search for the closest of roughly 900 support groups nationwide.
The Yahoo
group People Living With Parkinson's is an online support community based around an active
message board. Nonmembers can read posts, but to post your own message and join the group, you'll need a Yahoo account. Accounts are free, and can be obtained by using a link on the left side of the page.
We Move
has a Parkinson's disease discussion forum. Unlike the Yahoo groups forum, which features extremely active discussion, this forum is almost out of use. It is still valuable, however, because old posts can be browsed and read, and some contain useful information.
The Parkinson's Disease Society
is a British organization with 300 branches and groups throughout the United Kingdom. Use this page to locate your local chapter.
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