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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Parkinsonism And Cervical Spinal Stenosis

What kind of treatment regimen do you recommend for someone dually diagnosed with Parkinsonism and severe central cervical spinal stenosis? I was diagnosed with PD about the same time as I had a posterior laminectomy for the stenosis about five years ago. Now I am having some movement problems with initiating movements to the side and backwards, some significant balance problems when moving backwards and some voice problems (my neck has been stiff since the surgery).
Mon, 18 Apr 2016
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Neurologist, Surgical,  's  Response
Hi,
I am Dr.Bruno and Let me answer your query.

All the symptoms you have said
1. movement problems with initiating movements to the side and backwards, 2. balance problems when moving backwards and
3. voice problems
4. Neck has been stiff since the surgery.

Can be due to PD itself

So, I would suggest you to first get your PD Treated.
Please take the necessary drugs for at least six months and see whether the symptoms are decreasing.

If there are any problems persisting after six months, we can attribute them to Cervical Spine

If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
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Suggest Treatment For Parkinsonism And Cervical Spinal Stenosis

Hi, I am Dr.Bruno and Let me answer your query. All the symptoms you have said 1. movement problems with initiating movements to the side and backwards, 2. balance problems when moving backwards and 3. voice problems 4. Neck has been stiff since the surgery. Can be due to PD itself So, I would suggest you to first get your PD Treated. Please take the necessary drugs for at least six months and see whether the symptoms are decreasing. If there are any problems persisting after six months, we can attribute them to Cervical Spine If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.