Parkinson’s Disease rehabilitation plays a crucial role in helping individuals maintain mobility, independence, and confidence in daily life. At Plexus, we offer a personalized, multi-disciplinary approach—combining physiotherapy, occupational therapy, speech therapy, and lifestyle guidance—to address each patient’s unique needs.
Let’s Understand Parkinson’s
Parkinson’s disease (PD) is the degeneration of the basal ganglia. Over a period of time, the neurons in the brain start to malfunction and eventually stop working altogether.
As the disease progresses, it affects movement and gait, and can lead to psychological symptoms such as paranoia or hallucinations.
At Plexus, our Parkinson’s rehabilitation plan combines evidence-based therapies designed to address the full spectrum of symptoms—physical, cognitive, and emotional. Our key services include:
- Regenerative Rehabilitation Therapy – Utilizes autologous mesenchymal cells to repair and protect nerve function to slow disease progression and improve motor control.
- Occupational Therapy – Builds skills for everyday tasks, promotes independence, and adapts activities to changing abilities.
- Physiotherapy – Enhances strength, balance, and flexibility to reduce fall risk and improve gait.
- Speech and Language Therapy – Improves clarity of speech, voice projection, and swallowing function.
What Is a Tremor?
A tremor is the uncontrollable and unintended shaking that affects a body part. It is one of the main symptoms of Parkinson’s, and is also the most common.
The tremor usually begins with your thumb and index finger shaking in a manner that looks like you are trying to roll a pill.
As your condition advances, the tremors begin to affect other limbs and body parts too. Tremors can even be felt/seen in the jawline.
The tremor in PD is commonly referred to as Parkinsonian tremor. A typical Parkinsonian tremor occurs mostly when the body is at rest. It is known as resting tremor. For example, the patient’s hand may shake while they’re seated. However, this tremor is visibly less when the same patient stretches out their hand to shake hands with another person. The tremor also lessens when asleep, or when the particular body part is actively in use.
While most Parkinsonian tremors are resting tremors, there are instances where the patient may even experience the action tremor or essential tremor. These tremors occur when the body is in motion. For instance, while moving the hand to the face.
What differentiates the Parkinsonian tremor from other tremors (symptoms of other diseases) are:
- They are rhythmic in nature: slow and continuous; there are no random tics, sudden jerks, etc.
- They start as asymmetric tremors: experienced only in one side of the body in the initial stages, but they can spread to both sides of the body as the disease advances
Body Parts Affected By Parkinsonian Tremor
Parkinsonian tremors can typically be felt in five main body parts:
Hands
This tremor is the pill-rolling action of the thumb and index finger.
Foot
This tremor is most likely to happen when your foot is at rest (while sitting/lying down); appears like your whole leg is shaking. Foot tremors while walking may be indicative of another condition.
Jaw
When experiencing these tremors, the patient looks like they’re shivering. These can also make dentures shift or fall out because of the continuous chatter. Chewing lessens the tremors in the jaws significantly. So, chewing gum may help once in a while.
Tongue
A rare tremor, a tongue tremor can cause your entire head to shake.
Internal
Some patients with Parkinson’s feel a shaking sensation in their chest or abdomen. This tremor is not visible from the outside.
Causes of Parkinsonian tremor
Dopamine is a neurotransmitter that plays an important role in motor control, cognitive abilities, motivation, arousal of pleasure, etc. It is often touted as the feel good hormone. Since PD interferes with the brain’s ability to produce dopamine, patients experience problems in movement and coordination.
Rigidity, slowness of movement, balance issues, gait, and even tremors in PD are a result of low dopamine levels.
Stress, fatigue, and rest inhibitors like caffeine can adversely affect the tremors making them more pronounced.
Diagnosis
To diagnose Parkinsonian tremor involves observing the patient and their symptoms, and also ruling out other plausible causes of the tremor.
The tremors are usually identified while making a Parkinson’s diagnosis.
Managing Tremor and Other Parkinson’s Symptoms
The first course of treatment for PD is prescribing dopaminergic medications to help restore (to some extent) the brain’s ability to produce dopamine. Levodopa is the most commonly prescribed medication to manage PD symptoms, including Parkinsonian tremors.
If the patient does not respond well to Levodopa, other dopamine agonists may be prescribed to manage PD symptoms.
Autologous mesenchymal cells transplantation uses cells to treat several motor neuron diseases, slowing the rate of degeneration caused by MND, Parkinson’s and other illnesses. This regenerative treatment is becoming more and more popular in the field of neurorehabilitation.
Why Choose Plexus for Parkinson’s Care in India
Founded by Dr. Na’eem Sadiq, India’s best Parkinson’s neurologist, Plexus is India’s first ISO-Certified Cell Research Center. Cell Therapy has proved to be extremely beneficial in the treatment and care of patients with PD.
Autologous mesenchymal cells are injected directly into the basal ganglia. These injected cells have the potential to develop into dopamine-secreting neurons thereby slowing down the progression of Parkinson’s, reducing the severity of Parkinsonian tremors, and giving the individual with a fighting chance to not let the disease get the better of them.
At Plexus, we use only autologous mesenchymal cells taken from the patient’s own body. As India’s leading Cell specialists, we assure you of a safe treatment with absolutely no adverse effects.
Book an appointment today.
Call +91 89048 42087 | 080-2546 0886
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FAQs
What are the 3 hallmark signs of Parkinson’s?
Tremor, muscle stiffness, and slower movements are the three most common telltale signs of Parkinson’s.
What is the difference between essential tremors and Parkinson’s tremors?
Essential tremors are those felt while the body is in motion. Parkinson’s tremors are experienced when the body is in resting mode, like lying down, sitting, etc.
Is Parkinson’s treatable?
Though chronic, the progression of Parkinson’s disease can be slowed down by managing its symptoms. Medication, exercise, regenerative therapy, etc. contribute towards slowing down the rate of progression of the disease.
What helps with Parkinson’s tremors?
Dopaminergic medication (levodopa), dopamine agonists, anticholinergic medication (that inhibit secretion of acetylcholine) help with Parkinson’s tremors.
Where do Parkinson’s tremors start?
The Parkinsonian tremor usually begins with your thumb and index finger shaking in a manner that looks like you are trying to roll a pill.
How do doctors diagnose Parkinson’s?
A neurologist will make a Parkinson’s diagnosis based on
The patient’s medical history
Type and extent of the patient’s symptoms
A Parkinson’s diagnosis can only be made after other diseases with similar symptoms are ruled out.
What is the new treatment for Parkinson’s?
Regenerative treatments like Cell Therapy are the newest prognosis plans for Parkinson’s. Autologous mesenchymal cells are injected directly into the basal ganglia. These injected cells have the potential to develop into dopamine-secreting neurons thereby slowing down the progression of Parkinson’s, reducing the severity of Parkinsonian tremors, and giving the individual with a fighting chance to not let the disease get the better of them.
How long does Parkinson’s last?
Patients with Parkinson’s have gone to live for 20+ years after the diagnosis.
Can you live a normal life with tremors?
While tremors are not dangerous per se, they can make certain kinds of situations hazardous for the patient. For instance, driving may be risky for a patient with Parkinson’s. However, with the right treatment to manage the symptoms of Parkinson’s, patients are able to lead normal lives.
About the Author
Dr. Na’eem Sadiq
Medical Director of Plexus
Dr. Na’eem Sadiq is a globally recognized neurologist and neuropsychiatrist, renowned for his contributions to the treatment of complex neurological disorders. He founded Plexus in 2011 with a mission to enhance the quality of life for patients living with neurological conditions.
With over 35 years of clinical experience, Dr. Sadiq is considered a leading expert in the field. His internationally acclaimed research spans key topics such as Demyelinating Polyneuropathy, Multiple Sclerosis, Epilepsy, and Migraine, positioning him at the forefront of neurological care worldwide.
