Recognize Myotoniathe Core Symptom Of Parkinson's

Mar 01, 2022

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Parkinson's disease is one of the common neurodegenerative diseases in middle-aged and elderly people. On average, there is one Parkinson's disease patient in every 100 elderly people. It is mainly characterized by resting tremor, bradykinesia, rigidity, and postural gait disturbance. Due to similar symptoms, from the perspective of daily consultation and clinical treatment, some elderly people have symptoms such as hunched over, stiff joints, numbness of limbs, and low back pain, which are often misdiagnosed as cervical spondylosis or lumbar spondylosis. In fact, these are also Parkinson's diseases. Typical symptoms.



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The hunched back, or slowness of movement, caused by Parkinson's disease is caused by lesions in the brain. Originally Parkinson's disease is not scary, because people's understanding of the disease is not enough, causing many elderly people to fail to seek medical treatment and receive treatment in time in the early stage, miss the best time for treatment, and lead to aggravation of the disease. Some patients did not receive treatment until they gradually lost their ability to live, eventually bedridden for a long time, unable to take care of themselves, and brought a heavy burden to their families.


For Parkinson's disease, in addition to being highly vigilant about the details of life, family members should also observe carefully at ordinary times. For example, the phenomenon of stooping and hunchback is most obvious when the patient is sitting or walking; the patient is often accompanied by "small steps" and "walking faster and faster, walking forward and unable to stop". At this time, if someone suddenly stops the patient, the patient will easily fall. Even if he does not fall, he still needs to walk a few steps to turn around. When walking, the height of the patient's feet is inconsistent, and the arms swing is very unnatural. , or even disappear; daily activities are affected, clumsy movements when putting on clothes, buttons, and shoelaces, limb stiffness, etc. In addition, the onset of Parkinson's disease is insidious, and there are some prodromal symptoms, such as loss of smell, awakening from nightmares at night, punching and kicking in bed, and even falling out of bed in severe cases.

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Myotonia is one of the core symptoms of Parkinson's. In layman's terms, it means that the muscles "can't relax". To put it more rigorously, the usual meaning of myotonia mainly refers to that when the muscle is passively stretched, the resistance generated by the muscle increases, that is, the pulling is laborious and unable to pull, and this increase in resistance is related to the increase in resistance. The speed of the passive movement is irrelevant, the muscle resistance increases whether the pull is fast or slow.


Myotonia is an abnormality that is detected and felt by a doctor. But myotonia can also be felt and expressed by the patient, because when a person wants to move one's own joint, muscle contracts, and the opposite partner muscle that controls the same joint relaxes and relaxes. Open up and cooperate. When a person is working harder to move a joint, it is likely that he or she is feeling resistance from that muscle that cannot relax. Therefore, when the patient needs to overcome the increased resistance generated by his own muscles, the patient may feel that he is "unable to move", "extremely difficult to move", and "muscle soreness", so it will also be described as a symptom.


Therefore, this explains why shoulder pain caused by myotonia is often misdiagnosed as cervical spondylosis, arthritis, bursitis, etc., and patients often spend a long time on related treatments without symptom relief. In addition, when the patient walks, the arm no longer swings as easily as ordinary people, which is also a symptom of myotonia; some patients' finger deformity is also a symptom of myotonia. Their fingers are like claws and sometimes Confused with arthritis etc.

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Lower extremity stiffness in Parkinson's disease patients is often accompanied by paroxysmal spasms and may be accompanied by toe spasms and pain when walking. Patients with low back pain are often accompanied by a flexed back-like standing posture, and the pain is relieved when standing upright or lying down; the forward-leaning of the back is often more pronounced in the sitting position, accompanied by the aggravation of pain, which reflects that body posture and muscle stiffness are the main pain factors. The reason can also be manifested as neck and shoulder pain, headache, arm soreness. Antipyretic and analgesic drugs such as aspirin are often ineffective in the treatment of pain caused by muscle stiffness in Parkinson's disease; while levodopa is used to improve motor symptoms, most patients' pain is often relieved by the reduction of muscle tone.

Symptoms of myotonia in Parkinson's disease patients include:

1. The limbs and body lose their flexibility and become very rigid.

2. In the early stage, it usually starts from one limb. In the early stage, I felt that a certain limb was inflexible, stiff, and gradually increased, there was slow movement, and even some daily activities were difficult.

3. Neck, shoulder, arm, or leg pain.

4. Limb contractures, deformities

Limb contractures, deformities, and joint stiffness are mainly seen in the late stage of the disease. Therefore, patients in the early and middle stages should be encouraged to exercise more, and patients with advanced stages should be encouraged to do more passive activities.


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