Overview

A neurodegenerative disease primarily affecting dopamine production in the substantia nigra region of the brain.

Complimentary and alternative treatments for Parkinson's disease that are considered below include:

Please see conventional, complimentary and alternative medical treatments for important background information regarding the different types of medical treatments discussed on this page. Naturopathic, Complimentary and Alternative treatments that may be considered include:


Signs and Symptoms

According to Go to Parkinson's FoundationParkinson's Foundation the most common symptoms of Parkinson's disease are:

  • Resting tremor (e.g. unintentional "pill-rolling" movement of hands when they are idle.)
  • Rigidity (stiffness of the spine, arms, and legs).
  • Generalized slowing of motion (bradykinesia). Some patients pause or freeze when moving without being able to start again.
  • Postural instability: (loss of strength, balance, coordination; flexed posture).

Other symptoms of Parkinson's disease include:
  • Mood changes, such as depression and fatigue.
  • Urinary problems.
  • Trouble speaking normally.
  • Low blood pressure.
  • Digestive issues, including constipation.
  • Trouble sleeping, including difficulty turning in bed.
  • Skin problems.
  • Drooling.
  • Increased sweating.
  • Muscle spasms and cramps.
  • Voice changes.
  • Erectile dysfunction.
  • Shuffling gait.
  • Cogwheel rigidity (jerky motion).
  • Lack of facial expression (e.g. mask-like face).
  • Changes in handwriting (especially becoming smaller).
  • Difficulty swallowing.
  • Loss of smell.
Symptom Assessment Tools
  • [Geminiani1991]
  • Webster Rating Scale (WRS) [Webster1968], [Geminiani1991], [Ginanneschi1988], [Kennard1984], [Ramaker2002].
  • Columbia University Rating Scale (CURS) [Ramaker2002], [Hely1993], [Ginanneschi1988],
  • Sidney Scale [Hely1993].
  • Parkinson's Disease Impairment Scale [Ramaker2002],
  • Northwestern University Disability Scale (NUDS) [Ramaker2002]
  • Schwab and England Disability Scale [Ramaker2002]
  • Intermediate Scale for Assessment of Parkinson's Disease [Ramaker2002]
  • Extensive Disability Scale [Ramaker2002]
  • New York University Impairment and Disability Scale [Ramaker2002]
  • University of California Los Angeles Impairment and Disability Scale [Ramaker2002]
  • Unified Parkinson's Disease Rating Scale (UPDRS) [Ramaker2002]
  • Short Parkinson Evaluation Scale [Ramaker2002]
  • Hoehn and Yahr staging [Ginanneschi1988], scale for assessment of functional disability (ADL), SCAG-scale, Hoehn & Yahr-scale (HY), modified Webster step second test (WSST), Purdue-pegboard, questionnaire for subjective complaints (SC), WDG, LPS 1/2, 3/4, 6, 7, 10, clinical assessment of dementia, versus Zerssen-scale and orthostatic hypotension (60 degrees tilt up).

Etiology

Some practitioners have noted an association with inflammatory process mediated by homocysteine [Rogers2008, pg 9]. Note that the common diuretic hydrochlorothiazide (HCTZ) increases homocysteine levels [Westphal2003].

See Go to Wikipedia - Causes of Parkinson'sWikipedia - Causes of Parkinson's.

Other possible environmental or genetic factors include lead, iron, aluminum toxicity, pesticides, dairy, dry cleaning chemicals, malnutrition (overconsumption or deficiency), dairy, mitochondrial insufficiency, reactive oxygen species, Helicobacter pylori, elevated homocysteine.

According to [Mischlev2010], "elevated homocysteine levels [may be] associated with worsening [Parkinson's disease] motor symptoms, dyskinesias, and ... cognitive symptoms." [Qureshi2008], [Kuhn1998], [Muller1999 67 Muller T, Werne B, Fowler B, Kuhn W. Nigral endothelial dysfunction, homocysteine, and Parkinson's disease. Lancet Jul 10 1999;354(9173)]


Differential Diagnosis

See [Stacy1992 Stacy, M. and J. Jankovic. Differential diagnosis of Parkinson's disease and the parkinsonism plus syndromes. Neurol Clin 1992;10(2)]


Treatment

Allopathic Treatments

See [Olanow2009].

Naturopathic, Complimentary and Alternative Treatments

Parkinson's disease is a multifactorial neurodegenerative disease that is caused by a combination of various factors, including environment and the individual's genetic propensities. As such, different treatments will most benefit different individual patients. Often a judicious combination of several of the following interventions will give maximum benefit to an individual suffering from Parkinson's disease. However, there is no clear algorithm for choosing the interventions that are most likely to benefit any individual patient, and trial and error "therapeutic trials" are necessary.

Low Dose Naltrexone (LDN)

According to the Low Dose Naltrexone home page [LDN], Parkinson's Disease is a neurodegenerative disease that is associated with autoimmune processes. LDN has been seen to benefit Parkinson's Disease. [LDN_Autoimmune] presents a case review of seven patients with Parkinson's Disease who were treated with LDN by the late Dr. Bihari [Bihari2003], [Bihari2013]. The result was that "all [seven] have shown no progression since beginning LDN. Indeed, two of them have shown clear evidence of improvement in signs and symptoms."

Dr. Weyrich has been trained in the use of Low Dose Naltrexone (LDN). However, Dr. Weyrich has not treated any cases of Parkinson's Disease with LDN.

Please see What is Low Dose Naltrexone? for more information.

Neurofeedback

Neurofeedback may be useful for treating Parkinson's disease. Dr. Weyrich has been certified in neurofeedback since 2008, and more recently completed an additional residency training program at ADD Clinic of Scottsdale, AZ. However, Dr. Weyrich has not treated any cases of Parkinson's disease with this technique.

Please see What is Neurofeedback? for more information.

Neurotransmitter Balancing

Neuro Research [Hinz2015] reports that Parkinson's Disease can be benefited by balancing neurotransmitter levels in the body.

Dr. Weyrich has been trained in neurotransmitter balancing protocols, but has not treated Parkinson's Disease using this technique.

Please see What is Neurotransmitter Balancing? for more information.

Herbal Medicine

  • Coffee consumption may cause earlier onset of Parkinson's disease, and therefore may be contraindicated in susceptible individuals [Kandinov2009].
  • Tea Contains antioxidants and may chelate iron out of the brain [Kandinov2009].
  • Velvet bean (Mucuna) is a natural source of levodopa. However, it is toxic to persons who have a rare genetic disorder called G6PD-deficiency [Katzenschlager2004], [Manyam2004], [Misra2007], [Tharakan2007].
  • Fava Beans are a natural source of levodopa. However, they are toxic to persons who have a rare genetic disorder called G6PD-deficiency.
  • Turmeric (curcumin) may be effective in vitro in reducing α-synuclein [Ono2006]. Turmeric contains antioxidant and anti-inflammatory compounds that have a sparing effect on the glutathione system and benefits mitochondrial health [Sun2008], [Jagatha2008].
  • Marijuana may be helpful in treating dyskinesia associated with Parkinson's disease. Dr. Weyrich makes no recommendation regarding the use of medical marijuana. [Venderova2004], [Carroll2004].

Nutritional Medicine

Genomics, Epigenetics, and Nutrigenomics

By identifying genetic propensities in an individual patient that are associated with Parkinson's disease, the most appropriate interventions for each individual patient may be more precisely identified, thereby reducing the amount of trial and error in designing the most effective treatment protocol.

Genes associated with Parkinson's disease include the following:

Please see What are Genomics, Epigenetics, and Nutrigenomics? for more information.

Treat H. Pylori Infections

There appears to be a significant association between Parkinson's disease and peptic ulcer disease. Peptic ulcer disease, in turn is most commonly associated with Helicobacter pylori infections [Strang1965], [Szabo1979], [Dobbs2005], [Dobbs2008], [de-la-Fuente-Fernandez2002], [Bjarnason2005].

According to [Mischlev2010], "Researchers have demonstrated that gait can improve dramatically following eradication of H. pylori."

Art Therapy

Please see [Mischlev2010].


Pathophysiology

Lewy bodies are found at autopsy in the cytoplasm of neurons in the substantia nigra, and are associated with Parkinson's disease, as well as certain dementias and Down syndrome. Many elderly patients have Lewy bodies without neurological symptoms [Jellinger2004].

Lewy bodies are composed of two proteins, the abnormal protein α-synuclein and the normal protein ubiquitin [Olanow2004].

It is unclear whether Lewy bodies cause death of dopaminergic neurons, or whether they are a side effect of some other process.


References