Movement disorders clinic provides a comprehensive care to the patients including
A comprehensive medical, especially towards the neurological assessment is provided to every patient. The goal is to assess comprehensively various medical issues and formulation of therapeutic goals.
Patient counselling and therapy
All patients would be counselled on the disease process, outcome and management. They would be advised on appropriate medical or supportive therapies.
As most of the movement disorders have a long duration course, caregiver’s understanding and support forms an important crux in the management. Specific counselling of caregiver about the disease process and expectations would be addressed.
Botulinum toxin clinic
Various movement disorder patients who require botulinum toxin therapy would be counselled and provided with the botulinum toxin injections to have a better outcome of the symptoms.
Botulinum toxin is a neurotoxin that is extracted from a bacterium under laboratory conditions. It can be used in small doses for treating stiff and abnormally active muscles in various neurological diseases.
Botulinum toxin relaxes muscles by blocking the nerve signals to the muscle fibres around the injection site. The toxin usually starts working a few days after the injections, and the effect can last between three and 12 months.
It is given by injection into the specific muscle(s) being treated. The muscles to be injected will be identified by palpation and using Electromyographic machine.
There are various neurological disorders where botulinum toxin injections are used. They may include Dystonia, Facial spasms, Eye spasms, Spasticity to name few. Commercially, Botulinum toxin is available under various names which include Botox, Dysport, Xeomin etc.
Botulinum toxin injections are given as a day care procedure. You are fit to return back to your usual schedule soon following the injections.
Patients with various movement disorders, resistant to medical drug therapies would be assessed for possible surgical therapy benefits and managed thereafter. Various surgical therapies offered include lesionectomies and Deep brain stimulation (DBS). Deep brain stimulation (DBS) is more specifically offered to patients who have either moderately advanced Parkinson’s disease, severe dystonia or disabling tremors. Patients who are considered for Deep brain stimulation would be assessed completely for surgical fitness and benefits. All the patients would be comprehensively managed in the post-operative period for optimal programming and long term care. Deep brain stimulation involves implantation of neurostimulatior, similar to cardiac pacemaker, called as internal pulse generator (IPG), to deliver electrical stimulation to precisely targeted structures of the brain. This stimulation works like a sort of ‘brain pacemaker’ which interferes with the signals that cause disabling movements, and hence reducing abnormal body movements. This electrical stimulation is delivered through a lead or electrode, which is connected to a battery implanted underneath the chest. Through this modulation the amount of benefits can be modified to optimize patient’s needs, hence technically becoming an surgery in which benefits can be changed over time. This surgery is also considered as ‘reversible’ surgery as it can be turned OFF.