Parkinson’s Disease

Overview

Parkinson’s disease is a progressive neurological condition that affects movement and coordination. It occurs due to a gradual loss of nerve cells in the brain that produce dopamine, a chemical essential for smooth, controlled muscle movements. While there is currently no cure, early diagnosis and specialist care can help manage symptoms and improve quality of life.

At Royal Buckinghamshire Hospital, we provide expert assessment, personalised care, and specialist rehabilitation to help individuals with Parkinson’s maintain independence for as long as possible.

Causes of Parkinson’s Disease

The exact cause of Parkinson’s disease is unknown, but several factors may contribute:

• Loss of dopamine-producing nerve cells in the brain
• Genetic predisposition (in some cases)
• Environmental factors or exposure to toxins
• Age (risk increases after age 60)
• A family history of Parkinson’s (rare, but possible)

Common Symptoms

Parkinson’s disease affects individuals differently, but common motor and non-motor symptoms include:

Motor Symptoms:

• Tremors or shaking, often starting in the hands or fingers
• Muscle stiffness or rigidity
• Slowness of movement (bradykinesia)
• Impaired balance and coordination
• Shuffling walk or changes in posture

Non-Motor Symptoms:

• Fatigue
• Depression or anxiety
• Sleep disturbances
• Memory or cognitive changes
• Loss of sense of smell
• Speech or swallowing difficulties

Symptoms typically progress over time, but treatment can help slow their impact.

Diagnosis

There is no single test for Parkinson’s disease. Diagnosis is based on:

• A thorough medical history and neurological examination
• Assessment of movement, coordination, and reflexes
• Response to Parkinson’s medication (levodopa challenge)
• Brain imaging (MRI) may be used to rule out other conditions

Early diagnosis allows for better symptom management and planning.

Treatment & Rehabilitation at Royal Buckinghamshire Hospital

While Parkinson’s disease cannot be cured, a combination of medical treatment and specialist rehabilitation can significantly improve quality of life:

• Medications to increase or mimic dopamine (e.g., levodopa)
• Physiotherapy to improve mobility, balance, and posture
• Occupational therapy to support daily living activities
• Speech and language therapy for communication and swallowing difficulties
• Psychological support for mental wellbeing
• Specialist inpatient rehabilitation for those with complex needs

Our multidisciplinary team develops personalised care plans to meet individual goals.

Why Choose Royal Buckinghamshire Hospital?

• Leading specialists in neurological rehabilitation
• Comprehensive inpatient and outpatient care
• Tailored physiotherapy, occupational therapy, and speech therapy
• Holistic approach focusing on mobility, independence, and wellbeing
• Private, supportive environment with minimal waiting times

Our Resident Neurologist

Dr Weatherall is very welcoming and highly experienced. He offers his patients sound diagnosis and treatment, along with individual care focused on their future health.

Dr Mark Weatherall

Consultant Neurologist

Field