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Do tremors lead to a worst condition called dystonia?
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njladyluck posted:
Hi Dr. Stacy,
Been doing good but I have another question. A co-PDer shared with me on a support website that unchecked PD tremor leads to dystonia. I thought dystonia and tremors are one and the same. I have tremors on left side mostly hand and sometimes leg. I have been diagnosed with stage 2 because a couple times had tremor briefly on right. I am taking Azilect which has really helped: no more pain from stiffness, I now have control over my first 3 left fingers when I type. The tremors at this stage are not troublesome especially at work because I am busy typing, etc. They are most noticeable when holding paper - the paper makes noise when it shakes and brings attention. I've become used to the tremors and with family I just let it shake. When they do get on my nerves I still have some control over the tremors by flexing my hand changing positions, etc. to quiet them. To keep a short story short: Will allowing the tremors to go unchecked cause me more problems down the line? Thank you so much for your help!!
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DUKE MEDICINE
Mark A Stacy, MD responded:
Hi, njladyluck.
I am glad you are doing well, and you should be encouraged by your good response to rasagaline (Azilect). I do not think you need to worry about checking your tremor - it does not make anything worse.

I do not believe unchecked tremor leads to dystonia. I am concerned that your co-PDer has been given information in an effort to initiate treatment for PD symptoms. The doctor likely wanted to start a medical therapy, and meant well, but this was not the best approach.
 
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njladyluck replied to Mark A Stacy, MD's response:
Thank you Dr. Stacy for your prompt response. I really appreciate you and WebMD providing this service. Enjoy!!!
 
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Haylen_WebMD_Staff replied to njladyluck's response:
I'm glad Dr. Stacy was able to help - He is a great expert and I think the Parkinsons community is lucky to have him Thanks for all you do Dr. Stacy!!!!

Haylen


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