Suggest remedy for Parkinson s syndrome with facial tightness
Patient: My husband has been diagnosed with Parkinson s. He is on Sinemet and Azilect and rigidity, balance, cramped handwriting, shuffling walk are all improved, But his most distressing symptom is a feeling of tightness in the face, right hand and foot that is with him 24/7 except when the affected area is in use (such as when he is eating or talking). This is driving him crazy--it is not painful, but so maddingly annoying and difficult to ignore. Also since he started Sinemet he is constantly queasy, as though he is about to be sea-sick. The doctor increased the dosage of Sinemet thinking the tightness would react to a larger dosage but there was no change. Doctor: Parkinsonism can cause such symptoms due to rigidity.....but predominantly on face is bit unusual...I would suggest MRI brain 3T with cis sequence done to rule out other causes. Try tab pregaline at night. Continue other medications. .regards.