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Dystonia in parkinsons

Discussion in 'General Issues and Discussion Forum' started by len stevens, Mar 27, 2016.

  1. len stevens

    len stevens Member


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    Hi folks,
    I recently had a 70 year old patient come in with Parkinson's. Her left foot was painful because her hallux was fixed in extension and the lesser toes were all splayed and clawed or hammered and in addition deviated either medially or laterally. I am a student on placement and I simply gave her toe props to alleviate the pressure on the lesser toes and referred her to an MSK specialist. I have looked for some papers on this subject but the only similar condition I can find is where this pattern occurs during waking but is relieved by rest which was not the case. Does anyone know of any research done on foot deformities in Parkinsons? I have looked in all the obvious places to no avail.
    Cheers for reading.
    Len
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Botulinum toxin for foot dystonia in patients with Parkinson's disease having deep brain stimulation: A case series and a pilot study.
    Gupta AD, Visvanathan R.
    J Rehabil Med. 2016 Apr 28
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effect Of Novel Toe Stretcher Device On Foot Dystonia In Patients With Parkinson's Disease
    Taylor, D.C.
    MDS Abstract of the 16th International Congress of Parkinson's Disease and Movement Disorders, Volume 27,
    June 2012 Abstract Supplement

     
  5. consumerep

    consumerep Member

    I think I can reply to this one as up my alley! I have Botulinum toxin (Dysport) treatment due to Dystonia but not for lower limb, foot or toe. You can definitely have dystonic systems though due to Parkinson's (so secondary dystonia). However to rule out lower limb dystonia or focal dystonia it is best that patients are referred to a Neurological Movement Disorder specialist that has an interest in Dystonia . Many of them can administer botox injections but even if they do not they refer them on to clinic or to a specialist that does. In Australia at the moment Botulinum toxin for lower limb Dystonia is not funded under PBS so have to pay the full cost, however if treatment done at a hospital they may bear the cost. Refer to factsheet More about Parkinson's and Dystonia
     

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    Last edited: Nov 28, 2016
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