Movement Disorders Clinic

• Ataxia
  It is a type of movement disorder that affects the area of the brain that regulates coordinated movement. Ataxia may result in a clumsy and uncoordinated balance, limb movements, speech, and other symptoms. Many genetic and degenerative disorders lead to ataxia. It may also occur due to an infection or other treatable condition.
• Cervical dystonia
  In this condition, there is voluntary contraction of neck muscles, that causes the head to tilt to one side, backward, or forward.
• Chorea
  Chorea is characterised by brief, repetitive, rapid, and irregular involuntary movements. The movements generally affect the mouth, face, limbs, and trunk. It resembles exaggerated fidgeting.
• Dystonia
  This condition is characterised by muscle contractions with repetitive movements. Dystonia may either affect only one part of the body or the entire body.
• Functional movement disorder
  This is a treatable condition that resembles any of the movement disorders but does not occur due to a neurological disease.
• Huntington's disease
  This condition is progressive and inherited and it can be confirmed with genetic testing. The disease is characterised by three components— cognitive problems, uncontrolled movements, and psychiatric conditions.
• Multiple system atrophy
  It is a progressively worsening neurological disorder affecting many areas of the brain. A movement disorder like ataxia or parkinsonism may be caused by multiple system atrophy. It can also result in a low blood pressure, acting out dreams, and impaired bladder function.
• Myoclonus
  This is a condition characterised by quick jerky muscle movements.
• Parkinson's disease
  It is a progressively degenerative disease causing muscle stiffness, tremor, slow movements, or imbalance. It may also result in other symptoms related to movement like constipation, anosmia, and a decline in cognition.
• Parkinsonism
  It is a general term for slowed movements associated with tremor, stiffness, or balance loss. There are several different causes responsible for the disease including Parkinson’s disease and some dopamine blocking drugs. Other causes of Parkinsonism include progessive supranuclear palsy and multiple system atrophy. Repeated head trauma or stroke can also result in parkinsonism.
• Progressive supranuclear palsy
  It is a rare disorder of the central nervous system that causes problems with balance, walking, and eye movements. It may sometimes look like Parkinson’s disease but it is a different disorder.
• Restless legs syndrome
  This is a relatively common movement disorder that gives rise to an unpleasant feeling in the lower limbs while lying down or relaxing, which is relieved by movement.
• Tardive dyskinesia
  It is a neurological condition that occurs due to long-term use of certain medications called neuroleptic drugs. It results in repetitive, involuntary movements like eye blinking, grimacing, and other movements.
• Tourette syndrome
  This neurological condition originates between childhood and teenage life and is characterised by vocal sounds and repetitive movements.
• Tremor
  It is a movement disorder that results in rhythmic shaking of body parts including the head, hands, and other parts of the body. Essential tremor is the commonest type of tremor.
• Wilson's disease
  This is a rare, congenital condition that causes excessive build up of copper in the body, resulting in dystonia, neurological problems, parkinsonism, tremor, or ataxia.

Movement disorders can have different symptoms ranging from mild to debilitating. The most important part of the treatment plan for patients affected by different movement disorders is a dedicated team of medical professionals who can support your optimal health with advanced treatment approaches and monitor your progress over the course of the treatment.

Most movement disorders can’t be completely cured. The goal of the treatment, therefore, is to control symptoms and minimise pain. Some movement disorders are progressive and cause severe symptoms such as impairment of your ability to speak and, of course, move. While the exact treatment depends on the underlying cause, following are the most commonly used treatment approaches for movement disorders:

• Medications to control symptoms
• Occupational or physical therapy to help restore or maintain the ability to control your movements
• Prevent muscle contractions by injecting botulinum toxin
• Deep brain stimulation: A procedure which uses implants to stimulate brain areas that regulate movement

As no two movement disorders manifest the same way, our team of specialists will carefully monitor your symptoms and then develop a tailored treatment plan for you. The Movement Disorders Clinic at Kokilaben Dhirubhai Ambani Hospital, Indore offers individualised treatment plans for a wide range of movement disorders. Our goal is to provide comprehensive treatment and care to patients with Parkinson’s disease.

Following are some of the key features of our Movement Disorders Clinic:

• 3 Tesla MRI machine: Specialised MRI techniques such as volumetric MR, morphometric MR, and diffusion tensor imaging (DTI) can help elucidate the structure of the brain and help identify disorders mimicking Parkinson’s disease.
• Rehabilitation: Kokilaben Dhirubhai Ambani Hospital is equipped with advanced equipment to provide tailored, goal-directed speech therapy, physiotherapy, and gait retraining. Our cognitive occupational and physical rehabilitation program ensures that the patient feels as normal as possible with their condition.
• Gait and Balance Lab.
• Dietary Advice: Many Parkinson’s patients develop nutritional problems as they can’t prepare their own meals, form odd food habits, and a fear of eating. Our clinic offers counselling in the form of dietary advice for such patients. Those unable to eat well must take preventive measures against nutritional deficiencies.
• Surgical Suite and Intraop MRI.