Common Misconception About Deep Brain Stimulation
Boulder Neurosurgical & Spine Associates
Jun 25, 2021
Colorado - Boulder County
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Parkinsons patients who undergo DBS typically experience a dramatic reduction in their medications and more consistent motor function. They typically have a more fluid movement without the highs and lows of medications wearing off. DBS will reduce rigidity, improve bradykinesia (slowness), improve akinesia (freezing) and diminish tremors. The dyskinesias usually resolve due to medication reduction. DBS is also very effective for patients with essential tremor, eliminating the need for medications and reducing tremor by 60-90%.
DBS provides a constant, high frequency electrical signal to a specific area of the brain, which overrides the abnormal circuitry in the brains of patients with movement disorders, providing therapeutic benefits for many symptoms associated with these diseases.
SOME COMMON CONCERNS AND MISCONCEPTIONS ABOUT DBS
My condition is not bad enough to necessitate DBS.
In Parkinsons disease, there is a window of opportunity wherein one can undergo DBS. If a patient has progressed to moderate or severe dementia, DBS is not an option. Furthermore, DBS is appropriate when medication still has a positive effect but is becoming less reliable, or, when side effects are intolerable. Once medications are ineffective, DBS will not be a treatment option. One should inquire about DBS when PD symptoms and effectiveness of medications change, and before dementia sets in. A neurosurgeon or neurologist can help to monitor your symptoms. DBS does not cure PD, and if it progresses we can fine tune programming for continued effectiveness.
DBS is experimental and should be used as a last resort.
DBS has been approved in the US for more than 10 years, since 1997. There are over 100,000 patients with DBS worldwide. In the case of essential tremor, the American Academy of Neurology recommends DBS for a 60-to-90 percent improvement in limb tremor. For PD, DBS has now been proven to provide better motor symptom control than medications alone, as well as lead to reductions in medication and improved quality of life. The risks of DBS are too high. The rate of infection for this procedure is three-to-five percent over the course of a patients lifetime. The risk of stroke is less than 1%. This procedure has been proven to be safe and effective in the treatment of Parkinsons disease, dystonia and essential tremor. It is in fact the gold standard in treatment of Parkinsons disease. There is minimal post operative pain and most patients spend only one night in the hospital.
The battery needs to be replaced often and will include an invasive procedure.
Generator replacement takes 15 minutes, can be accomplished under local anesthesia and is done every three-to-five years on average.
Once I have DBS I cannot try any new treatments in the future.
DBS is reversible and if more advanced treatment options for movement disorders become available, all of the hardware can be removed. DBS only works for tremor. DBS also helps with stiffness, slowness and freezing associated with movement disorders such as PD, and is also effective for essential tremor and dystonia If my doctor hasnt recommended DBS I must not be a good candidate. Often medical doctors may not recommend procedures they are not familiar with and they may not be educated on this advanced technology. If you have questions about DBS you can schedule a consultation with a neurosurgeon to evaluate your candidacy. You can also ask your doctor if this therapy might be right for you.
I cannot afford DBS.DBS is covered by all major insurances, including Medicare and Medicaid
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Unique Older Adult Assisted Living Opportunities
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Physical Rehabilitation Activities That Aid Brain Injury Recovery
The integration of purposeful physical activities in brain injury rehabilitation plays a pivotal role in fostering recovery and enhancing cognitive functions. This article looks at the evidence-based techniques and scientific principles underpinning brain injury rehabilitation, shedding light on the specific physical activities that have shown efficacy in aiding brain injury recovery.By exploring the intersection of physical activities and brain injury rehabilitation, we aim to highlight the innovative approaches that contribute to effective recovery and empower individuals undergoing rehabilitation.TAILORED PHYSICAL REHABILITATION EXERCISES FOR EFFECTIVE RECOVERYIn brain injury rehabilitation, the incorporation of tailored physical exercises stands as a cornerstone in empowering individuals and facilitating effective recovery. By focusing on personalized physical activities, rehabilitation programs can address the specific needs of each individual, promoting targeted progress and overall well-being. This tailored approach not only enhances physical strength and mobility but also plays a crucial role in cognitive and emotional rehabilitation.Importance of Individualized Physical ActivitiesTailored physical exercises cater to the unique challenges and goals of each individual undergoing brain injury rehabilitation. These activities are designed to address specific cognitive and physical impairments, promoting targeted recovery and functional independence. By customizing physical exercises, rehabilitation programs can adapt to the evolving needs of individuals, ensuring a dynamic and responsive approach to recovery.Empowerment Through Purposeful EngagementTailored physical activities empower individuals by providing a sense of agency and control over their rehabilitation journey. Engaging in personalized exercises fosters a positive and proactive mindset, contributing to a holistic approach to recovery. The individualized nature of these activities promotes a sense of ownership and motivation, driving individuals to actively participate in their rehabilitation process.In essence, the role of physical activities in brain injury rehabilitation extends beyond mere physical rehabilitation; it encompasses a personalized and purposeful approach that empowers individuals to navigate their recovery journey with resilience and determination.HARNESSING NEUROPLASTICITY FOR RECOVERYNeuroplasticity, the brain's remarkable ability to reorganize and form new neural connections, plays a pivotal role in brain injury rehabilitation. 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Fun, Easy activities for Seniors in Colorado
Colorado, renowned for its breathtaking landscapes and vibrant communities, offers a plethora of activities tailored specifically for seniors. From outdoor adventures to cultural experiences and wellness programs, the state provides numerous opportunities for older adults to stay active, engaged, and healthy. This guide explores some of the best activities for seniors in Colorado, ensuring a fulfilling and enriching lifestyle.1. Outdoor AdventuresHiking and Walking TrailsColorado boasts an extensive network of hiking and walking trails suitable for seniors of all fitness levels. The Garden of the Gods in Colorado Springs, with its stunning red rock formations and easy walking paths, is a popular choice. Similarly, the Boulder Creek Path in Boulder offers a scenic, flat route perfect for a leisurely stroll.For more information, visit the Colorado Trails Explorer website. Bird WatchingWith diverse habitats ranging from grasslands to alpine regions, Colorado is a bird watchers paradise. Seniors can join local bird watching groups or visit hotspots like the Rocky Mountain Arsenal National Wildlife Refuge near Denver, which is home to over 330 species of birds.Learn more at the Colorado Birding Trail website.2. Cultural ExperiencesMuseums and Art GalleriesColorados rich cultural scene is accessible to seniors who enjoy museums and art galleries. The Denver Art Museum, with its senior-friendly programs and exhibitions, is a must-visit. Additionally, the Colorado Springs Pioneers Museum offers insights into the states history with senior discounts available.For upcoming exhibits, check out the Denver Art Museum and Colorado Springs Pioneers Museum websites. Theater and Performing ArtsThe states vibrant performing arts scene includes senior-friendly venues like the Denver Center for the Performing Arts, which hosts Broadway shows, concerts, and more. 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Social and Recreational ActivitiesSenior CentersSenior centers across Colorado offer a wide range of activities, including games, social events, and educational classes. The Fort Collins Senior Center, for instance, provides everything from art workshops to dance classes, ensuring a lively and engaging environment for seniors.Discover more at the Fort Collins Senior Center website.Volunteering OpportunitiesMany seniors find fulfillment in volunteering, and Colorado has numerous opportunities for those who wish to give back to the community. Organizations like Volunteers of America Colorado and the Denver Botanic Gardens welcome senior volunteers in various capacities.Find volunteering opportunities at Volunteers of America Colorado and Denver Botanic Gardens websites.5. Travel and ExplorationScenic Train RidesFor seniors who prefer a more relaxed way to enjoy Colorados scenery, scenic train rides offer a fantastic option. The Durango & Silverton Narrow Gauge Railroad and the Georgetown Loop Railroad provide unforgettable journeys through the states picturesque landscapes.Book your ride at Durango & Silverton Narrow Gauge Railroad and Georgetown Loop Railroad websites. Hot SpringsColorados hot springs are perfect for seniors seeking relaxation and therapeutic benefits. Locations like Glenwood Hot Springs and Mount Princeton Hot Springs offer serene environments where seniors can unwind and rejuvenate.Plan your visit to Glenwood Hot Springs and Mount Princeton Hot Springs websites.6. Educational ProgramsLifelong LearningSeniors in Colorado have access to numerous lifelong learning opportunities. Universities like Colorado State University and the University of Colorado offer programs and courses specifically designed for older adults, covering a wide range of subjects from history to technology.Explore lifelong learning at Colorado State University and University of Colorado Boulder.LibrariesLibraries in Colorado provide more than just books; they offer various programs and workshops for seniors. The Denver Public Library, for example, hosts book clubs, technology classes, and cultural events tailored to older adults.Visit the Denver Public Library for more information.ConclusionColorados diverse array of activities ensures that seniors can find something to suit their interests and abilities. Whether its exploring the great outdoors, engaging in cultural pursuits, participating in fitness programs, or continuing education, the state offers countless opportunities for seniors to lead an active, fulfilling life. By taking advantage of these resources, older adults in Colorado can enjoy a rich and vibrant lifestyle.