{"id":80,"date":"2024-10-14T00:28:53","date_gmt":"2024-10-13T22:28:53","guid":{"rendered":"https:\/\/www.d-minecare.com\/esp\/stages-and-treatment-options\/"},"modified":"2025-01-31T13:28:09","modified_gmt":"2025-01-31T12:28:09","slug":"stages-and-treatment-options","status":"publish","type":"page","link":"https:\/\/www.d-minecare.es\/en\/stages-and-treatment-options\/","title":{"rendered":"Stages and Treatment Options"},"content":{"rendered":"\n<div class=\"wp-block-theme-cover alignfull is-full-wide-cover\"><div class=\"wp-block-theme-cover__background lazyload\" style=\"background-image:inherit;background-position:57.99999999999999% 28.000000000000004%\" data-bg-image=\"url(https:\/\/www.d-minecare.com\/wp-content\/uploads\/2022\/05\/Bilder_web_header_stages_1920x900px-1024x480.jpg)\"><img decoding=\"async\" class=\"wp-image-1370 lazyload\" data-src=\"https:\/\/www.d-minecare.com\/wp-content\/uploads\/2022\/05\/Bilder_web_header_stages_1920x900px-1024x480.jpg\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/480;object-position:57.99999999999999% 28.000000000000004%\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/div><\/div>\n\n\n\n<div class=\"wp-block-theme-section alignfull\"><div class=\"wp-block-theme-section__content\">\n<h1 class=\"wp-block-heading is-style-main-title\">Stages of Parkinson&#8217;s and Disease Progression<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">What&#8217;s the course of Parkinson&#8217;s?<\/h2>\n\n\n\n<p>The stages of Parkinson&#8217;s correspond to the severity of movement symptoms and how much a person\u2019s daily activities are affected. The most commonly used rating scales are focused on the motor symptoms, but new scales include information on non-motor symptoms (such as cognitive problems or sense of smell). <a data-type=\"URL\" data-id=\"https:\/\/www.epda.eu.com\/about-parkinsons\/symptoms\/rating-scales\/\" href=\"https:\/\/www.epda.eu.com\/about-parkinsons\/symptoms\/rating-scales\/\" target=\"_blank\" rel=\"noreferrer noopener\">The Hoehn and Yahr scale<\/a>, rates the stages of Parkinson on a scale of 1 to 5. On this scale, depending on a person\u2019s difficulties, 1 and 2 are representing the early-stage, 2 and 3 the mid-stage, and 4 and 5 the advanced-stage in Parkinson&#8217;s.<\/p>\n\n\n\n<p>Another scale commonly used to assess the stages of Parkinson&#8217;s is the United Parkinson\u2019s Disease Rating Scale (UPDRS). It focuses on movement symptoms. In addition to these, the UPDRS takes into account cognitive difficulties, ability to carry out daily activities, and treatment complications.<\/p>\n\n\n\n<p>More information on the rating scales can be found here:<br><a rel=\"noreferrer noopener\" href=\"https:\/\/www.ePda.eu.com\/about-parkinsons\/symptoms\/rating-scales\/\" target=\"_blank\">https:\/\/www.ePda.eu.com\/about-parkinsons\/symptoms\/rating-scales\/<\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading is-style-section-title has-gray-base-color has-text-color\">Mild Parkinson&#8217;s disease<\/h3>\n\n\n\n<p>Movement symptoms may be inconvenient, but do not affect daily activities.<\/p>\n\n\n\n<h3 class=\"wp-block-heading is-style-section-title has-gray-base-color has-text-color\">Moderate Parkinson&#8217;s disease<\/h3>\n\n\n\n<p>Movement symptoms occur on both sides of the body and movements are more slowly. Trouble with balance and coordination may develop. Movements may become stuck (&#8220;freezing&#8221; episodes). Symptoms can reappear quickly and unexpectedly, which could be described as being like a light switch being turned on and off (&#8220;on\/off&#8221; syndrome). Parkinson&#8217;s medications may &#8220;wear off&#8221; between doses:<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-theme-section alignfull has-brand-background-color has-background\"><div class=\"wp-block-theme-section__content\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" data-src=\"https:\/\/www.d-minecare.com\/wp-content\/uploads\/2022\/05\/Group-12330.png\" alt=\"The fluctuations of a Parkinson's patient when treated orally on a timeline. Belongs to the moderate stages in Parkinson's disease. \" class=\"wp-image-304 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/figure>\n<\/div><\/div>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading is-style-section-title has-gray-base-color has-text-color\">Advanced stage of Parkinson&#8217;s: what&#8217;s now?<\/h3>\n\n\n\n<p>This stage corresponds to great difficulty with the ability to get up or walk. The patients might not be able to live alone and assistance is needed with all daily activities. Cognitive problems may be prominent, including hallucinations and delusions.<br>The positive effect of oral medication is no longer predictable and motor fluctuations can no longer be controlled. Consequently, other therapy strategies such as <a href=\"https:\/\/www.d-minecare.es\/en\/about-parkinsons-disease\/#d-mine-pump-therapy\">continuous drug delivery<\/a> or stimulation must be considered.<\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-theme-section alignfull has-brand-background-color has-background\"><div class=\"wp-block-theme-section__content\">\n<div class=\"wp-block-group is-style-icon-group is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading is-style-section-title has-white-color has-text-color\">TREATMENT OPTIONS<\/h2>\n\n\n\n<p class=\"has-white-color has-text-color\">Whilst treatment is constantly improving, the available therapies will help to ease symptoms. The therapy of choice varies from individual to individual. While oral medication might be effective in the earlier stages, device-aided therapies may be considered when oral medication is failing.<br>In Parkinson\u00b4s there are some foods that can affect the way oral medication is resorbed, e.g. with proteins. Nutrition is very important to keep a balanced food intake and consider e.g. potential of neuro protection and anti-inflammatory effects.<br>For all stages of Parkinson&#8217;s, the available therapies will help to ease symptoms which can be effectively controlled, often using a combination of the following:<\/p>\n\n\n\n<div style=\"height:3rem\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-large is-style-icon\"><img decoding=\"async\" data-src=\"https:\/\/www.d-minecare.com\/wp-content\/uploads\/2022\/06\/medication.svg\" alt=\"Medication\" class=\"wp-image-2691 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Medication<\/h4>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-large is-style-icon\"><img decoding=\"async\" data-src=\"https:\/\/www.d-minecare.com\/wp-content\/uploads\/2022\/06\/target.svg\" alt=\"Conventional Therapies\" class=\"wp-image-2694 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Conventional Therapies<\/h4>\n\n\n\n<p>such as physiotherapy, occupational therapy, speech and language therapy<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-large is-style-icon\"><img decoding=\"async\" data-src=\"https:\/\/www.d-minecare.com\/wp-content\/uploads\/2022\/06\/natural.svg\" alt=\"Complementary Therapies\" class=\"wp-image-2696 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Complementary Therapies<\/h4>\n\n\n\n<p>such as aromatherapy, reflexology, yoga and Tai Chi<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-large is-style-icon\"><img decoding=\"async\" data-src=\"https:\/\/www.d-minecare.com\/wp-content\/uploads\/2022\/06\/surgical.svg\" alt=\"Surgical Treatments\" class=\"wp-image-2698 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Surgical Treatments<\/h4>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:3rem\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-white-color has-text-color\">There is no single, optimal treatment because the condition affects each individual differently. You will need to work with your doctor to find the right balance of treatments for your specific symptoms. Regular reviews will be required and adjustments made as symptoms alter.<\/p>\n\n\n\n<div class=\"wp-block-group is-style-credits is-layout-flow wp-block-group-is-layout-flow\">\n<p class=\"has-white-color has-text-color\">Source: <a href=\"#sources\">(EPDA, 2022)<\/a><\/p>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-theme-section alignfull has-gray-light-background-color has-background\"><div class=\"wp-block-theme-section__content\">\n<div class=\"wp-block-columns is-style-default is-layout-flex wp-container-core-columns-is-layout-e95a7ca1 wp-block-columns-is-layout-flex\" style=\"padding-top:2rem;padding-bottom:2rem\">\n<div class=\"wp-block-column is-style-default is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group is-style-card has-white-color has-brand-background-color has-text-color has-background is-vertical is-layout-flex wp-container-core-group-is-layout-8cf370e7 wp-block-group-is-layout-flex\">\n<figure class=\"wp-block-image size-full is-style-card-image\"><img decoding=\"async\" data-src=\"https:\/\/www.d-minecare.com\/wp-content\/uploads\/2022\/05\/d-minecare-teaserbox-570x338_9.jpg\" alt=\"David Ashford Jones has also went through the first stages of Parkinson's disease. \" class=\"wp-image-960 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/figure>\n\n\n\n<div class=\"wp-block-group is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading is-style-card-title-orange\">What it feels like<\/h2>\n\n\n\n<p>The personal story of David Ashford Jones, a successful and engaged man, having Morbus Parkinson.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-underline\"><a class=\"wp-block-button__link has-white-color has-text-color wp-element-button\" href=\"https:\/\/www.d-minecare.es\/en\/what-it-feels-like\/\">LEARN MORE<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-style-default is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group is-style-card has-gray-base-color has-gray-light-background-color has-text-color has-background is-vertical is-layout-flex wp-container-core-group-is-layout-8cf370e7 wp-block-group-is-layout-flex\">\n<figure class=\"wp-block-image size-full is-style-card-image\"><img decoding=\"async\" data-src=\"https:\/\/www.d-minecare.com\/wp-content\/uploads\/2022\/05\/Bilder_web_teasaer_dminecareconcept_570x338px.jpg\" alt=\"Learn how the D-mine Care Concept can help you, regardless the stages of Parkinson's disease. \" class=\"wp-image-1372 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/figure>\n\n\n\n<div class=\"wp-block-group is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading is-style-card-title-orange has-brand-color has-text-color\">Support services for people with Parkinson&#8217;s disease and their relatives<\/h2>\n\n\n\n<p>Our pharmaceutical product, medical device and support, helping you through your daily life. <\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-underline\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.d-minecare.es\/en\/d-mine-care-concept\/\">LEARN MORE<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div x-data=\"{ current: false, search: '', isMatch (key) { console.log([$refs['accordion' + key + 'Title'].textContent, $refs['accordion' + key].textContent].join(' ').toLowerCase()); return [$refs['accordion' + key + 'Title'].textContent, $refs['accordion' + key].textContent].join(' ').toLowerCase().indexOf(this.search.toLowerCase()) &gt;= 0 } }\" id=\"sources\" class=\"wp-block-alpine-accordion is-style-credits\">\n<div :class=\"current === '6392' ? 'active' : ''\" class=\"wp-block-alpine-accordion-body\" x-show=\"search === '' || isMatch('6392')\"><div class=\"wp-block-alpine-accordion__header\" @click=\"current = current === '6392' ? null : '6392'\"><svg x-show=\"current === '6392'\" class=\"w-8 h-8\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"47\" height=\"47\" viewBox=\"0 0 47 47\"><rect width=\"47\" height=\"47\" fill=\"#F29400\"><\/rect><line y2=\"20.104\" transform=\"translate(33.604 23.5) rotate(90)\" fill=\"none\" stroke=\"#fff\" stroke-linecap=\"round\" stroke-width=\"4\"><\/line><\/svg><svg x-show=\"current !== '6392'\" class=\"w-8 h-8\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"47\" height=\"47\" viewBox=\"0 0 47 47\"><rect width=\"47\" height=\"47\" fill=\"#F29400\"><\/rect><g transform=\"translate(-368 -450)\"><line y2=\"20.104\" transform=\"translate(391.5 463.5)\" fill=\"none\" stroke=\"#fff\" stroke-linecap=\"round\" stroke-width=\"4\"><\/line><line y2=\"20.104\" transform=\"translate(401.604 473.5) rotate(90)\" fill=\"none\" stroke=\"#fff\" stroke-linecap=\"round\" stroke-width=\"4\"><\/line><\/g><\/svg><h4 x-ref=\"accordion6392Title\">Sources<\/h4><\/div><div class=\"wp-block-alpine-accordion__body\" x-ref=\"accordion6392\" :class=\"current === '6392' ? 'show' : ''\" :style=\"current === '6392' ? 'max-height:' + $refs.accordion6392.scrollHeight + 'px' : ''\"><div class=\"wp-block-alpine-accordion__body-inner\">\n<p>European Parkinson\u2019s Disease Association (EPDA). Retrieved from: <a href=\"https:\/\/www.epda.eu.com\/about-parkinsons\/treatments\/\">https:\/\/www.epda.eu.com\/about-parkinsons\/treatments\/<\/a>, on 25<sup>th<\/sup> of May<\/p>\n<\/div><\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Advanced stage of Parkinson&#8217;s: what&#8217;s now? This stage corresponds to great difficulty with the ability to get up or walk. The patients might not be able to live alone and assistance is needed with all daily activities. Cognitive problems may be prominent, including hallucinations and delusions.The positive effect of oral medication is no longer predictable [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":2,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-80","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Stages and Treatment Options - D-mine\u00ae Care Spain<\/title>\n<meta name=\"description\" content=\"Advanced stage of Parkinson&#8217;s: what&#8217;s now? This stage corresponds to great difficulty with the ability to get up or walk. The patients might not be able to live alone and assistance is needed with all daily activities. Cognitive problems may be prominent, including hallucinations and delusions.The positive effect of oral medication is no longer predictable [&hellip;]\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.d-minecare.es\/fases-y-opciones-de-tratamiento\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Stages and Treatment Options - D-mine\u00ae Care Spain\" \/>\n<meta property=\"og:description\" content=\"Advanced stage of Parkinson&#8217;s: what&#8217;s now? This stage corresponds to great difficulty with the ability to get up or walk. The patients might not be able to live alone and assistance is needed with all daily activities. 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