At what stage of progression of Parkinson’s disease does surgery work well?

  People gradually age with age, wrinkles increase, skin sagging, hair graying, the body slowly aging, hunched over, walking slowly, can not hold things, inflexible activities, hand tremors and other such symptoms are common, so there are many Parkinson’s disease patients early delayed treatment.  Parkinson’s disease is a chronic progressive movement disorder, patients will show unexplained limb tremors, muscle stiffness, inflexibility, slow movement, abnormal posture gait and other symptoms, very affect the work and life of patients. In order to reduce the impact of the disease on patients’ lives and slow down the progress of the disease, we hope that we can pay attention to Parkinson’s disease.  The average age of onset of Parkinson’s disease is 60 years old, and there is approximately 1 Parkinson’s disease patient for every 250 people in the population over 40 years old. The number of people with Parkinson’s disease is gradually increasing, with approximately 1 in every 100 people over the age of 65.  Today, in treatment, a comprehensive approach is used, with drugs, psychological guidance, and rehabilitation exercises throughout the course of the disease. In the event of a long onset of action after taking drugs, a shortening of the maintenance time of the drugs, or the end-of-dose phenomenon, the switch phenomenon, and the isokinetic disorder, treatment with deep brain electrical stimulation needs to be considered, and the effect of doing it at this time is considerable. If delayed very late, the patient’s symptoms worsen, or does wheelchair, or is bedridden. or have many falls due to the severity of the symptoms, and other medical conditions or sequelae occur, it is not good for the surgery.  The surgery involves implanting stimulation electrodes in specific nuclei in the brain and implanting pulse generators (brain pacemaker batteries) in the chest. The batteries release high-frequency electrical stimulation into the brain through wires, and the electrical stimulation suppresses the electrical impulses of neurons that are overexcited due to a decrease in dopaminergic neurons, decreasing their overexcited state and thus reducing Parkinson’s disease symptoms. Postoperatively, medications still need to be adjusted according to the improvement, and appropriate rehabilitation exercises are needed to enhance the effect.  If the patient’s condition has progressed, he or she can always come to the hospital to see the programmed physician to adjust the values of the brain pacemaker parameters and achieve a new equilibrium. To prevent accidental shutdown, patients are advised not to approach places with high magnetic fields or contact with magnetic fields. If power depletion is suspected and a test is needed, the patient can come to the hospital to have it measured by a programmer. If it is determined to be the case, the patient will need to be hospitalized and replaced with a new pulse generator.