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March 21
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A MyParkinsonsTeam Member

Look up focused on ultrasound it may be something that you may be interested in

March 21
A MyParkinsonsTeam Member

Usually, I can feel the internal slight shakes. As they get worse my arms, legs and my entire body shakes. Most of the time it’s related very closely to taking my next carbid-levodo dosage, along with other meds. Furthermore, if I try to use my muscles in arms/legs repetitively, very fast dyskinesias and dizziness start. I have had so many falls, until l learned how my body is reacting to musculature movements, weakness, dyskinesias, or dizziness. Any of these activities results in off times, to avoid falling.

March 22
A MyParkinsonsTeam Member

If @A MyParkinsonsTeam Member puts his hand on me, the few times I have felt internal tremors, he has been able to feel them, even though he can't see them. They happened when he woke in the morning me up from a deep sleep. They settled once my Rytary took effect.

March 21
A MyParkinsonsTeam Member

I don't know of anything except Carbidopa-Levodopa -Enta for tremors.dont
know that I have heard of internal tremors. Sorry I couldn't have been
helpful.

March 21
MyParkinsonsTeam

What are internal tremors and how can they be managed beyond carbidopa/levodopa?

Internal tremors are sensations of shaking or vibrating inside your body that you can feel but others can't see. They're different from visible tremors and can be quite unsettling.

Beyond carbidopa/levodopa, there are several approaches to Show Full Answer

What are internal tremors and how can they be managed beyond carbidopa/levodopa?

Internal tremors are sensations of shaking or vibrating inside your body that you can feel but others can't see. They're different from visible tremors and can be quite unsettling.

Beyond carbidopa/levodopa, there are several approaches to help manage tremors in Parkinson's:

Non-medication options:
* Physical therapy to help regain strength and control
* Occupational therapy to adapt daily activities and improve function

Alternative medications:
* Amantadine (Gocovri, Osmolex ER) - can help with tremors when used alone or with levodopa
* Anticholinergics like trihexyphenidyl or benztropine - specifically helpful for tremors
* Dopamine agonists - can mimic dopamine in the brain

Medication adjustments:
* Changing the timing or dosage of your current medications
* Adding medications that extend dopamine activity
* Trying extended-release formulations for more stable symptom control

It's important to work closely with your doctor to find the right combination that works for you, as managing tremors often requires some trial and error to get the best results.

March 21

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