Doctors decide the right treatment for the patients of PD based on various factors like age, overall health and medical history, level of degeneration, type of disorder and tolerance to therapies, etc.
Treatment for PD could include:
Medications
Once diagnosed, the patient may receive medication depending on:
The degree of functional impairment
The degree of cognitive impairment
Ability to tolerate antiparkinsonian medication
The advice of the attending doctor
Since each patient is different, hence it needs time and patience to alleviate the symptoms
Surgery
Based on the severity, doctors may recommend surgery as one treatment option for PD patients. Most of the treatments help in managing the tremor or rigidity. In some patients surgery may decrease the amount of medication needed.
There are three types of surgeries that may be performed for Parkinson's disease, including the following:
Lesion surgery: In this surgery, deep parts of the brain are targeted, and small lesions are made in critical parts of the brain that help control movement. The surgery may be done while the patient is awake to help determine the exact placement of the lesion. The lesion is placed to help control, or stop, the area of the brain that is causing the tremor.
Deep brain stimulation (DBS) surgery: With this type of surgery, a small electrode is placed in the critical parts of the brain that help to control movement. The electrode is attached to a small battery in the chest wall and is connected by wires that are placed under the skin. The stimulator is then turned on and interrupts the normal flow of information in the brain and can help to decrease symptoms of Parkinson's disease.
Neural grafting or tissue transplants. Experimental research is being done to find a replacement for the part of the brain that functions improperly in Parkinson's disease.
It is important to remember that surgery may help with symptoms of Parkinson's disease, but does not cure the disease or stop the progression of the disease.
Complementary / Supportive therapies like diet, exercise, physical therapy, occupational therapy, and speech therapy.
Following link can provide the details of the above treatment options: