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Parkinson’s & Other Movement Disorders

Parkinson’s & Other Movement Disorders

Approximately 6 million people in the United States experience some form of movement disorder, such as Parkinson's Disease, essential tremor, ataxia and dystonia. These disorders can be relentlessly progressive and disabling conditions, having a tremendous impact on one's social, emotional and physical wellbeing. We have extensive experience in diagnosing and treating movement disorders and are committed to making sure you receive the care you need.

CTNC Expertise

The Movement Disorder's Center at CTNC is led by Elizabeth L. Peckham, DO and is the most comprehensive movement disorder clinic in Central Texas. We provide full evaluation, diagnosis and treatment for patients with movement disorders by offering comprehensive, multidisciplinary care to improve one's health, function and independence.

Elizabeth L. Peckham, DO

Parkinson’s & Other Movement Disorders Resources

Parkinson's

Dystonia

Huntington's Disease

Tourette's

Essential Tremor

Ataxia

Other Links

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Whether you're newly diagnosed, looking for a second opinion, or just want to learn more about us, someone from our team can reach out to you to share more information about Central Texas Neurology Consultants.
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Pamela H.
Patient

This place is the best. Dr. Couch listens patiently, is empathetic, and is the first doctor to help me find a treatment that works. He also understood my hesitation to keep trying new medications after so many have let me down. He gently suggested my treatment a year ago and talked through my concerns until I felt confident. Thanks to CTNC, my quality of life has improved drastically. I recommend you stop searching and visit this clinic right away.

Frequently Asked
Questions

What is Parkinson’s disease?

Parkinson’s is a progressive neurological disorder caused by the loss of dopamine-producing brain cells. It leads to symptoms like:

  • Tremors (shaking, often at rest)
  • Stiffness (rigid muscles)
  • Slowed movements (bradykinesia)
  • Balance problems and postural instability.

Non-motor symptoms (e.g., sleep disturbances, depression, and loss of smell) can appear years before motor issues.

What are other common movement disorders?

Movement disorders include:

  • Essential Tremor (shaking during movement, often hereditary).
  • Dystonia (involuntary muscle contractions causing twisting postures).
  • Huntington’s Disease (genetic disorder with uncontrolled movements and cognitive decline).
  • Tourette Syndrome (vocal and motor tics).
  • Restless Legs Syndrome (RLS) (urge to move legs, often at night).
What causes Parkinson’s and similar disorders?

Parkinson’s: Combination of genetics, environmental factors (e.g., pesticide exposure), and aging.

  • Essential Tremor: Often inherited.
  • Dystonia: May result from genetic mutations or brain injury.
  • Huntington’s: Caused by a single defective gene (autosomal dominant).
  • Myth Buster: Only ~10% of Parkinson’s cases are purely genetic.
How are movement disorders diagnosed?

Clinical exams (neurologists assess symptoms like tremors/gait).

  • DaTscan (imaging test for Parkinson’s to check dopamine levels).
  • Genetic testing (for Huntington’s, some dystonias).
  • Blood tests/MRI (to rule out other conditions).
  • Red Flags: Sudden onset or worsening symptoms may indicate atypical parkinsonism (e.g., PSP, MSA).
What treatments are available?

Parkinson’s:

  • Levodopa (gold-standard medication).
  • Deep Brain Stimulation (DBS) for advanced cases.
  • Essential Tremor: Beta-blockers (e.g., propranolol) or DBS.
  • Dystonia: Botox injections, muscle relaxants.
  • Huntington’s: Symptom management (no cure yet).
  • Lifestyle Tip: Physical therapy and tai chi improve mobility and balance.
Can diet or exercise help?

Exercise: Delays progression in Parkinson’s (e.g., boxing, cycling).

  • Diet: High-fiber foods combat constipation; protein timing affects Levodopa absorption.
  • Avoid: Excessive alcohol (worsens tremors), processed foods.
  • Research Highlight: Caffeine may reduce Parkinson’s risk, but not tremor severity.
What’s the long-term outlook?

Parkinson’s: Progresses slowly; life expectancy is near-normal with treatment.

  • Essential Tremor: Non-life-threatening but may worsen with age.
  • Huntington’s: Progressive; symptoms typically appear in adulthood.

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