Parkinson's symptoms
with continuous therapy

The earlier Parkinson's disease is diagnosed, the better. Early treatment can delay the onset of severe symptoms by years. Because the disease progresses very differently from person to person, there is no standard therapy. Therefore, after a Parkinson's Diagnosis , it is crucial to have access to a neurologist specializing in this condition in order to receive tailored and continuous treatment, therapeutic support, and the right medication.

Stages 1 & 2:

Parkinson's Diagnosis
– Obtain a well-founded second opinion from a Parkinson's specialist
– Detailed assessments of cognitive and physical abilities
– Validation of the Diagnosis
– Recommendation of a Treatment Plan including medication, Rehabilitation measures and nutrition

Stages 3 & 4:

Other treatment options
– Detailed reassessment of the disease course
– Evaluation of further treatment options in collaboration with the University Hospital Zurich (USZ): Focused ultrasound (FUS) and deep brain stimulation (DBS)
– Research into further innovative treatments and therapies

Phase 5:

Specialized Rehabilitation
– DBS fine-tuning
– Inpatient Rehabilitation with targeted therapies using robots
– Special cognitive and linguistic training
– Further fine-tuning of the diet
– Continuous online support and therapy
– Annual inpatient refresher examination/check-up to adjust therapy, DBS settings and medication

At cereneo we offer a holistic and seamless treatment approach that begins with Diagnosis and a detailed examination. We then recommend possible treatment paths tailored to your individual needs. These paths vary depending on the stage of the disease and may include clinical interventions with leading Parkinson's experts University Hospital Zurich (e.g. DBS, FUS), inpatient Rehabilitation in one of our Clinic , Rehabilitation at home and long-term online Rehabilitation and support from our cereneo Home therapists.

Typical physical symptoms of Parkinson's Disease include:

• Tremor (resting tremor),
• Muscle stiffness (rigor),
• slow movements with small steps
• reduced arm swinging (in many cases one-sided),
• A typical mask-like face with little to no emotional expression.

Changes or impairments in non-motor functions usually occur much earlier and should alert family members.

Typical non-motor symptoms can include:

• Sleep talking or sleepwalking
• Incontinence
• Depression,
• Fear,
• Pain,
• Dizziness,
• Loss of smell.

In addition to the typical symptoms, Parkinson's disease is often accompanied by sleep disturbances, constipation, bladder problems, and difficulty swallowing and chewing. Therefore, eating and maintaining a healthy diet can become very strenuous and energy-draining for Parkinson's patients, which can lead to malnutrition.

Little is known about the causes, but it is a consequence of declining dopamine production. Dopamine is a neurotransmitter produced by the body and used by the nervous system to transmit signals between nerve cells. An excess or deficiency can lead to a variety of health problems.
It is one of the most common neurodegenerative diseases. Worldwide, approximately 10 million people are affected by Parkinson's disease.

Men are more frequently affected than women, and the disease typically manifests between the ages of 50 and 60.

Parkinson's Disease has a serious impact on your life and that of your family, affecting one or more brain functions, such as speech, movement, or cognitive abilities.
While a Stroke has immediate and serious consequences, Parkinson's disease develops more gradually.