Movement Disorders
Dr. Mit Ankur Raval
Specialist assessment of Parkinson’s disease, tremor, dystonia, dyskinesia, gait and balance disorders and selected DBS pathways.
The movement itself provides diagnostic clues.
Movement disorders are diagnosed by careful phenomenology: what the movement looks like, when it occurs, how it changes with posture or action, and which associated neurological features are present.
Parkinson’s disease
Bradykinesia with associated motor and non-motor features; assessment includes treatment response and longitudinal change.
Tremor
Rest, postural, action and mixed tremor patterns have different differentials and treatment approaches.
Dystonia
Patterned sustained or intermittent contractions can cause abnormal postures, task-specific symptoms or pain.
Dyskinesia
Involuntary movements may be disease-related or treatment-related and can vary with medication timing.
Gait & freezing
Freezing, falls and gait dysfunction may arise from Parkinsonian, neuropathic, vestibular, higher-level or mixed causes.
DBS assessment
Selected patients with disabling symptoms despite best medical therapy may be assessed for advanced therapy.
Treatment is tailored to the syndrome and the patient's goals.
Medication optimisation
Diagnosis, timing of symptoms, response and adverse effects all matter.
Exercise & rehabilitation
Physical activity, gait and balance work, occupational therapy and speech/swallow support can complement medical treatment.
Botulinum toxin
Selected dystonia, focal spasticity and chronic migraine may be suitable for targeted botulinum toxin treatment.
Advanced therapies
Selected patients may be considered for DBS or other advanced treatment pathways after detailed assessment.
Common questions about movement disorders
Does every tremor mean Parkinson’s disease?
When is DBS considered?
Can dystonia be treated with botulinum toxin?
Why is a movement-disorders consultation different?
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Clinic and appointment details will be updated here.