Dr Maria DolgovinaDr. Dolgovina is board-certified in Neurology and Sleep Medicine. She completed her residency in general neurology and a fellowship in sleep medicine at the prestigious Stony Brook University Hospital.
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Dr Maria Dolgovina
Dr. Dolgovina is very patient she wants to give you the correct diagnosis , there’s no rush with her. She’s very kind I recommend her. Dr. Dolgovina is very efficient with her patients. Dr. Dolgovina explained my diagnosis clearly and offered the best available treatments. She was also patient when answering my questions. Very knowledgeable! Took her time answering all my questions. Best neurologist I've seen so far. Dr. Dolvinga is very thorough and efficient. I really like her. She listened to my symptoms developed a treatment plan.
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Movement Disorders – The Reason Behind Pain on Movement

Does picking up a paper, bending down, walking or writing seem to be a big task? Do you find it difficult to stand up even from a chair? Well, moving around is a complex task that requires usages of different parts of the brain that work in accordance with nerves and muscles.
The motor area of the brain is triggered by the thought process which sends the signals to the muscles and the action is carried out. Through the stimulation action of the motor area, information travel between muscles and brain via the spinal cord nerves. This further regulates the coordination, power, balance and speed required for a smooth action.

Movement Disorders
Have you heard about the movement disorders before? Neurological syndromes, movement disorders represent paucity of the movement but are not associated with paralysis of muscles spasticity or weakness, movement disorders does not affect smoothness, speed, quality, and ease of movement.
Wide arrays of conditions are included in movement disorders and some of them are:

  • Dystonia
  • Wilson disease
  • Parkinson’s disease
  • Tourette’s syndrome
  • Essential tremor
  • Restless legs syndrome

Why does this happen?
When you have a problem, it is natural to ask, “Why has this happened?” Movement disorders are often associated with a number of changes in the brain, especially in basal ganglia. B.G or Basal Ganglia is the region where the brain’s gray matter lies.
If you are experiencing symptoms like weakness, there are high chances that there is a problem in a way messages are sent to the body through the brain. Sometimes, movement disorders also result because the brain does not receive messages in the right manner. Movement disorders prevail widely with genetics being one of the main causes of the disease.

Characteristic symptoms
You may observe a difference in the sign and symptoms of movement disorders depending on the severity of the condition. Movement disorders symptoms are usually affected by medication, anxiety, stress and fatigue. One of the most prominent symptoms of this disorder is a paucity of movement or excess movements.
This disorder begins slowly and it may take up a lot of time before the patients even realize it. Some of the symptoms that may indicate the disease include:

  • Writing of arms
  • Twitches
  • Tics
  • Abnormal sounds
  • Changes in muscle tone
  • Pain and spasm
  • Rigidity

Movement Disorders Diagnosis
There are a number of ways through which the doctors can diagnose the problems. The neurologist may advise you to undertake physical examinations, diagnostic test and ask you about your family history.
Some of the most commonly performed tests include:

  • Imaging Tests

These tests include computed tomography (CT) scan, magnetic resonance imaging (MRI scan), and positron emission tomography (PET) scan to detect shrinkage, stroke or structural abnormalities.

  • Blood Tests

You may also be required to undergo a blood test and in certain cases, cerebrospinal fluid test to check for symptoms.

  • Muscles Biopsy

Muscle biopsy also helps the doctors to distinguish between muscle disorder and nerve disorder.

Treatment Options
Most of the symptoms seen in movement disorders are due to faulty genes. This neurological disorder begins from the brain, thus there are different medications that will help you achieve great results.
The treatment of this disease depends on the type of disorder you are suffering from. Before outlining the therapy, the doctors will pay attention to the symptoms and give the required medications.

  • Parkinson’s disease

If you are suffering from Parkinson’s disease, you may respond well to the medicines at an early stage. Levodopa is the mainstay of the therapy for patients suffering from this movement disorder.

  • Dystonias

Various drugs such as anticholinergic and skeletal muscle relaxants are given to the patients suffering from severe dystonia.

  • Tremors

Patients suffering from tremors are usually treated with benzodiazepines, beta blockers, antipsychotic and Botox.
Some doctors may even suggest surgery to help cause stimulation to the brain. However, it is important to consult a reliable doctor and clear your doubts before taking the medications.