Movement Disorder Treatment in Tacoma, WA
At Puget Sound Neurology, we are dedicated to providing the best medical care available. We are a regional center for Migraines and Movement Disorders. Dr. Hogan, along with nurse practitioners Sharon Jung, So Hee Kim, and Leslie Casias, embrace a patient-centered approach to practicing medicine. Our team of expert providers is dedicated to providing compassionate care for movement disorders.
Movement disorders are diseases that affect a person’s natural movements. This may include slowed or not enough movement (hypokinetic) or increased or too much movement (hyperkinetic).
There are a wide range of movement disorders. Examples of hypokinetic movement disorders include Parkinson’s disease and Parkinsonism although the tremor aspect is too much movement in the resting state. Examples of hyperkinetic movement disorders include Dystonia, Chorea and Huntington’s disease, Ataxia, Essential Tremor, and Restless Legs syndrome, to name a few.
Spasticity is more of a motility disorder in that there may not be enough movement such as after a stroke, but at the same time, muscle tone is increased causing further restriction of normal movement. Some of these conditions are hereditary while in others, no genetic cause has been found as of yet. There may be an interplay of the environment with a genetic predisposition that causes many of these disorders to come to the surface. Genetics loads the gun but environment pulls the trigger.
The diagnosis of the type of most movement disorders is made clinically which means that the diagnosis is based on the symptoms you are experiencing and what is found on the examination. Occasionally certain imaging studies (such as CT or MRI) or blood studies, including genetic testing, can support a diagnosis although in even severe movement disorders, the scans and lab studies are usually normal since the cause is more of an electrical or chemical disturbance in the brain and not something that can be seen on a scan or detected in the blood. Treatment of movement disorders depends on the diagnosis.
Patients with Parkinson’s Disease have characteristic symptoms of slowed movements, rigidity and a resting tremor. A reduction in dopamine is the prime culprit of these symptoms. Medication treatment for PD includes strategies to increase the availability of dopamine in the brain or to stimulate the brain dopamine receptors. In some cases, surgical therapy such as Deep Brain Stimulation, may be helpful. At Puget Sound Neurology, we will work to find the right treatment combination for you to help you live well.
A comprehensive approach is important to success with Parkinson’s Disease. Exercise is essential to reducing disability. Further supportive therapy with physical therapy, speech therapists and support groups are also very helpful.
Dystonia is a type of movement disorder defined by muscle contractions of certain muscles. Dystonia is often genetic and mis-diagnosed. Many patients, after years of searching, have found relief under the expert guidance of Dr. Hogan.
There are many kinds of dystonia. The most common are called focal dystonia, involving only a few muscles in one part of the body. Examples include:
- Cervical dystonia: Muscles of the neck
- Belpharospasm: Muscles of the eyelid
- Oral-mandibular Dystonia: muscles of the jaw
- Laryngeal Dystonia: muscles involved in speech
- Writer’s cramp: Muscles of the hand
The best therapy for dystonia involves injections with one of the botulinum toxins (Botox, Myobloc, Dysport or Xeomin). Dr. Hogan was the first neurologist in the state of Washington trained to utilize Botox over 30 years ago. He has had extensive experience using all four of these botulinum toxin therapies.
As with all conditions that we treat, the optimal response to treatment requires initiation of a comprehensive holistic approach that includes exercise, support, diet and others. (see link to 10 secrets to treatment of dystonia). Before any treatment, however, a complete neurological history and exam to evaluate for drug-induced dystonia or metabolic causes is first conducted.
The most common type of tremor is Essential Tremor. It is a progressive tremor that often involves the upper extremities, but can also involve the head, voice, tongue and legs. Essential tremor is often present with activity (action, like drinking a cup of coffee or writing) or while extending the arms (postural). Some patients choose not to treat their tremors with medicines, and prefer using hand weights, stress/relaxation techniques or biofeedback as therapy. For others, treatment for Essential Tremor can involve medical management, surgical therapy and sometimes Botulinum toxin administration.
Additional Treatment of Movement Disorders
Dr. Hogan founded the ballroom dance for Dystonia and dance for Parkinson’s group 5 years ago to provide another opportunity to remarkably improve movement control with the rhythm, music and social aspect of dance. The dance classes are taught under the expert direction of Rob Sutherland. It has been partially funded so the classes are half off at $7.50 per person and no experience is necessary. It occurs each Saturday at 11 AM at the Abbey Ballroom in Tacoma on 1901 S Fawcett st.
Food4Life is committed to accurate, honest nutrition counseling based on the most current research.
Nutrition is a key lifestyle component to brain health. Nutrition counseling can help delay the progression of your disease and help you manage any symptoms you may be experiencing.
Movement Disorders Support Groups
Join us for information seeking, singing, encouragement, sharing, exercise, and fun!
All activities listed are free of charge.
Our Mighty Voices
oin us as we warm up with voice exercises, then sing our old favorites, new favorites, and read familiar and famous speeches.
1st and 2nd Monday of each month, 11:30 a.m.
Harbor Place at Cottesmore
1016 29th St. NW
Gig Harbor, Washington 98335
3rd and 4th Fridays of each month, 11:30 a.m. Tacoma Lutheran Home Chapel 1301 North Highlands Parkway Tacoma, Washington 98406
Spouses and family members are welcome. Practicing voice exercises outside of meetings is STRONGLY encouraged. You are invited to either or both locations. We created 2 locations and 2 different week days to make it more accessible to more people. Monthly notification cards are sent. Contact Tacoma Lutheran Home to get on the mailing list.
Gig Harbor Support Group
2nd Wednesday of each month at 4:00 p.m.
St. Anthony Hospital Green Point Room
Gig Harbor Exercise Group
4th Thursday of each month
Harbor Place at Cottesmore Dining Room
1016 29th Street NW
Gig Harbor, WA 98335
Puyallup Life Care Center Support Groups and Opportunities
Parkinson’s support group – every 3rd Thursday at 11:45
Parkinson’s exercise classes – every Thurday at 11:30
Yoga Classes every Monday at 11:30
Caregiver support groups every 1st Tuesday at 1:30
Life Care Center
511 10th Avenue SE
Puyallup, WA 98372
Newly Diagnosed informational Forum
No one wants to hear that they have a progressive disease for which there is no cure, and that news is unsettling for nearly everyone who receives it. You are not alone. With diligent work, you CAN manage this disease, instead of it managing you. Newly diagnosed patients and family members are invited to learn from other newly diagnosed patients how to cope with living with Parkinson’s.
Please contact Sharon Jung for details of times and locations.
Movement Disorders Resources
- Benign Essential Blepharospasm Research Foundation, Inc.
- Dystonia Medical Research Foundation (For all forms of Dystonia; Blepharospasm, oral-mandibular, laryngeal, cervical, and limb)
- National Spasmodic Torticollis Association
- Spasmodic Torticollis/Dystonia, Inc
Website link content is provided by respective organizations, and are the intellectual property of the respective owners. All information is provided for general knowledge only and is not intended as a substitute for the advice and care of medical professionals. Please consult your physician for personal health problems, new treatment programs, or before starting physical fitness training.