We are committed to providing a website that is accessible to the widest possible audience. To do so, we are actively working with consultants to update the website by increasing its accessibility and usability by persons who use assistive technologies
such as automated tools, keyboard-only navigation, and screen readers.
We are working to have the website conform to the relevant standards of the Section 508 Web Accessibility Standards developed by the United States Access Board, as
well as the World Wide Web Consortium's (W3C) Web Content Accessibility Guidelines 2.1. These standards and guidelines explain how to make web content more accessible for people with disabilities. We believe that conformance with these standards and
guidelines will help make the website more user friendly for all people.
Our efforts are ongoing. While we strive to have the website adhere to these guidelines and standards, it is not always possible to do so in all areas of the website.
If, at any time, you have specific questions or concerns about the accessibility of any particular webpage, please contact WebsiteAccess@tenethealth.com so that we may be of assistance.
The Comprehensive Movement Disorders Program at Delray Medical Center provides a personalized evaluation, diagnosis and treatment plan for patients with Parkinson’s disease, tremors, dystonia, Huntington’s chorea, Tourette’s syndrome,
ataxia and gait disorders. Delray’s interdisciplinary team consists of neurologists, neurosurgeons, physical therapists, psychotherapists, social workers and nurses. The team collaborates to create individualized treatment plans for patients,
integrating some of the latest medical, surgical and rehabilitative therapies.
Every body movement, from raising and lowering an arm to blinking, involves a complex interaction between the central nervous system (brain and spinal cord), nerves and muscles. Diseases affecting the brain may cause many movement disorders such as:
Parkinson’s disease (PD): Parkinson’s disease is a slowly progressive nervous system disorder with symptoms that include tremors, stiff muscles, slow movement and difficulties with walking or balance. Parkinson’s
disease affects about one million Americans. There is currently no cure for Parkinson’s disease, but early diagnosis and management can improve patient success. Surgical treatment can be successful in reducing symptoms in the later stages.
We offer deep brain stimulation (DBS) surgery for patients with poorly controlled symptoms.
Tremor: A recurring shaking of a body part caused by unintentional muscular contraction. The most common cause is essential tremor. However, other conditions including Parkinson’s disease, stroke and multiple
sclerosis can also cause tremor. DBS surgery is offered to patients with severe tremor not responding to medications.
Dystonia: Involuntary muscle contractions which force certain parts of the body into abnormal and sometimes painful movements or postures. These can affect the neck (cervical dystonia or torticollis), the eyes (blepharospasm
and hemifacial spasm) or the limbs (limb dystonia). We offer medications and botulinum toxin (Botox) injections to reduce the severity of the dystonic spasm.
Gait problems: A variety of gait (walking) problems can occur as part of a movement disorder. Parkinson’s disease and dystonia can affect walking. We emphasize a preventive strategy aimed at improving gait
and reducing the risk of falls. Appropriate medications as well as physical therapy are used as part of the treatment.
Diagnosing Movement Disorders
A correct diagnosis of any movement disorder is essential to delivering the appropriate treatment. Our team will be using imaging technologies that include magnetic resonance imaging (MRI), computed tomography (CT) scan, electroencephalography (EEG) and
electromyography (EMG) testing, as well as other neurophysiology assessment tools.
Treating Movement Disorders
Movement disorders show a large variation between patients, showing different symptoms at differing degrees of severity. Treatment plans are individualized and are created based on the patient’s symptoms. We emphasize the use of standardized rating
scales and clinical criteria to improve diagnostic accuracy as well as to assist with developing a multi-disciplinary plan of treatment.
By changing lifestyle routines, such as regular exercise and stress reduction, patients will start seeing benefits by preventing the functional decline that often comes with Parkinson’s disease and related disorders. Working with a physical therapist
for their physical medicine and rehabilitative services help Parkinson’s disease patients improve and maximize their mobility by incorporating the latest rehabilitation strategies they put into practice-tailored treatment plans.
Quality of Life
Maintaining the quality of life for our patients is the ultimate goal. We work closely with each individual and alter the treatment plan as necessary. Ancillary measures such as physical and occupational therapy are used as needed. We will also advise
on specific nutritional guidelines and assess existing medication regiments to minimize the possibility of drug and food interactions.
"This is a dialog window which overlays the main content of the page and plays an embedded YouTube video. Pressing the Close Modal button at the bottom of the modal or pressing the Escape key will close the modal and bring you back to where you were on the page.