With age, many people will have low back pain, leg pain, neck and shoulder back pain and go to the hospital. Most of them may be diagnosed as "lumbar disc herniation" and "scapulohumeral periarthritis", and some even have surgery. But the effect of the patient after the operation is not ideal, and the symptoms of shaking hands and slowing down will gradually appear. In fact, these patients are suffering from Parkinson's disease. The pain is mainly caused by local muscle stiffness and abnormal posture caused by Parkinson's disease. "Slow, hard, shaking, falling" Motor symptoms of Parkinson's disease Parkinson's disease is a progressive neurodegenerative disease. The prevalence rate of the elderly in China is 1.7%. With the growth of the elderly population in China, the number of Parkinson's disease patients may continue to rise in the future. In the eyes of the public, the symptoms of Parkinson's disease are usually those visible to the naked eye. For example, the most typical symptoms are "slow", "hard", "shaking" and "falling". Slow: that is, the action is slow. For example, when walking, the swing range of one side of the hand becomes smaller, the walking speed is slow, the stride is small, and it is difficult to lift the legs. It seems to feel a little stuck on the floor. Hard: that is, the muscles become tight, and the limbs feel stiff, heavy and inflexible when moving. The face blinks less, the expression is dull, etc. Shaking: refers to the involuntary shaking of hands, arms, legs, mandible, lips, tongue, head and other parts at rest. Fall: that is, due to increased muscle tension, poor posture control and slow movement, it is easy to fall when walking. These body signals Can be ambushed for more than ten years Non motor symptoms often appear earlier than motor symptoms of Parkinson's disease, and even began to appear more than a decade ago. It mainly includes anosmia, sleep wakefulness disorder, autonomic nerve dysfunction, cognitive impairment, neuropsychiatric symptoms, pain, peripheral nerve damage, restless legs syndrome, etc. Sleep wakefulness disorders mainly include insomnia, excessive daytime sleepiness, and sleep behavior disorders during rapid eye movement. Rapid eye movement sleep behavior disorder can appear more than ten years before exercise symptoms. It is mainly manifested in shouting and dancing in sleep. Up to 80% of patients with isolated rapid eye movement sleep behavior disorder will eventually develop Parkinson's disease. Autonomic nervous dysfunction includes postural hypotension, hyperhidrosis, constipation, urinary dysfunction, erectile dysfunction, decreased eating, salivation, etc. Neuropsychiatric symptoms include depression, anxiety, indifference, mental abnormalities, hallucinations, etc. Anxiety and depression can occur at any stage of the disease. As the disease progresses to the late stage, apathy, hallucinations and mental symptoms become more and more common. Up to 40% of patients with Parkinson's disease will eventually develop hallucinations and even dementia. It is worth noting that pain is also one of the common early symptoms of Parkinson's disease. Pain can occur in the neck, shoulder, waist or limbs, which is very similar to the performance of cervical spondylosis and lumbar spondylosis. If light or heavy degeneration of neck and lumbar vertebrae and intervertebral disc herniation are found in imaging examination, they are often misdiagnosed or ignored by patients. Restless legs syndrome is mainly manifested in the indescribable discomfort of the lower limbs at rest, which can be partially relieved by walking, massage or tapping the legs. Parkinson's disease can seriously affect the quality of life of patients, so early diagnosis and treatment of patients is particularly important. There may be many causes of low back and leg pain. Patients need to see a specialist in time and evaluate their symptoms, so as to choose the treatment plan and avoid missing the best treatment opportunity to aggravate the disease. Regular rehabilitation treatment It can delay the development of symptoms Regular rehabilitation treatment of Parkinson's disease can delay the development of symptoms and maintain a longer self-care time limit. Therefore, the rehabilitation of patients with Parkinson's disease should start as soon as possible, and adhere to correct exercise, in order to achieve the best effect. If the patient has complications, it may be too late to carry out rehabilitation exercise. Dopaminergic therapy is the main treatment of motor symptoms of Parkinson's disease. Namely levodopa, carbidopa or benserine hydrazine. Patients with mild Parkinson's disease can also choose monoamine oxidase inhibitors or dopamine receptor agonists. If the symptoms are not well controlled after the initial treatment with dopamine receptor agonists or monoamine oxidase inhibitors, levodopa should be added without hesitation. Most patients with moderate Parkinson's disease symptoms have excellent response to levodopa treatment. Patients who do not respond to levodopa should be referred to the neurology department as soon as possible for reassessment and diagnosis. The treatment of non motor symptoms is mainly symptomatic treatment. In the early stage, it is suggested that patients maintain their favorite activities, combine aerobic, resistance, active balance or high-intensity intermittent training, and focus on improving gait, balance, transfer and upper and lower limb motor function, so as to reduce the impact of Parkinson's disease on motor symptoms. Parkinson's disease is called "tremor" or "tremor" in traditional Chinese medicine. Traditional Chinese medicine treatment can also improve the symptoms of Parkinson's disease, improve the quality of life of patients, and reduce the pain of patients. Through traditional Chinese medicine and acupuncture, it has the effects of Supplementing Qi and blood, removing blood stasis and dredging collaterals, nourishing liver and kidney, nourishing yin and calming wind, clearing heat and resolving phlegm. Secondly, you can also use ear point pressing beans, moxibustion, Taijiquan health care therapy, etc. In addition to regular drug treatment, it is also crucial to carry out rehabilitation exercise in daily life to train the coordinated movement of various muscle groups. (outlook new era)