| Dr. Surjyaprakash S.Choudhury |

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| Dr. Surjyaprakash S.Choudhury |

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Can you lose the use of your legs with Parkinson’s?

Parkinson’s disease is a progressive neurological disorder that affects movement, balance, and muscle control. Many people wonder — “Can Parkinson’s make you lose the use of your legs?” The short answer is: Parkinson’s doesn’t directly paralyze your legs, but over time, it can cause severe stiffness, weakness, and balance problems that make walking or standing very difficult.

How Parkinson’s Affects the Legs

Parkinson’s occurs when the brain produces less dopamine, a chemical responsible for smooth, coordinated movements. The reduced dopamine affects the way your brain sends signals to your legs and muscles.

This can lead to:

  • Stiffness or rigidity in leg muscles

  • Slowness of movement (bradykinesia)

  • Freezing of gait — sudden inability to move your legs forward

  • Shuffling steps or dragging feet

  • Balance problems, increasing the risk of falls

While these symptoms may feel like “losing control” of the legs, it’s not true paralysis — the muscles still work, but the brain’s control over them weakens.

Advanced Stages and Mobility Challenges

In the advanced stages of Parkinson’s, mobility becomes more challenging. Some people may:

  • Need assistance with walking or use mobility aids (walker, wheelchair)

  • Experience severe freezing episodes where the legs won’t move temporarily

  • Lose postural stability, making it difficult to stand without support

However, not everyone reaches this stage. Early diagnosis and proper treatment can slow progression and preserve leg function for many years.

Managing Leg Weakness in Parkinson’s

1. Medications:

  • Levodopa and dopamine agonists can significantly improve mobility and reduce stiffness.

2. Physiotherapy:

  • Regular stretching, balance, and gait exercises strengthen leg muscles and improve coordination.

3. Exercise & Movement Therapy:

  • Walking, yoga, cycling, and Tai Chi help maintain flexibility and prevent stiffness.

4. Assistive Aids:

  • Walkers or canes provide safety and confidence while moving around.

5. Fall Prevention:

  • Remove obstacles at home, wear supportive footwear, and keep rooms well-lit.

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Dr. Surjyaprakash S. Choudhury

Expert in headache, epilepsy, stroke, movement disorder and pain management. 

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