Blogs - Dr Mitesh Chandarana

Medical illustration showing difficulty with downward eye movement in progressive supranuclear palsy (PSP).

PSP Eye Movement Problems: Why Looking Down Is Difficult

This symptom is so characteristic of PSP that it’s part of the formal diagnostic criteria, and understanding it helps explain several other PSP symptoms discussed elsewhere on this site, including why falls happen the way they do in PSP.

Elderly man experiencing constipation with a medical illustration of the colon showing stool buildup

Parkinson’s and Constipation: Causes and Relief

In fact, constipation is now recognized as one of the earliest signs of Parkinson’s disease, often appearing years, sometimes decades, before any tremor or movement symptom develops.

Elderly man with PSP walking safely at home with caregiver support and a wall-mounted handrail

How to Prevent Falls in PSP: Home Safety Tips

This guide explains why PSP falls happen the way they do, and provides a practical, room-by-room approach to reducing fall risk at home.

Older man lying awake in bed at night, representing sleep problems associated with Multiple System Atrophy (MSA).

Sleep Problems in MSA: Causes and Management

Research suggests up to 70% of MSA patients experience some form of sleep disorder, ranging from simple insomnia to more serious breathing-related issues during sleep.

An older man sits at home with a thoughtful, confused expression, appearing to search his memory, representing cognitive changes that can occur in Parkinson's disease and dementia.

पार्किंसंस और डिमेंशिया: इस संबंध को समझना

पार्किंसंस से हाल ही में पीड़ित पाए गए मरीज़ों और उनके परिवारों से मुझे अक्सर एक सवाल सुनने को मिलता है – जिसे वे अक्सर धीरे से पूछते हैं, या कभी-कभी जवाब के डर से पूछते ही नहीं कि क्या पार्किंसंस की वजह से आगे चलकर डिमेंशिया हो सकता है।

Parkinson’s and Dementia: Understanding the Connection

One of the questions I hear most often from newly diagnosed Parkinson’s patients and their families often asked quietly, sometimes not asked at all out of fear of the answer is whether Parkinson’s will eventually lead to dementia.