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freezing starting after dbs

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hi, thanks again for your invaluable opinions,

i have pd and also a friend who had a dbs about 5 years ago, he's been med free ever since by his choice.. he says he's starting to freeze more often and he seems to just accept this, not wanting to even try adding pd meds, says he got the DBS to avoid taking drugs.

he's participating in a forced exercise tandem bike trial so he's certainly not a couch potato and seems to have fairly good balance - no falling.. the only health problem besides pd that i know he has is high blood pressure. any advice i can pass on to him?

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DBS as a therapy was never designed or intended to get rid of medications. Freezing and falling are really bad problems, and I always tell my patients to use the medications especially if they can help to alleviate such a serious problem. In some instances they cannot, but in many cases the meds are quite synergistic with the DBS.

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