Treatments
Parkinson’s Disease and Related Disorders
Dr Robin Fackrell has been developing his expertise in these complex conditions for the last twenty years and is widely recognised as an accomplished clinician with regard to their management.
Parkinson’s Disease is far more than just a disorder of movement and encompasses many potential symptoms. He has particular expertise in managing the wide ranging non motor symptoms of Parkinson’s which may include, sleep disturbance, bowel and bladder issues, neuropsychiatric challenges (anxiety, depression, apathy and cognitive decline) and issues of autonomic dysfunction.
The interplay of many symptoms requires careful consideration and experienced management in order to ensure the best possible outcomes. Dr Fackrell’s experience as a general physician allows him to design an individualised holistic plan in collaboration with you.
Restless Legs Syndrome / Periodic Limb Movement Syndrome
Restless Legs Syndrome is defined as an overwhelming desire to move your legs and often involves unbearable symptoms, typically of of burning, itching or crawling which prevent sleep and necessitate constant movement to obtain relief. This can cause great distress and the sequelae of chronic sleep deprivation.
He tailors his approach to each individual patient using the latest evidence and draws on a wide experience, having successfully managed large numbers of patients in his practice.
Cognitive challenges / Memory difficulty
Challenges with thinking and memory can cause a great deal of concern for individuals and their loved ones.
Dr Fackrell provides a comprehensive and sensitive review of symptoms, incorporating cognitive testing and specialist scanning where necessary to formulate an accurate diagnosis and allow people to reach their full cognitive potential.
There are fourteen recognised modifiable risk factors for cognitive health. Dr Fackrell can help with ensuring that all factors are being considered when endeavouring to maximise cognitive function, from dietary and exercise advice to medication review.
Medication Review
As people travel through their life journey, they can often accrue multiple medications which can begin to affect them adversely and have a net negative effect.
This can arise in a variety of ways from lowering blood pressure and increasing the
risk of falling to having a numbing effect on cognition or simply causing them to feel
unwell.
Dr Fackrell provides a pragmatic and holistic review to ensure that medications
taken are having a net positive effect on the individual, focussing on the pursuit of
quality of life and maximising health and wellbeing.
Pre-Operative Review
It is preferable that when an operation is planned that the individual concerned is
medically optimised so that they have the very best chance of operative success,
allowing them to fulfil their full post-operative potential.
This may entail a detailed review of their current state of health, with medication review to enable the planned operation to go as smoothly as possible. Dr Fackrell has significant experience in providing such detailed, holistic reviews and liaising with the surgical and anaesthetic teams to generalte the very best outcome.
Holistic Review
In your life journey there are occasions when you can feel less well physically, cognitively or emotionally.
It is common to attribute this to several factors such as getting older or stressful life events but often they do have an underlying cause which is treatable or modifiable. Symptoms such as fatigue, weight loss, general slowing, balance challenges or memory change can begin to negatively impact on quality of life.
Dr Fackrell has a wealth of experience in performing a holistic review and forensic diagnostic analysis to determine the underlying cause to set you back on track and able to enjoy a better quality of life once again.
Get In Touch
Want to find out more or book an appointment with Dr. Fackrell - please get in touch.