For information about ONLINE PHYSICAL THERAPY/TELEHEALTH, click here


  • Home Exercise Videos, Click HERE
  • Forms

Tamayo Physical Therapy


  • PT: Movement Disorder: Parkinson's, Dystonia & other
  • home
  • PT: musculoskeletal
  • telehealth
  • staff
  • Blog
  • reviews
  • make appointment
  • Exercise Videos
  • Forms

OUR blog



"On" and "Off" Symptoms



"On" and "off" in PD



Dyskinesia, Dystonia





On-Dyskinesia refers to the choreic and dystonic movements described as “jerking or twisting movements that occur when your medicine is working.”

  • Jerking or twisting movements that occur when patient's medicine is working to control Parkinsonism.
  • It does not concern with tremor, which is a regular back and forth shaking.
  • Neither does it concern with any part of the slowness or stiffness of Parkinson’s disease itself,
  • Nor with spasms that occur when patient's medications are not working or when patients do not take their medication for Parkinson’s disease.
  • It has only something to do with the jerking or twisting movements that occur when the patient's medicine is working to control his/her Parkinson’s disease.


Off-Dystonia is described as “spasms or cramps that can be painful and occur when your Parkinson’s disease medications are not taken or are not working.

  • Spasms or cramps that occur when the Parkinson’s disease medications are not taken or are not working well.
  • That time period is called OFF.
  • Off-dystonia is sometimes painful and often occurs in the early morning or nighttime, but occasionally at other times as well when Parkinson’s disease medications are not working.
  • The feet and toes can be affected or other body areas.
  • It does not concern with tremor, which is a regular back and forth shaking.
  • Neither does it concern about the slowness or stiffness of Parkinson’s disease itself,
  • Nor with the jerking or twisting movements called dyskinesia.
  • Only concerns with spasms or cramps that are called OFF-Dystonia

Back to Home

3 E 65th St. 4A, New York, NY 10065





Tamayo Physical Therapy


User Terms
Notice of Privacy