{"id":30296,"date":"2018-04-26T21:22:00","date_gmt":"2018-04-27T01:22:00","guid":{"rendered":"https:\/\/fusfoundation-redesign.storywaredev.com\/?post_type=sw_profile&#038;p=30296"},"modified":"2025-03-04T12:15:23","modified_gmt":"2025-03-04T16:15:23","slug":"ron-nickelson","status":"publish","type":"sw_profile","link":"https:\/\/www.fusfoundation.org\/profiles\/ron-nickelson\/","title":{"rendered":"Ron Nickelson"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"h-focused-ultrasound-was-worth-the-wait-for-parkinson-s-patient\">Focused Ultrasound was Worth the Wait for Parkinson\u2019s Patient<\/h2>\n\n\n\n<p>For most people, gaining 25 pounds over the course of a year is not cause to celebrate. But Ron Nickelson sees the change as tangible evidence of how far he has come.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"419\" height=\"419\" src=\"https:\/\/cdn.fusfoundation.org\/2022\/08\/05151955\/Ron_PD_.jpg\" alt=\"\" class=\"wp-image-16106\" srcset=\"https:\/\/cdn.fusfoundation.org\/2022\/08\/05151955\/Ron_PD_.jpg 419w, https:\/\/cdn.fusfoundation.org\/2022\/08\/05151955\/Ron_PD_-300x300.jpg 300w, https:\/\/cdn.fusfoundation.org\/2022\/08\/05151955\/Ron_PD_-150x150.jpg 150w, https:\/\/cdn.fusfoundation.org\/2022\/08\/05151955\/Ron_PD_-125x125.jpg 125w\" sizes=\"auto, (max-width: 419px) 100vw, 419px\" \/><\/figure>\n<\/div>\n\n\n<p>In November 2002, Ron began noticing some concerning symptoms. These first presented themselves while jogging in the Cincinnati snow: the farther he ran, the more his left foot would turn to the outside. After 10 minutes, the only part of that foot making contact with the ground was the outer edge. Concurrently, he began to experience a tingling down the outside of the little finger on his left hand. After 14 months of managing (and receiving a wrong diagnosis), it was clear that he needed to see a neurologist, and, in January 2004, Ron was diagnosed with Parkinson\u2019s disease at the age of 49.&nbsp;<\/p>\n\n\n\n<p>The <a href=\"https:\/\/www.michaeljfox.org\/understanding-parkinsons\/living-with-pd\/topic.php?dyskinesia\" target=\"_blank\" rel=\"noreferrer noopener\">movement disorders associated with Parkinson\u2019s disease<\/a> can vary. Patients may have dystonia \u2013 persistent, painful muscle contractions or spasms \u2013 and\/or dyskinesia \u2013 a more rhythmic, involuntary muscle contraction that presents as jerking or twitching. Medications to control the other neurological symptoms of Parkinson\u2019s can exacerbate these movement disorders.&nbsp;<\/p>\n\n\n\n<p>Ron didn\u2019t experience any dystonia for the first five years of his Parkinson\u2019s. But when dystonia did present itself, Ron recalls a progression over the ensuing years. \u201cThe dystonia would be worse when I wasn\u2019t on my medication. It would almost always begin with painful cramping of my left toes. The passage of years brought dystonia to my right toes, down the center of my abdomen, and underneath my right shoulder blade. I would also have trouble articulating my thoughts as the numbness on the left side of my face worsened.\u201d Eventually, he came to see medication \u201coff times\u201d as synonymous with dystonia.<\/p>\n\n\n\n<figure class=\"wp-block-embed alignright is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Could Parkinson&#039;s Disease symptoms be reduced by a new experimental treatment? Wexner Medical ...\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/KU_cVX5oFrA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p>But his medication would often present another challenge. \u201cIt would alleviate all the dystonia, but if I took too much, I would flip from dystonia to dyskinesia. It was becoming more of a struggle to walk the tightrope between the two by taking the right dosage.\u201d<\/p>\n\n\n\n<p>\u201cA movement specialist told me that I was the ideal candidate for DBS,\u201d recalls Ron. DBS (or deep brain stimulation) is a common treatment for the symptoms of Parkinson\u2019s that involves surgically inserting thin wires into the brain. The wires emit electrical pulses that help to regulate the Parkinson\u2019s symptoms.&nbsp;<\/p>\n\n\n\n<p>\u201cBut I had heard about focused ultrasound through the Michael J. Fox Foundation, and I had been keeping an eye on its progress. For my situation, a noninvasive option was worth waiting for.\u201d<\/p>\n\n\n\n<p>On December 22, 2016, Ron was the second patient treated at The Ohio State University\u2019s Wexler Medical Center in a clinical trial investigating focused ultrasound for Parkinson\u2019s dyskinesia; two days later, the story was front-page news in <a href=\"https:\/\/www.youtube.com\/watch?v=KU_cVX5oFrA\" target=\"_blank\" rel=\"noreferrer noopener\"><em>The Columbus Dispatch<\/em><\/a>. Researchers used focused ultrasound to target a portion of the brain that is associated with dyskinesia. But they are also interested to see if the treatment might help alleviate dystonia symptoms.&nbsp;<\/p>\n\n\n\n<p>The focused ultrasound treatment is unilateral, so only one side of the patient\u2019s brain is treated. Ron opted to have the right side of his brain treated to alleviate symptoms on his left side, where they predominated. On the day of treatment, Ron was instructed not to take his medication.<\/p>\n\n\n\n<p>\u201cDuring the treatment, I noticed an improvement in my speech right away,\u201d he remembers. There was also an immediate change in his dystonia. \u201cNormally, my dystonia would run right down the center of my abdomen. But, during treatment, I noticed that I had dystonia only on the right side.\u201d And, in the weeks following his treatment, Ron also noticed that his dyskinesia improved dramatically.&nbsp;<\/p>\n\n\n\n<p>A year after treatment, Ron is still seeing positive effects from the focused ultrasound.&nbsp;<\/p>\n\n\n\n<p>\u201cI have more energy, and I\u2019m able to control my medications better. I have not had to adjust my dosage in over two years. I\u2019m able to work full-time.\u201d<\/p>\n\n\n\n<p>Although one outcome was unexpected, Ron says it\u2019s a strong testament to his improvement. \u201cBefore my treatment, I had lost 25 pounds. And being 6&#8217;4&#8243; with weight only 182 lbs. to begin with, I could ill-afford to lose those 25! I attribute it to burning calories with all of the shaking. But in the past year, I\u2019ve regained that weight.\u201d&nbsp;&nbsp;<\/p>\n\n\n\n<p>And Ron still thinks he made the right choice in waiting for the focused ultrasound clinical trial rather than opting for DBS. \u201cIn my experience, there have been no negatives. Nothing is worse after focused ultrasound therapy, and I don\u2019t have to deal with equipment, batteries, or airport metal detectors.\u201d&nbsp;<\/p>\n\n\n\n<p>\u201cSomebody has to be a pioneer. I\u2019m so glad the folks at The Ohio State University were able to do it,\u201d he adds.<\/p>\n","protected":false},"template":"","meta":{"_acf_changed":false,"_searchwp_excluded":"","_editorskit_title_hidden":false,"_editorskit_reading_time":0,"_editorskit_is_block_options_detached":false,"_editorskit_block_options_position":"{}","episode_type":"","audio_file":"","podmotor_file_id":"","podmotor_episode_id":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","filesize_raw":"","date_recorded":"","explicit":"","block":"","itunes_episode_number":"","itunes_title":"","itunes_season_number":"","itunes_episode_type":"","_vp_format_video_url":"","_vp_image_focal_point":[],"footnotes":""},"sw_profile_cat":[303],"class_list":["post-30296","sw_profile","type-sw_profile","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Ron Nickelson - Focused Ultrasound Foundation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.fusfoundation.org\/profiles\/ron-nickelson\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ron Nickelson\" \/>\n<meta property=\"og:description\" content=\"Focused Ultrasound was Worth the Wait for Parkinson\u2019s Patient For most people, gaining 25 pounds over the course of a year is not cause to celebrate. 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