Stopping Tremors in Their Tracks

By Holly Prestidge | Photos by Will Rummel

For David Lane, living with Parkinson’s disease meant taking medications every 90 minutes to reduce his tremors. Thanks to deep brain stimulation at VCU Health, his life changed.

Esther Lane’s eyes widened. Her husband of 36 years, David Lane, sat next to her in an exam room at the VCU Health Pavilion in Short Pump this spring. 

Sitting, but not still. 

David, 58, was diagnosed with Parkinson’s disease in 2014.

Fresh scars traced the top of his head from his recent deep brain stimulation surgery, when surgeons implanted electrodes in the brain circuits responsible for his tremor and connected them to a pulse generator in his chest. As they sat, Alex Feria, a representative from Medtronic, the device’s manufacturer, monitored the system on a tablet before activating it for the first time. 

A moment later, Feria turned on David’s pulse generator.

The change was subtle at first. 

But little by little, Esther watched her husband’s body slowly relax. His jerking movements softened. His hands, usually twitching, slowly steadied and came to rest on his legs. His head was still. His clenched hands loosened their grip just a little. 

She nearly cried. 

The last few years have been hard. Medication initially worked for David, as it does for many people in the early stages of Parkinson’s disease. 

But as the disease progressed, medication stopped working even as dosages increased.

The tremors and other symptoms of Parkinson’s interrupted every part of daily life. Bradykinesia – a symptom that causes slowness in physical actions and trouble initiating those actions – was one of the most limiting. Muscle stiffness compounded it all, making his limbs feel rigid and resistant. 

At times, David said his feet felt like they were stuck to the floor, unable to propel him forward. He couldn’t make a sandwich or pour a drink because his hands shook. He had to stop driving. An insulation installation technician for many years, he stopped working in the field a few years ago. He ultimately retired in February 2025.

Before his DBS surgery, he was taking medication every 90 minutes. 

David said he’d been putting off deep brain stimulation – a proven method to treat the symptoms of Parkinson’s disease, as well as essential tremor and dystonia – for as long as he could. He was scared, he said, but the results for him and his wife have been lifechanging.

“I feel better than I have in 10 or 12 years,” he said earlier this year at a follow-up appointment about two weeks after the clinic visit where his pulse generator was turned on. 

Patients can adjust the settings on their device while at home and even turn it on and off. If they need help between scheduled clinic appointments, Medtronic representatives make house calls.

David Lane said he likes to walk up and down his driveway when he’s having phone conversations. He hasn’t been able to do that in recent years, but now his neighbors are back to seeing him again – moving, talking and reconnecting with the world outside.

“I can make sandwiches without knocking them on the floor,” he said, grinning. “All those things that most people take for granted.”

It’s not perfect. He still has tremors, particularly when his medication begins to wear off. The DBS is helping to curb those fluctuations, though – and it will need to be monitored for the rest of his life.

For now, one of the immediate goals is to reduce how many medications he needs. Esther joyfully acknowledged that he’s already off one, and she clapped softly when doctors talked about reducing his complex medication regimen even more. 

“It’s just so amazing,” she said. Now, regular trips to Georgia to see their five grandbabies don’t seem so challenging for “Papa and Cricket,” as their grandchildren call them.

David said life before DBS was bleak. 

“For a while I was feeling depressed and discouraged,” he said. 

But now, his outlook has changed. 

“I feel like I’m young again,” he said. “I have some hope.”

Patient Advocacy Builds Excellence

VCU’s multidisciplinary Parkinson’s and Movement Disorders Center brings together clinical expertise and scientific innovation to deliver care that directly reflects the latest advances in the field. 

For individuals navigating the challenges of movement disorders, the VCU Parkinson’s and Movement Disorders Center offers a place anchored in community strength and long-standing advocacy. From the beginning, the PMDC has been supported by dedicated champions whose commitment helped shape its foundation and future. The center took root in 2011 after the Movers and Shakers – a Richmond-based patient group co-founded by Charles F. Bryan Jr., Ph.D., and the late David C. Reynolds and Margaret Bemiss – rallied around the idea of a unified clinical and research hub.

Today, fifteen years later, the PMDC has earned recognition from multiple national organizations: it is one of only 46 centers in the U.S. and 59 worldwide designated by the Parkinson’s Foundation as a Center of Excellence, and it has also been designated a center of excellence by the Huntington’s Disease Society of America, the National Ataxia Foundation, the Lewy Body Dementia Association, Mission MSA and CurePSP. Achieving these designations in a relatively short span underscores the center’s rapid progress and the remarkable work of its clinicians, researchers and community partners.

“The overarching goal of the PMDC is to positively impact the lives of people affected by Parkinson’s disease and other movement disorders,” said Brian Berman, M.D., the Bemiss Endowed Chair and director of the center. “Simultaneously, through our research we are striving to develop better treatments and cures that will have a major impact on generations to come.”

If you would like to support Dr. Bell or deep brain stimulation research in the VCU School of Medicine, please contact Bernadette O’Shea, senior director of development for neurosciences, at osheab@vcu.edu.