Unmasking Parkinson's: Early signs you shouldn't ignore
Written in association with:
Geriatrician
Published: 27/09/2024
Edited by: Conor Lynch
Parkinson's disease (PD) is a progressive neurological disorder that primarily affects movement, but its early signs often extend beyond physical symptoms. Understanding these early indicators can help in diagnosing and managing the disease more effectively, improving the quality of life for those affected.
Early signs of Parkinson's
One of the most common early signs is tremor, particularly a slight shaking in the hand or fingers when at rest. Though tremors can have various causes, persistent shaking is one of the hallmark signs of Parkinson’s and should not be ignored. Similarly, slowness of movement (bradykinesia) may begin subtly, such as difficulty rising from a chair or a noticeable reduction in spontaneous movement like arm swinging while walking. They may also have reduced facial expressions or a "masked face," which is a symptom that occurs when a person's facial muscles stiffen, giving them a blank or emotionless appearance, despite how they feel.
Muscle stiffness is another early indicator. This rigidity can occur in the arms, legs, or torso, often limiting mobility and contributing to pain. Unlike general soreness from overuse, Parkinson’s-related stiffness may persist and occur without a clear cause.
One of the lesser-known early signs is changes in handwriting. A person with Parkinson’s might experience micrographia, a condition where handwriting becomes small and cramped over time, making it hard to read. Another subtle clue could be a loss of facial expression. Known as "masked face," this symptom occurs when a person's facial muscles stiffen, giving them a blank or emotionless appearance, despite how they feel.
Sleep disturbances and changes in mood, such as depression or anxiety, may also precede motor symptoms. Vivid dreams, restlessness, or difficulty sleeping through the night are common in Parkinson’s patients, even in early stages.
Finally, persistent balance problems and speech changes—such as a softer or slurred voice—are other red flags that might signal the onset of Parkinson's.
While any one of these symptoms might seem benign on its own, when combined, they could point to early-stage Parkinson’s. Early diagnosis is crucial for slowing the disease's progression and maintaining quality of life, so if these signs are present, consulting a healthcare professional is essential.