Parkinson’s disease is a progressive neurological disorder that affects movement, balance, and coordination. While it is often associated with tremors and mobility issues, the early symptoms can be subtle and may appear years before a formal diagnosis. Recognizing these signs early can help individuals seek medical attention sooner, leading to earlier intervention and better management of the disease.
It is important to educate the people on the common early indicators of Parkinson’s disease. If you or a loved one notices these symptoms, it’s important to consult a doctor for further evaluation.
Signs of Parkinson’s disease
- Tremors or Shaking: A slight tremor in the hands, fingers, or chin is often one of the first noticeable symptoms of Parkinson’s disease. These tremors typically occur when the body is at rest and may become more pronounced over time. While occasional shaking can be normal, persistent tremors —especially in one hand — should be evaluated by a neurologist.
- Smaller Handwriting (Micrographia): Changes in handwriting, particularly a noticeable reduction in letter size and cramped spacing between words, can indicate early Parkinson’s disease. Known as micrographia, this symptom occurs due to the brain’s increasing difficulty in controlling fine motor movements. If your handwriting has become significantly smaller or more crowded over time, it may be worth discussing with a doctor.
- Loss of Smell: A diminished or lost sense of smell, known as anosmia, is another early warning sign of Parkinson’s. This symptom can appear years before movement-related issues develop. If you struggle to detect certain odors, such as the smell of coffee, spices, or flowers, it may be a sign of neurological changes linked to Parkinson’s.
- Trouble Sleeping (REM Sleep Behavior Disorder): Frequent tossing and turning, sudden movements, or even acting out dreams during sleep can be an early sign of Parkinson’s. This condition, known as REM sleep behavior disorder, causes individuals to physically move while dreaming, sometimes kicking or flailing their arms. If you or your partner notice such changes in your sleep behavior, it may be a sign of an underlying neurological issue.
- Stiffness and Slower Movement (Bradykinesia): Slowness of movement, or bradykinesia, is a hallmark of Parkinson’s disease. You may notice that routine tasks, such as buttoning a shirt or getting out of a chair, take longer than usual. Some individuals also experience stiffness in the arms or legs that does not improve with movement. This symptom can make daily activities more difficult and impact overall mobility.
- Changes in Posture and Balance: Early in Parkinson’s disease, a person may develop a stooped posture or find it harder to maintain balance. If you notice that you’re leaning forward when walking or feel unsteady on your feet more frequently, these could be early indicators of Parkinson’s-related motor dysfunction.
- Facial Masking (Reduced Facial Expression): A decrease in facial expressions, often referred to as facial masking, is another early symptom. Individuals with Parkinson’s may appear to have a blank or serious expression even when they feel fine. This happens because the muscles responsible for facial movements become less responsive over time.
- Soft or Hoarse Voice: A softer or monotone voice can be an early sign of Parkinson’s. If friends or family members mention that you’re speaking more quietly, or if your voice has become hoarse without a clear reason, it may be worth discussing with a neurologist.
- Constipation: Digestive issues, particularly persistent constipation, can be an early non-motor symptom of Parkinson’s. The nervous system plays a crucial role in gut function, and Parkinson’s-related changes in the brain can slow digestion. If constipation persists despite a healthy diet and lifestyle, it could be a sign of underlying neurological changes.
While experiencing one of these symptoms does not necessarily mean you have Parkinson’s, a combination of several signs may indicate a medical evaluation is needed. Neurologists use a combination of physical exams, symptom assessments, and imaging tests to determine whether Parkinson’s or another condition is the cause.
Why an Early Diagnosis of Parkinson’s Matters
Sometimes it may feel like ignorance is bliss, but ignoring or dismissing symptoms won’t make them go away. Early diagnosis is crucial because it allows for:
- Early Intervention: Medications and therapies can help slow the progression of symptoms.
- Improved Quality of Life: Lifestyle modifications, physical therapy, and support resources can enhance daily function.
- Access to Treatment Trials: Some individuals may qualify for clinical trials focused on new therapies.
If you recognize several of these symptoms in yourself or a loved one, the best course of action is to schedule an appointment with a neurologist. A neurologist can conduct advanced tests to assess movement, reflexes, and overall neurological health.
What Can I Do?
In the meantime, adopting practices like regular exercise, a balanced diet, and stress management may assist in slowing symptom progression. Participating in activities such as yoga, walking, or strength training can enhance mobility and contribute to overall well-being. Maintaining good health can help prepare the body to better withstand symptoms and future treatments.
We are Here for You
At Orange Coast Medical Center, we understand that Parkinson’s disease impacts quality of life, emotional well-being, and daily function. That’s why we offer comprehensive supportive care designed to help individuals at every stage of their Parkinson’s journey.
Our Movement Disorders Program includes multiple support groups such as:
- Parkinson's Support Group: This group is designed to provide patients and their families with education on Parkinson's disease and serves as a time to share and learn with our local Parkinson's community.
- Parkinson's Carepartner Support Group: This support group helps caregivers come to a better understanding of Parkinson’s disease. Participants will learn tools for providing care, communicating with loved ones, and taking better care of themselves.
- Young Onset Parkinson’s Disease Support Group: This group offers those who are newly diagnosed, and under the age of 60, with education and a time to share and learn with others who have this diagnosis.
In addition, the Parkinson’s Program features the Steps Forward exercise class, led by physical therapists, focusing on strengthening, stretching, and balancing exercises tailored for Parkinson’s disease symptoms. The two-part SPEAK OUT! & The LOUD Crowd speech therapy program assists with communication challenges both in one-on-one and group settings.
The program’s outpatient rehabilitation services, including Parkinson’s Wellness Recovery (PWR!), further supporting patients in maintaining their strength and mobility. Those who have completed one-on-one therapy can continue their care through complimentary maintenance and progression group classes.
As one of the most experienced and robust programs in Orange County, MemorialCare Orange Coast Medical Center offers a holistic approach, combining medical expertise, emotional support, and community resources.
If you or a loved one has been diagnosed with Parkinson’s, you don’t have to navigate it alone. Our team is here to provide personalized care and support tailored to your needs, ensuring that you have access to the best possible resources and treatments.
