Parkinson’s disease: 7 early signs often discussed

Many people first notice Parkinson’s disease through subtle changes in movement and coordination, which often signal the early stages of this neurological condition. Early recognition of these signs encourages individuals to consult a medical professional for proper evaluation and support. Although only a healthcare provider can make an official diagnosis, some symptoms tend to surface before the disease becomes more advanced. Increased awareness of these early indicators can prompt timely conversations with a doctor, leading to quicker diagnosis and a clearer understanding of what to expect as the condition progresses.

1. Resting Tremor

A common early sign of Parkinson’s disease is a resting tremor, typically characterized by a shaking or rhythmic movement in a limb when it is at rest. This tremor often begins in a finger or thumb, sometimes described as a “pill-rolling” motion. It tends to diminish or disappear during voluntary movements or sleep, but its presence can be an early indicator of neurological changes associated with Parkinson’s.

2. Slight Slowness of Movement (Bradykinesia)

Individuals might notice a subtle slowing of movements, making everyday tasks appear more effortful or time-consuming. This reduction in spontaneous movement, known as bradykinesia, can manifest as decreased arm swing while walking, difficulty initiating movements, or a general reduction in facial expressions, leading to a less animated appearance.

3. Changes in Facial Expression

Facial masking, or a reduction in facial expressiveness, often appears early in Parkinson’s disease. People may seem less responsive or have a fixed, less animated look. This occurs because of decreased facial muscle movement and can sometimes be mistaken for disinterest or fatigue.

4. Small Handwriting (Micrographia)

Early in the disease, handwriting may become noticeably smaller and more cramped. This change, known as micrographia, results from difficulties in fine motor control. People might find their writing becoming less legible or requiring more effort, which can serve as an early sign of motor impairment.

5. Soft or Muffled Voice

Changes in voice volume and tone can occur early, with some individuals experiencing a softer, quieter voice. This change may be subtle at first but can become more noticeable over time. It results from decreased control over the muscles involved in speech, which is common in Parkinson’s disease.

6. Mild Balance Difficulties

Balance issues may not be severe initially but can present as slight unsteadiness or a tendency to lean forward while walking. These early balance changes may increase the risk of falls as the disease progresses, making awareness of subtle shifts in stability important.

7. Sleep Disturbances

Monitoring early signs can help identify potential neurological issues, but only a healthcare professional can confirm a diagnosis. Being aware of these indicators encourages timely consultations with medical providers.