early-symptoms-of-parkinsons-disease-that-often-go-unnoticed

Early Symptoms of Parkinson’s Disease That Often Go Unnoticed

Tremors aren’t the only symptom of Parkinson’s Disease. It’s a brain disease that controls movement, balance, and coordination, and it comes slowly. Many people don’t realize that it starts even earlier than tremors.

Especially since the signs occur slowly, most causes of the symptoms are associated with just getting older, stress, and lack of energy. It’s safe to say that those symptoms can easily be mistaken for health conditions.

That’s why it is very important to be able to identify minor warning signs of Parkinson’s so that the condition can be caught as early as possible. The treatments are then better manageable for those suffering and improve the quality of life.

What Are The Symptoms of Parkinson’s Disease

The more noticeable symptoms of Parkinson’s include a lack of control of body movements, and tremors are just the result of chemicals in the brain that slowly die. These chemicals in the brain are called Dopamine. Without these chemicals, body movements slowly begin to wither away.

While this disease is a slow one, it can easily be life-changing and is notable to everyone afflicted, so the symptoms must be caught as early as possible.

By the time the effects of Parkinson’s become more noticeable, many people will say that what they truly notice is the lethargy it brings on. These effects can make you feel mentally and often, physically drained. Parkinson’s slowly starts to dull the brain. Although it is obvious, that’s why it is important to look for signs of Parkinson’s disease early. Often, the brain can initiate movements early on; it can be a huge game-changer for the afflicted if caught early.

In certain cases, symptoms associated with Parkinson’s disease other than motor symptoms can begin to manifest years prior to the onset of the well-known movement symptoms.

Early Indicators of Parkinson’s Disease

Hand Tremors

A prominent early symptom of Parkinson’s disease is the appearance of fine hand tremors.

People experiencing this early symptom may report their hand shakes primarily while their hand is at rest and may observe their hand shaking less during hand movement. In some cases, a quick twitching of the thumb or fingers may be observed while the person is at complete rest.

A tremor is not a required symptom for the early stages of Parkinson’s disease for every person.

Decreased Speed of Movement

In the early stages of diagnosing Parkinson’s disease, many report that simple everyday tasks begin to feel and become more time-consuming to accomplish.

Some of these everyday activities may include:

  • Buttoning a button
  • Walking
  • Writing
  • Rising out of a sitting position

This symptom, in the early stages of diagnosis of Parkinson’s disease, is often referred to as bradykinesia.

Rigidity of Muscles

Muscle stiffness or hardening may include the wrists, legs, neck, and shoulders.

Symptoms of this condition may include:

  • Hardening of the muscles
  • Muscles that are tight may not be flexible while at rest
  • Inability to turn quickly while lying down
  • Overall discomfort and soreness of the muscles

In certain cases of early muscle stiffness, the stiffness may be misdiagnosed as a form of arthritis or muscle strain.

Writing Style Changes

An early symptom of Parkinson’s that many may not recognize is the change in one’s handwriting.

A person’s writing style may change to a more compact style, and that style of writing may overall decrease in size.

This early symptom of Parkinson’s disease is often referred to as micrographia.

Changes in Sense of Smell

Long before the development of motor skills, related symptoms include a decreased ability to smell salt, sugar, and many other things.

A lessening of a person’s ability to smell is often attributed to age or diseases of the sinuses. For this reason, many symptoms of this disease and related symptoms may be overlooked.

Sleep Issues

Sleep issues are one of the first problems that develop in many patients.

These issues lead to the following symptoms:

  • Sleep talking
  • Body jerking during sleep
  • Difficulty maintaining sleep
  • Chronic daytime sleepiness

Some patients literally act out their dreams.

Facial Expression Changes

Patients with Parkinson’s may develop fewer facial expressions, which is sometimes described as a “masked face.”

The patient’s family may develop the insight that the patient may develop a more serious facial expression, is tired, and is less expressive, even when the patient feels the same on the inside.

Soften Voice

The patient’s voice may lose its volume and become softer over time.

The patient may not have this insight until it has been noted by others.

Balance and Posture Changes

Balance and posture may also develop early in the progression of the disease.

The patient may develop a more flexed and stooped posture.

The patient may note that they feel less stable while they are engaged in ambulation.

These symptoms are noted to increase the risk of falling.

Non-Motor Symptoms of Parkinson’s Disease

Parkinson’s disease is known to be a motor disease, but it is also known to have some symptoms that are peripheral to the patient’s motor functions.

These symptoms may include:

  • Constipation
  • Anxiety or depression
  • Fatigue
  • Difficulty focusing
  • Mood changes

These symptoms are often overlooked by the healthcare team, as they are seen commonly in many other diseases.

How Is Parkinson’s Disease Diagnosed?

Parkinson’s disease is known to have some hallmark laboratory findings, but this is uncommon in most patients, and the diagnosis is most often considered based on history, symptoms, and a detailed neurological exam.

Neurological Examination

The neurologist notes the history of the patient:

  • Tremors
  • Rigidity
  • Balance issues
  • Promptness of movement
  • Difficulties with coordinated movement

Medical History

The physician notes the patient’s history of:

  • The timeline of symptoms
  • Family history of the disease
  • Sleep disturbances
  • Pharmacological interventions

Brain Imaging

An MRI of the brain and other neurologic imaging may be done to assist in the diagnosis of other neurologic diseases and to develop a more accurate diagnosis.

Importance of Early Diagnosis for Parkinson’s Disease

Currently, Parkinson’s remains incurable; however, an early diagnosis offers a range of benefits that include:

  • Improving movement symptoms
  • Maintaining independence
  • Slowing down the progression of symptoms
  • Improving the quality of life
  • Improving emotional well-being

When physiotherapy, medicine and improvement of lifestyle habits, and exercise are put into practice quickly, remarkable changes can be seen.

Living with Parkinson’s Disease

People with Parkinson’s disease continue to live fulfilling and active lives many years after the diagnosis, with healthy eating habits, regular medical check-ups, physical activities and emotional support being vital to the management of symptoms.

The knowledge of the stimulation of early symptoms can prompt individuals to visit the doctors instead of ignoring the slight signs/warnings.

Conclusion

Parkinson’s disease is very often diagnosed late, and early symptoms can be very mild; initial symptoms can be identified from the presence of tremors, sleep disturbances, a passive range of movements and decreased movement, among others.

It is important to recognize these early symptoms and consult a neurologist to give the person the highest chance for optimal treatment and, ultimately, the best management of symptoms relevant to the disease. Early symptoms can be the reason for the improvement of a person’s day-to-day activities and their quality of life.

FAQs

1. Do all Parkinson’s patients start with hand tremors?
No. Some patients first have sleep disturbances, symptoms of stiffness, and slowed movements, among others, before the disease progresses and they start developing tremors.

2. By when can you start developing Parkinson’s?
Parkinson’s disease is frequently seen in people after the age of 60; however, some individuals can still develop the disease much earlier.

3. How to cure Parkinson’s disease?
Currently, there is no cure for Parkinson’s disease. However, the symptoms of Parkinson’s disease can be managed to a great extent by medications, therapy, etc.

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