top-7-early-signs-of-movement-disorders-you-should-never-ignore

Top 7 Early Signs of Movement Disorders You Should Never Ignore

Shaking hands and tremors that disrupt everyday activities raise concern. People tend to think of Parkinson’s disease with the many types of tremors that exist. Essential Tremors are the most common condition that people confuse with Parkinson’s.

Both conditions have shaking as a symptom. One of the most important distinctions is that they involve different neurological disorders. They have different causes, symptoms, and methods to treat them. Knowing about the distinctions of each disorder will lead to diagnosing the condition appropriately, and providing the patient with more accurate care, lowering anxiety for the patient.

In this blog, we will go over the distinctions involved when putting Essential Tremor and Parkinson’s Disease side by side in terms of their symptoms, how they are diagnosed, and what treatment looks like for each.

What is Essential Tremor?

The neurological disorder known as Essential Tremor is a movement disorder that causes rhythmic and involuntary shaking that is often disrupted by a movement or activity. It is mostly involuntary and affects the hand, but the legs, voice, jaw, and head can also be affected.

Notable symptoms include tremors while:

  • Writing
  • Eating
  • Holding Objects
  • Drinking
  • Texting

Essential Tremor is a common movement disorder, and is known to have familial ties, meaning it can happen in an entire family of a certain bloodline. Symptoms of people who have the disorder usually start appearing and developing slowly, and then become more pronounced.

What is Parkinson’s Disease?

Parkinson’s Disease is a disorder that disrupts the neurological system. It is another progressive disorder that will worsen over time. Parkinson’s slows movement and balance control, while also affecting coordination more broadly.

This happens when the dopamine levels in the body drop along with the levels in your nervous system, and body movement or function becomes smooth and is disrupted.

Not only does tremor characterize ailment shifts associated with Parkinson’s disease, but it also carries a host of other symptoms, including stiffness, slowness of movements, difficulty in walking, etc.

Key Differences Between Essential Tremor and Parkinson’s Disease

There are important distinctions between the two conditions that doctors recognize, even if casual observation points to their similarity.

1. When Does the Tremor Occur?

Essential Tremor

Tremors are primarily associated with movements, called action tremors. Examples include:

  • Carrying a spoon
  • Writing
  • Pouring
  • Brushing teeth

Shaking may diminish once the subject is at rest.

Parkinson’s Disease

Parkinson’s tremor is associated with rest, termed resting tremor.

Examples include:

  • Shaking hands when one is sitting still
  • Shaking may diminish when the hand is employed

This is one of the best clues that aid in the diagnosis.

2. Which Body Parts are Affected?

Essential Tremor

Head and voice are usually also affected along with the two hands. Head shaking, along with shaky speech, is seen.

Parkinson’s Disease

Parkinson’s is more about the arms, legs and even the chin in addition to hands.

Symptoms often begin on one side of the body before they appear on the other side.

3. Other Symptoms

Essential Tremor

Basically, shaking is the main and not the only problem; and most, most of not all patients do not show major stiffness or balance difficulty.

Parkinson’s Disease

Muscle stiffness, slow movements, imbalance, and shuffling walks coupled with tremors and diminished facial expressions are also characteristic of Parkinson’s disease.

These symptoms often become more noticeable with the passage of time.

4. Family History

Essential Tremor has a strong genetic connection, and many with the disease have close relations with the same condition.

Essential Tremor is more likely to be genetic than Parkinson’s disease. Parkinson’s does occasionally have genetics as a factor, but it is rare.

Symptoms of Essential Tremor

Everyone can experience symptoms differently, and symptoms can come in a range of severity, and severity can change over time.

Common symptoms can include:

  • Shaking hands while doing something
  • Difficulty writing in a straight line
  • Shaky voice
  • Shaking head
  • Difficulty in being able to hold objects without shaking
  • Symptoms can worsen with stress and anxiety
  • Symptoms can also worsen with fatigue

Some people can have mild symptoms for long periods of time, while others can have progressively worsening symptoms.

Symptoms of Parkinson’s Disease

Parkinson’s also has an effect on moving, as well as not moving.

Some of the symptoms of Parkinson’s include:

  • Shaking while at rest
  • Slowness in movement
  • Rigidity of the muscles
  • Problems with balance
  • Stooped posture
  • Sleep problems
  • Sadness or worry
  • Constipation
  • Tiredness
  • Loss of the ability to smell food

Non-moving symptoms of Parkinson’s can sometimes be present before the movement symptoms.

Diagnosis

Neither Essential Tremor nor Parkinson’s disease has a blood test that can be done to determine if someone has them.

Essential Tremor and Parkinson’s are diagnosed primarily through a test of the person’s nervous system, along with an assessment of the symptoms.

Things a physician will look at to determine the diagnosis:

  • History of the patient
  • Type of the patients’ tremor
  • When the patient experiences tremors
  • The patient’s walking style
  • Rigidity in the patient’s muscles
  • The patient’s ability to have good coordination
  • Family history

Things a patient must do to help the doctor determine the diagnosis:

  • Write a sentence
  • Draw a shape or picture
  • Hold an object
  • Walk from one side of the room to the other

Brain Scans and Additional Tests

Physicians sometimes have and will recommend a blood test (also called a DaT scan).

Treatment for Essential Tremor

Lifestyle Changes

Certain things, like cutting back on caffeine and managing stress, can help with symptoms. Getting a good night’s sleep and not abusing alcohol can help, too.

Medications

Beta blockers and anti-seizure meds have been prescribed to aid symptoms.

Advanced Treatments

Deep Brain Stimulation (DBS) and MR-Guided Focused Ultrasound are also options for people with more serious tremor symptoms. They can considerably help control tremors.

Treatment for Parkinson’s Disease

Medications

Increasing dopamine activity in the brain with medication helps aid movement symptoms.

Physiotherapy and Exercise

Regular exercise during the day can help maintain range of motion and balance.

Surgical Treatment

DBS can manage rather severe symptoms, but only in advanced cases.

DBS can also significantly help with improving the quality of life and managing Parkinson’s symptoms among the currently available treatment options.

Conclusion

It is important to understand the differences between Essential Tremor and Parkinson’s Disease. They are conditions that are classified as neurological in nature, and they both cause shaking. Essential Tremor is classified based on tremor being present when physically active, while Parkinson’s Disease is classified when tremors are present in a passive state and is also combined with other physical symptoms like stiffness and sluggishness of movement.

Being able to recognize these differences early is critical for being able to make the proper diagnosis and for being able to administer the most appropriate treatment. Persistent tremors that negatively impact your daily living and other movement problems can also potentially be diagnosed and treated with the help of a neurologist.

Frequently Asked Questions

1. Can Essential Tremor become Parkinson’s disease?
No, while some symptoms can be similar, combining tremor symptoms with others does not mean that Essential Tremor can slowly become Parkinson’s Disease.

2. Which condition is more serious?
Because of the variety of symptoms, including problems with not just movement, but also balance and coordination, Parkinson’s Disease is a more complex condition, while Essential Tremor is primarily classified by symptoms of shaking.

3. Does stress make tremors worse?
The answer is yes. All of these, including stress and anxiety, can worsen tremors for people who have both Essential Tremor and Parkinson’s disease.

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