Early Signs of Parkinson’s Disease: What to Look Out For

Parkinson’s disease is a progressive neurological disorder that affects movement and can also impact mental and emotional health over time. Understanding the early signs of Parkinson’s disease can help you or a loved one seek timely medical advice and start treatment if needed. Here are some of the most common early warning signs to watch out for:

1. Tremors or Shaking

A slight tremor in your fingers, hands, or chin at rest, or when you are not moving, is one of the hallmark early signs of Parkinson’s disease. These tremors may be so subtle at first that they are easy to dismiss, but if they persist or worsen, it is worth consulting a medical provider.

2. Changes in Handwriting (Micrographia)

Notice how you or your loved one is writing.  Small, crowded handwriting, also known as micrographia, is a common early symptom of Parkinson’s. People with this condition may notice that their writing gradually shrinks or becomes difficult to read.

3. Slower Movements (Bradykinesia)

Parkinson’s can cause your movements to slow down. Everyday tasks like buttoning a shirt or getting out of a chair may take more time and effort. This slowness can make simple routines feel more tiring or frustrating. 

4. Stiffness or Difficulties Changing Movements

Being unable to turn around a corner is another sign of Parkinson’s. You may notice your feet start to shuffle when you try to turn or that it takes a few moments before you successfully change directions. If you are having trouble navigating your house, talk to your provider.

5. Loss of Smell

An early and often overlooked sign, losing your sense of smell (anosmia) can occur long before movement symptoms begin. If you are struggling to detect scents like food, perfumes, or smoke, it is worth mentioning to your healthcare provider.

6. Changes in Facial Expression (Masked Face)

People with Parkinson’s may develop a reduced ability to show facial expressions, even if they still feel emotions normally. This is sometimes referred to as a “masked face.” Friends and family might notice that you look serious, depressed, or “blank” more often.

7. Voice Changes

A softer or hoarser voice can be an early sign. You may start to speak more slowly or your voice may lack the usual inflection or emotion. This can be hard to notice yourself, but you can ask if those around you are having a harder and harder time understanding you.

8. Sleep Disturbances

Frequent tossing and turning, acting out dreams, or sudden jerky movements during sleep can be associated with Parkinson’s. These symptoms often appear years before any motor issues. If your partner starts complaining about your new sleepwalking habit, it is time to seek help.

When to Seek Help

Not everyone who experiences one or more of these symptoms has Parkinson’s disease. Many signs can be caused by other health conditions. However, if you notice a combination of symptoms or changes that persist or worsen over time, it is important to seek medical advice. Early detection and treatment of Parkinson’s disease can improve quality of life and slow the progression of symptoms. Staying informed and proactive is KEY. If you or a loved one notices unusual changes in movement, mood, or physical function, don’t wait—talk to a healthcare provider. 

If you or your loved one has been diagnosed with Parkinson’s disease, you can slow the progression of the symptoms with a physical therapist. You do not have to live limited by your disease. Regain your mobility and independence with physical therapy.

References

1. Jankovic J. Parkinson’s disease: clinical features and diagnosis. J Neurol Neurosurg Psychiatry. 2008;79(4):368-376. doi:10.1136/jnnp.2007.131045