Early Warning Signs and Symptoms of Parkinson's Disease

Primary Motor Symptoms

1. Tremor

• Resting tremor in hands, often described as "pill-rolling"
• Usually starts on one side of the body
• Most noticeable when hands are at rest

2. Muscle Rigidity

• Stiffness in limbs and trunk
• Decreased arm swing while walking
• Muscle pain and cramping

3. Bradykinesia

• Slowness of movement
• Difficulty initiating movements
• Reduced facial expressions (masked face)

4. Postural Instability

• Balance problems
• Tendency to lean forward or backward
• Increased risk of falls

Non-Motor Early Signs

1. Sleep Disturbances

• REM sleep behavior disorder
• Excessive daytime sleepiness
• Insomnia

2. Sensory Changes

• Decreased sense of smell
• Unexplained pain
• Numbness or tingling

3. Autonomic Symptoms

• Constipation
• Bladder problems
• Blood pressure changes

4. Mood Changes

• Depression
• Anxiety
• Apathy

When to Seek Medical Attention

• If you notice multiple symptoms
• When symptoms persist for several weeks
• If symptoms impact daily activities

Important Notes

• Early diagnosis leads to better outcomes
• Not all symptoms appear in every patient
• Symptoms may develop gradually over years
• Regular medical check-ups are essential