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Early Warning Signs of Parkinson’s Disease

Parkinson’s disease is a neurological disease consisting of movement disorders. Early symptoms of Parkinson’s disease include the following items:

  • Tremor;
  • Small Handwriting;
  • Loss of smell;
  • Voice changes;
  • Sleep disorders;
  • Slowness of movement;
  • Changing of Facial Expression (Masked Face);
  • Dizziness or Fainting.

According to statistics, there are approximately half a million patients with Parkinson’s disease in the United States. Parkinson’s disease begins in brain cells called neurons producing the chemical dopamine. In patients with this disease, neurons die, and the level of dopamine decreases accordingly leading to movement disorders.

Many people ignore the appearance of the first signs of Parkinson’s disease. They do not go to the doctor, so their health condition only worsens. However, the disease is considered severe and chronic. Timely treatment by a doctor can alleviate the course of symptoms, improve well-being and reduce the rate of development of the disease.

In this article, we will look at symptoms that can be observed at the onset of the development of Parkinson’s disease in a person.

1. Tremor

A person who has Parkinson’s disease may experience shivering. If you notice that your relative is shaking hands, fingers, or head at rest it’s a reason to consult a doctor. Tremor is one of the most сommon symptoms of Parkinson’s disease. So do not neglect the appearance of tremor in your relative.

When You Shouldn’t Worry?

It is worth considering that trembling may appear due to exercise, weight lifting, after injury, or be the result of a stressful condition. Another reason for the appearance of tremors can be medication. That’s why it is necessary to find out what kind of drugs have been taken lately before you start suspecting Parkinson’s disease.


2. Small Handwriting

One of the early signs of Parkinson’s disease can be changes in handwriting. Brain disorders in people with this disease lead to impaired coordination of movements. It affects fine motor skills and may manifest when the patient tries to write something.

As a rule, handwriting becomes small and crooked when people have Parkinson’s disease. In the beginning, only individual letters can be small, and the words become closer to each other.

When You Shouldn’t Worry?

However, do not worry and panic if you notice that your or your close person’s handwriting has become smaller than usual. It may be due to fatigue, age-related problems, or disease of the hands, which does not allow the fingers to be elastic and hold the pen comfortably. Visual impairment may also cause small handwriting. 


3. Loss of Smell

Among other non-obvious signs and symptoms of the onset of the development of Parkinson’s disease is the loss of smell. If you or your relative can’t smell well lately, you should make an appointment with a doctor and find out about the causes of this symptom.

When You Shouldn’t Worry?

Loss of smell is not the most common symptom of Parkinson’s disease. You can stop smelling for several reasons, such as colds, flu, nasal congestion, and allergic reactions. After treating the disorder that causes the loss of smell, the sense of smell will return to you.


4. Voice Changes

The voice becomes quiet or hoarse for Parkinson’s disease. Sometimes people close by the person with Parkinson’s disease begin their speech worse – this is because the patient has started to speak more quietly. If the person has voice changes for no reason, it is time to see a doctor find out why the voice has become quieter. 

When You Shouldn’t Worry?

Not only Parkinson’s disease can provoke voice changes. A person can have voice changes due to diseases of the larynx, viruses, colds, flu, and allergies. It is necessary to visit an otolaryngologist and an allergist to examine the larynx and trachea.


5. Sleep Disorders

Suppose you or your close person have been experiencing insomnia or twitching during deep sleep for a long time. It also can be one of the early signs of Parkinson’s disease. Pay attention to your sleep state and overall health. And also, visit a doctor’s consultation to find out the reason for the deterioration in sleep.

When You Shouldn’t Worry?

Not always a sleepless night means the onset of Parkinson’s disease. It may be due to fatigue, daytime sleep, or worries about something. Sleep twitches are also sometimes considered normal. Therefore, first, ask about the experiences of your relative and his well-being. If he has problems with these aspects, help solve them.


6. Slowness of Movement

Slow walking and stiffness in the body may be symptoms of developing Parkinson’s disease. Some patients claim that they feel stiffness or pain in the arms and shoulders at the beginning of the disease. And it became difficult to walk due to heaviness in the legs.

When You Shouldn’t Worry?

Injuries to the arm or shoulder become a barrier to their full functioning. Also, one of the causes of pain or stiffness can be a disease such as arthritis. To find out the reason for your problem, try to remember if you have had any injuries lately and then visit a surgeon or traumatologist.


7. Changing of Facial Expression (Masked Face)

Occasionally people start to notice that they or their relative have a very serious or depressed face that looks like a mask and hasn’t been there before. It can be one of the first symptoms of Parkinson’s

When You Shouldn’t Worry?

Some drugs, stress and fatigue can cause a stony facial expression. Therefore, before suspecting Parkinson’s disease, try to find out why you or your relative may have a stone facial expression.


8. Dizziness or Fainting

Dizziness and fainting may also indicate the development of Parkinson’s disease. It can happen as a result of a drop in blood pressure. If you have this symptom, you need to consult a specialist to determine if you have any disease and get timely treatment.

When You Shouldn’t Worry?

It may be expected if you sometimes feel dizzy, especially if you are hypotonic. It can also be a result of poor nutrition, oxygen starvation, and physical or emotional overstrain. Review your diet and lifestyle before you start to connect your symptoms with Parkinson’s disease.


You can take more information about the most widespread risks factors of Parkinson’s disease in our blog.


What to Do if You Suspect Having Parkinson’s Disease

If you suspect that you or your close person develops Parkinson’s disease, you need to contact a neurologist. He will ask all the necessary questions regarding your health and lifestyle. Then he will refer you for diagnostics, which will allow you to find out why you or your relative doesn’t feel well. 

Our Lone Star Neurology clinic deals with the treatment of neurological diseases. Among the diseases treated by our highly qualified specialists are the following:

Go to our website and view the complete list of diseases that are within our clinical practice. Also, you can read our interesting and useful articles about different kinds of diseases and their treatment. Contact our experts if you need help. 


Bottom Line 

It’s worth saying that it is important not to miss the possible onset of the development of Parkinson’s disease. To do this, you should pay attention to these symptoms. However, don’t panic after your signs and symptoms match those of Parkinson’s disease. Some disorders may have similar symptoms. To accurately establish the diagnosis, you need to contact a neurologist. 



  • What is usually the first symptom of Parkinson’s disease?

People in the early stages of Parkinson’s disease often have a tremor. It is worth consulting with a specialist as soon as possible.

  • At what age does Parkinson’s disease usually appear?

Younger people very rarely develop Parkinson’s disease. Most often, it occurs in middle or old age, after 60 years.

  • How can I test myself for Parkinson’s?

There are no special laboratory tests or diagnostics to detect Parkinson’s disease. You can tell your doctor about your symptoms which will help to make a diagnosis. 

  • What do early Parkinson’s tremors look like?

In the early stages of Parkinson’s disease, you can feel like your leg is shaking. And usually, the tremor covers only one side at the beginning. For example, you can notice that only your left hand started to shake. Then all the body parts start shaking.

  • Does Parkinson’s affect handwriting?

Yes, Parkinson’s disease affects the patient’s handwriting. Often enough people with Parkinson’s disease can notice that their handwriting has become crooked. Usually, it includes a small font and a close arrangement of letters to each other.

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Lone Star Neurology
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Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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