Introduction
April is Parkinson’s Awareness Month, a time to raise awareness for those affected by Parkinson’s disease (PD). Parkinson’s is the second-most common neurodegenerative disease following Alzheimer’s disease.
According to the Parkinson Foundation, there are over 1.1 million people in the US with Parkinson’s. This number is expected to rise to 1.2 million by 2030.
Parkinson’s is a complex disease that affects not just the person diagnosed, but also their families and caregivers.
This article outlines early signs of Parkinson’s that families should look out for. Understanding Parkinson’s early allows families to make informed decisions about care, treatment, lifestyle changes, and long-term support—before a crisis occurs.
What is Parkinson’s Disease? A Quick Overview
Parkinson’s disease is a progressive brain disorder that affects movement, coordination, and daily functioning. The most common symptoms associated with Parkinson’s include:
- Tremors or shaking in the hands and fingers
- Difficulty moving around
- Issues with balance
- Loss of smell
- Speaking challenges
Parkinson’s occurs when certain nerve cells in the brain begin to break down or die. It is most commonly diagnosed in adults over the age of 60, but can occur earlier in some cases.
According to Johns Hopkins Medicine, the biggest risk factors for developing Parkinson’s is advanced age. Men are also more likely to develop Parkinson’s than women. Genetics and environmental factors also play a role.
Studies show that Parkinson’s is the most common in the Rust Belt, Southern California, and Florida.
Because Parkinson’s is a progressive disorder, symptoms gradually become worse over time. There is currently no cure for Parkinson’s. However, scientists are developing treatments and medications to improve and manage symptoms more effectively.
With early detection and the right care plan, many individuals with Parkinson’s are able to maintain independence and a high quality of life for years after being diagnosed.
Why Early Signs Are Often Missed
The early signs of Parkinson’s are often missed because they can be subtle, non-specific, and usually develop slowly over long periods of time.
Additionally, Parkinson’s can show up differently among people – making it more challenging to pinpoint.
Early signs of Parkinson’s can go unnoticed or are often attributed to normal aging or other health conditions. These can include:
- Slower movement
- Slight tremors
- Fatigue
- Sleep disturbances
There are a number of early signs of Parkinson’s disease. If you notice more than one of these changes in a loved one, it is wise to bring it up with a doctor. Our advisors reassure families that no information is too much, and no intervention is too early.
10 Early Signs of Parkinson’s Disease
The following are 10 early signs of Parkinson’s disease to watch for in a senior loved one. Just because a senior is showing one of these signs does not necessarily mean they have Parkinson’s. That is why it is crucial to speak with a doctor to determine what could be a sign of Parkinson’s versus what is normal aging.
1. Tremors or Shaking
Slight shaking often begins in the fingers, hands, or chin while at rest.
2. Slowed Movement (Bradykinesia)
Having trouble initiating movement, taking shorter steps, and moving more slowly can be signs of Parkinson’s.
3. Changes in Handwriting (Micrographia)
With Parkinson’s, handwriting often becomes smaller and more crowded than it had been in the past.
4. Loss of Smell (Anosmia)
Declining sense of smell can be an early sign of Parkinson’s. Specifically, difficulty smelling foods like bananas, dill pickles, licorice, or coffee can be indications of the disease.
5. Sleep Disturbances
Sudden movements during sleep may be early signs of Parkinson’s. This can include restlessness during sleep or acting out dreams during deep sleep.
6. Stiffness or Rigidity
Stiffness in the shoulders, hips, arms or legs can be early signs of Parkinson’s – especially if the stiffness does not go away after moving. Reduced arm swinging when walking can also be an early sign. Our clients with Parkinson’s sometimes describe the feeling as their feet being “stuck to the ground.”
7. Soft or Low Voice
People with Parkinson’s sometimes experience changes in their voice. These changes can include the voice sounding quieter, breathier, more hoarse, or more monotone.
8. Facial Masking
Facial masking describes when a person has reduced facial expressions or appears serious, sad, angry, or “flat” – when they are not actually feeling those emotions. With Parkinson’s, facial masking can be persistent.
9. Dizziness or Fainting
Feeling dizzy – or even fainting – when standing up can be a sign of low blood pressure changes, which are linked to Parkinon’s.
10. Stooped Posture or Balance Issues
Family members might notice a loved one is more stooped, leaning, or slouching in their posture when standing. These can all be signs of Parkinson’s – and can increase the risk of falls.
Other Early Non-Motor Symptoms Families Shouldn’t Ignore
While Parkinson’s is often associated with movement-related symptoms, many of the earliest warning signs are actually non-motor symptoms. These symptoms can actually appear years before more noticeable physical changes.
Because these symptoms are less obvious, they can be easily overlooked or attributed to aging, stress, or other health conditions.
Families should pay attention to these subtle non-motor changes and bring them up with a doctor if numerous signs are present:
Depression or anxiety
A noticeable shift in mood — such as increased worry, sadness, or withdrawal — can be an early indicator of Parkinson’s. These mood changes are linked to chemical changes in the brain that occur with the disease.
Apathy or withdrawal from activities
An early sign of Parkinson’s is when someone becomes less engaged or unusually indifferent to things they once enjoyed. These changes may also be related to neurological changes that are occurring.
Digestive issues
Digestive issues, particularly ongoing constipation, are some of the more common early symptoms of Parkinson’s. In fact, these symptoms can appear long before motor-related symptoms develop.
Fatigue
Persistent fatigue that does not improve with rest may signal underlying changes related to Parkinson’s. This type of fatigue can affect someone’s physical energy and mental alertness.
Cognitive changes (mild memory or focus issues)
With Parkinson’s, subtle difficulties with concentration, problem-solving, or memory may begin to surface early on. These cognitive changes are typically mild at first but can become more noticeable over time.
When Should You Talk to a Doctor?
It can be difficult to know when subtle changes are worth bringing up to a doctor – especially when they are gradual or subtle. Furthermore, the occurrence of one of these aforementioned symptoms in isolation does not necessarily indicate the occurrence of Parkinson’s.
Consider talking to a doctor when the following circumstances arise:
- Multiple symptoms are appearing at the same time: For example, a slight tremor combined with changes in mood may be more significant when considered together rather than individually.
- Symptoms are persistent or gradually worsening: Occasional fatigue or stiffness may not be concerning, but do not ignore ongoing or progressive changes.
- Daily activities are becoming more difficult: Tasks like walking, writing, getting dressed, or speaking clearly may start to take more effort or become more challenging.
- Consistent changes in behavior or personality: Increased anxiety, withdrawal, depression, or lack of motivation can sometimes be early neurological signs of Parkinson’s.
- Partners, family, or friends are concerned: Oftentimes, loved ones notice subtle differences before the individual does. Taking those observations into consideration can be important.
Click here for a guide on what to do after receiving a Parkinson’s diagnosis.
Planning Ahead: Why Early Awareness Matters
Early awareness of Parkinson’s disease gives families time to be proactive instead of reactive. With more time, individuals can explore treatment options, make simple lifestyle adjustments, and take steps to maintain independence longer.
Early awareness also allows for important conversations around future care preferences, living arrangements, and support needs before these decisions become urgent.
By planning ahead, families can better understand their options, connect with trusted resources, and move forward with greater confidence and peace of mind.
Parkinson’s Disease and Long-Term Care Considerations
As Parkinson’s disease progresses, daily tasks can become more challenging. This can necessitate the need for additional support. While many individuals do well at home in the early stages, there may come a point when a safer, more structured environment is beneficial.
Options like in-home care, assisted living, or memory care can provide:
- A safe environment
- Help with mobility
- Medication management
- Access to physical, occupational, and speech therapy
- Regular daily routines
- Comfort
- Improved quality of life
Understanding long-term care options for Parkinson’s early allows families to make thoughtful decisions about care when it is needed the most.
Conclusion
The early signs of Parkinson’s disease are often subtle, but recognizing them can make a meaningful difference.
By staying aware, trusting your instincts, and seeking guidance when something feels off, families can take proactive steps toward the right care and support for their aging loved ones.
How Senior Consulting Advisors Can Help
Navigating Parkinson’s care options can feel overwhelming. Senior Consulting Advisors provides free, personalized guidance to help families find the right level of support. We help you determine whether the right option is in-home care, assisted living, or memory care.
Our local advisors take the time to understand your loved one’s needs, preferences, and budget, then guide you through trusted options in your area. From coordinating tours to supporting a smooth transition, we’re here to make the process easier every step of the way.
Call (800) 969-7176 or visit SeniorConsultingAdvisor.com today to find the right senior care option for your loved one with Parkinson’s or other neurological conditions.
Frequently Asked Questions about Parkinson’s
What is usually the first symptom of Parkinson’s disease?
One of the most common early symptoms of Parkinson’s disease is a slight tremor, often starting in the hand or fingers while at rest. However, early signs can vary. Some people first notice loss of smell, sleep disturbances, or subtle changes in movement or mood before any visible tremor appears.
How early can Parkinson’s be detected?
Parkinson’s disease can sometimes be identified years before major symptoms develop. This is especially true when early non-motor symptoms—like sleep issues, constipation, or loss of smell—are recognized. However, diagnosis is typically made once motor symptoms such as tremors or slowed movement become noticeable.
Can Parkinson’s symptoms come and go?
Yes, early Parkinson’s symptoms can be inconsistent at first. A person may notice mild symptoms that seem to come and go, which can make the condition harder to recognize. Over time, symptoms usually become more consistent and gradually progress.
Is Parkinson’s hereditary?
Most cases of Parkinson’s disease are not directly inherited. However, genetics can play a role in some cases, especially if there is a family history of the condition. Environmental factors and aging are also believed to contribute to its development.
Is Parkinson’s disease curable?
Currently, there is no cure for Parkinson’s disease, but there are many treatments available to help manage symptoms. Medications, therapies, and lifestyle changes can significantly improve quality of life and help individuals maintain independence for as long as possible.
What age does Parkinson’s disease usually start?
Parkinson’s disease is most commonly diagnosed in people over the age of 60. However, some individuals develop symptoms earlier, known as early-onset Parkinson’s, which can occur before age 50.
How is Parkinson’s disease diagnosed?
There is no single test for Parkinson’s disease. Doctors—typically neurologists—diagnose it based on a review of symptoms, medical history, and a physical and neurological exam. In some cases, additional tests may be used to rule out other conditions.
Can lifestyle changes help with Parkinson’s symptoms?
Yes, healthy lifestyle habits can play an important role in managing Parkinson’s symptoms. Regular exercise, a balanced diet, good sleep, and social engagement can all support physical and mental well-being and may help slow functional decline.
