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The 10 Most Common Early Warning Signs

Parkinson’s disease is a progressive disorder of the nervous system that primarily affects movement. Its symptoms often start gradually, sometimes with a barely noticeable tremor in just one hand. While tremors are a well-known sign, there are many other indicators. It’s important to remember that having one or more of these signs does not mean you have Parkinson’s, as they can be caused by other conditions. However, understanding them is the first step toward seeking a proper evaluation.

Here are the 10 early signs, based on information from sources like the Parkinson’s Foundation and the National Institute on Aging.

1. Tremor

A tremor, or shaking, is perhaps the most recognized sign of Parkinson’s disease. This shaking usually begins in a limb, often your hand or fingers. A key characteristic is a “pill-rolling tremor,” where your thumb and forefinger rub back and forth. A crucial distinction is that a Parkinson’s tremor typically occurs when your muscles are at rest. The shaking may decrease when you perform a task. This is different from other types of tremors, like an essential tremor, which often becomes more apparent during action.

2. Small Handwriting (Micrographia)

A sudden, significant change in your handwriting can be an early indicator. People may notice their handwriting has become much smaller than it used to be, a condition known as micrographia. You might also find that the words on the page are crowded together. This happens because Parkinson’s can affect the fine motor control needed for writing, making it difficult to perform the once-automatic movements with the same size and fluency.