The 10 Early Signs of Parkinson’s You Might Not Know About
Parkinson’s disease, the world’s fastest-growing neurological condition, is often associated with the classic tremors seen in many individuals living with the condition. However, there are many other early signs of Parkinson’s that can go unnoticed or be mistaken for normal ageing. Despite being the second most common neurodegenerative disorder after Alzheimer's and affecting around 153,000 people in the UK, many remain unaware of its broader symptoms and impact.
Parkinson’s UK highlights a significant knowledge gap in understanding the early stages of Parkinson’s, even though the condition has affected well-known figures such as comedian Billy Connolly, actor Michael J. Fox, and rock stars like Neil Diamond, Linda Ronstadt, and Ozzy Osbourne. Early detection is vital for better managing the condition and improving quality of life. Here are 10 early signs of Parkinson’s you might not know about:
1. Tremors or Shaking
While tremors are the most recognised symptom, they don’t always present immediately. When they do occur, it’s often seen in one hand or arm while at rest. These involuntary movements are typically more noticeable when the individual is calm and can worsen with stress.
2. Changes in Handwriting (Micrographia)
Many people with Parkinson’s experience a noticeable change in their handwriting, which can become small and cramped, a condition known as micrographia. This change may initially go unnoticed, but over time, the handwriting can become increasingly difficult to read.
3. Stiffness or Rigidity
Stiffness or muscle rigidity is another common early sign of Parkinson’s. This often manifests as an inability to fully move certain muscles or joints, making it difficult to bend the arms or legs. This rigidity can cause discomfort or pain and limits movement.

4. Shuffling Walk
Parkinson’s can cause a person to develop a characteristic shuffling gait. This can be accompanied by a lack of arm swing and the tendency to take smaller, slower steps. This movement issue can cause balance problems, increasing the risk of falls.
5. Changes in Facial Expression (Mask-like Face)
One of the lesser-known symptoms is a reduced range of facial expressions, commonly referred to as a “mask-like” face. This can give the impression of being less engaged or interested, though it is simply a result of the condition affecting the muscles responsible for facial movement.
6. Soft or Mumbled Speech
People with Parkinson’s may notice that their speech becomes softer or more difficult to understand. This is known as hypophonia. The condition can also affect the pitch and tone of the voice, making it sound monotone or robotic at times.
7. Sleep Disruptions
Sleep problems are common among those with Parkinson’s disease. Individuals may struggle with insomnia, experience vivid dreams or nightmares, or suffer from restless leg syndrome. These disruptions can be exhausting and exacerbate other symptoms.
8. Depression and Anxiety
Psychological symptoms like depression and anxiety are often overlooked in Parkinson’s disease. These conditions can develop early on, making it harder for individuals to cope with the challenges of the disease. The changes in brain chemistry that occur with Parkinson’s contribute to these mood disturbances.
9. Constipation
Constipation can be an early indicator of Parkinson’s and is related to the reduced activity of the digestive system. As the disease progresses, it can affect the autonomic nervous system, slowing down the movement of food through the intestines, leading to frequent constipation.
10. Loss of Sense of Smell (Anosmia)
A loss or decrease in the sense of smell, known as anosmia, can often be an early warning sign of Parkinson’s. This symptom may not be immediately obvious, but it can be a subtle indicator that the condition is developing. Many individuals with Parkinson’s report having difficulty detecting certain odours, such as coffee or food.
Conclusion
While Parkinson’s disease remains a mystery for many, early detection is crucial for managing its symptoms and improving quality of life. Understanding these lesser-known early signs of Parkinson’s can help individuals seek medical advice sooner, enabling better management of the condition. If you or someone you know is experiencing any of these symptoms, it’s essential to consult with a healthcare professional for an accurate diagnosis and appropriate care. With greater awareness and timely intervention, those living with Parkinson’s can continue to live fulfilling lives.
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