Parkinson’s, however, is a complex neurodegenerative disease with a myriad of symptoms, and tremors are just a part of the picture. The disease primarily affects people around the age of 60 and is characterized by the loss of dopamine-producing neurons. This article aims to shed light on some lesser-known symptoms that are equally critical to understand and monitor.
Akinetic-rigid syndrome #
One of the most incapacitating symptoms of Parkinson’s disease is akinetic-rigid syndrome, which includes both akinesia and muscle rigidity. Akinesia refers to the overall slowing down of physical movements. People with akinesia may struggle with quick movements, reduced amplitude of movements, slow walking with small steps, a less expressive face, and a monotone voice.
Along with akinesia, muscle rigidity is a common symptom that can even be painful at times. It can cause stiffness in joints like elbows and wrists, often being confused with rheumatological problems. Therefore, if you or a loved one is experiencing any of these symptoms, don’t dismiss them as mere signs of aging, but consider seeking medical advice.
Tremors: not always present #
Contrary to popular belief, tremors are not always present in Parkinson’s disease. They usually appear at rest and are typically less pronounced during active moments, such as while eating or writing. The tremors are generally asymmetrical and affect one side of the body, usually an arm. However, there are forms of Parkinson’s that are characterized by pronounced tremors.
We must remember that not all tremors are indicative of Parkinson’s disease. There are other conditions, like essential tremor, that can cause tremors, especially in older individuals. These tremors are typically more pronounced during activities like writing, eating, or doing handy work, and can be significantly more debilitating.
Diagnosis and treatment #
The diagnosis of Parkinson’s disease primarily relies on observing these symptoms, conducting a physical examination, and patient interviews. Once Parkinson’s is suspected, the diagnosis can be confirmed if there’s a more than 50% response to dopaminergic treatment. Treatments for Parkinson’s aim to replace the dopamine that the body can’t produce in sufficient quantities.
The early years following the diagnosis (three to seven years) typically see an excellent response to treatment, with the patient experiencing almost no symptoms. However, as the disease progresses, the effectiveness of the treatment decreases, and the patient might need to take more medication throughout the day.
Additional symptoms such as cognitive or swallowing difficulties, and falls, can appear years after the diagnosis. Understanding these symptoms is vitally important for early detection and management of the disease. With the right treatment and care, people with Parkinson’s can live a long and fulfilling life.
- Akinesia: a global slowing down of movements
- Muscle rigidity: stiffness and possible pain in the joints
- Tremors: shaking that occurs at rest and affects one side of the body
- Cognitive difficulties: problems with thinking and understanding
- Swallowing difficulties: problems with eating and drinking
- Falls: increased risk of falling due to stiffness and balance issues
