Dr. Artem Baryshev, a neurologist, points out that early signs of Parkinson's disease are hand tremors at rest, decreased movement speed, and changes in handwriting.
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According to him, resting tremors are a common symptom of this disease, usually affecting one hand and weakening with purposeful movements, while diminishing with voluntary movement. However, such tremors go unnoticed in some patients, so other changes should also be monitored.
He says: "There are other important changes as well, such as slowness of movement, stiffness (stiff person syndrome), and a decrease in the swing of one arm while walking. Changes in handwriting also have their own distinctive characteristics; letters may become noticeably smaller when writing, and words may be closer together."
The doctor points out that the gradual decrease in letter size when writing is called micrographia. However, illegible handwriting or slight hand tremors do not, in themselves, indicate Parkinson's disease. These symptoms may be related to fatigue, anxiety, caffeine consumption, certain medications, and other conditions.
In addition, the person may become slower to dress, have difficulty handling small objects, and those close to them may notice that their movements have become less fluid. These symptoms should not be automatically attributed to aging or fatigue.
He says: "Mild hand tremors may increase with anxiety, fatigue, after drinking coffee, or while taking certain medications."
According to him, there are other neurological causes of tremors. Therefore, independently diagnosing Parkinson's disease based on finger tremors or signature shape is incorrect. Of course, the risk of developing Parkinson's disease increases with age, and it is more common in men than in women.
He says: "Age is the main risk factor, so the likelihood of developing the disease increases with age, but it can also affect people under 50. Men are more likely to develop it than women. The risk also increases slightly if a close relative has been diagnosed with Parkinson's disease, but this does not necessarily mean that it will be passed on to the children."
The doctor advises consulting a neurologist specializing in movement disorders if the tremors recur, if there is a noticeable change in handwriting, or if movement becomes slow.
He says: "The person can bring samples of old and new handwriting, a list of the medications they are taking, and a short video of the tremor if it occurs intermittently. The diagnosis is based mainly on complaints, symptom history, and neurological examination."
According to him, the doctor may request additional tests as needed—because an MRI alone does not confirm a diagnosis of Parkinson's disease. Timely consultation also helps determine the cause of the changes and select a treatment that alleviates symptoms and facilitates daily activities.
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