Neurologist outlines early warning signs of Parkinson’s disease

Neurologist Dr. Artyom Barishev has identified early warning signs of Parkinson’s disease, including hand tremors at rest, slower movement, and noticeable changes in handwriting.

According to Dr. Barishev, resting tremors are a common symptom of Parkinson’s, typically affecting one hand. These tremors tend to subside during purposeful movements and become less pronounced with voluntary activity. However, not all patients experience tremors, so it is important to watch for other changes as well.

He added, “Other important changes include slowness of movement, rigidity, and reduced arm swing on one side while walking. Handwriting changes are also characteristic, with letters becoming noticeably smaller and words more closely spaced.”

Dr. Barishev noted that the gradual reduction in letter size when writing is known as micrographia.

However, he cautioned that illegible handwriting or mild hand tremors alone do not necessarily indicate Parkinson’s disease, as these symptoms can be linked to fatigue, anxiety, caffeine consumption, certain medications, or other illnesses.

Additionally, a person may become slower when dressing, have difficulty handling small objects, and relatives may notice movements becoming less fluid. These symptoms should not automatically be attributed to aging or tiredness.

He said, “Mild hand tremors may worsen with anxiety, fatigue, after drinking coffee, or when taking certain medications.”

According to Dr. Barishev, there are other neurological causes of tremors. Therefore, self-diagnosing Parkinson’s based on finger tremors or changes in signature is not accurate.

The risk of developing Parkinson’s increases with age and is more common in men than women.

He stated, “Age is the main risk factor, so the likelihood of developing the disease rises as people get older, but it can also affect those under 50.”

Men are more likely than women to develop Parkinson’s, and the risk is slightly higher if a close relative has been diagnosed. However, this does not necessarily mean it will be inherited by children.

Dr. Barishev recommends consulting a neurologist specializing in movement disorders if tremors recur, handwriting changes significantly, or movements become slow.

He said, “Patients can bring samples of old and new handwriting, a list of current medications, and a short video of the tremor if it occurs intermittently. Diagnosis is mainly based on symptoms, medical history, and a neurological examination.”

According to him, additional tests may be requested as needed, since MRI scans alone cannot confirm Parkinson’s disease. Timely consultation helps identify the cause of symptoms and select treatments that relieve symptoms and support daily activities.

Source: RT