Understanding Parkinsonism: Signs, Causes, and Practical Steps
Parkinsonism isn't a single disease — it's a group of movement problems that look like Parkinson's disease. You might notice slow movement, stiffness, tremor, or balance trouble. Not all parkinsonism is classic Parkinson's disease. Some cases come from medicines, small strokes, or other brain disorders. The cause changes the plan, so finding the right diagnosis matters.
If you or a family member spot clear changes in walking, hand use, or facial expression, see a doctor. A neurologist will ask when symptoms began, how they change during the day, and what medicines you take. They will do a physical exam and may order tests like brain MRI or a DaTscan to check dopamine pathways. Blood tests can rule out other causes. Keep a short symptom diary — note falls, sleep troubles, mood shifts, and how medicines affect you — and bring it to appointments.
Treatment basics
Treatment depends on the cause. For typical Parkinson's disease, levodopa is usually the best way to reduce slowness and stiffness. Dopamine agonists and MAO-B inhibitors help some people early on or as add-ons. Amantadine can ease tremor or involuntary movements from long-term levodopa use. If a medicine causes parkinsonism, stopping that drug may improve symptoms. Some progressive disorders respond less to drugs; in selected cases, deep brain stimulation can help when medications no longer control symptoms.
Daily life and safety
Small everyday steps change outcomes. Physical therapy helps walking and balance. Occupational therapists suggest simple home fixes — remove loose rugs, add grab bars, improve lighting. Speech therapists can help voice and swallowing. Stretch a bit each day, shorten your step when walking, and use a cane if needed. Treat sleep problems and mood issues because they make movement problems worse.
Watch for medication side effects. Levodopa can later cause involuntary movements called dyskinesias. Dopamine drugs sometimes bring sudden sleepiness, strong urges, or vivid dreams. Tell your doctor about new sleepiness, odd behaviors, or impulse problems right away.
Practical things to bring to a visit: a current medication list, a short home video of symptoms, and notes on when symptoms are better or worse. Ask if a movement disorder specialist would help. Local support groups and online communities offer useful tips and emotional support.
Red flags to act on: sudden severe dizziness, new confusion, high fever, trouble breathing, or a fall with injury. Call emergency services for those. For slower changes, ask your clinic about medication timing, dose adjustments, or a home safety review. Track symptoms in a simple app or notebook and share it at each visit. You're not alone in this.
Traveling with Parkinsonism: Tips for a Successful Trip
Traveling with Parkinsonism can be challenging, but with proper planning and preparation, it is definitely possible to have a successful trip. In my latest blog post, I share some essential tips for making your journey as smooth and enjoyable as possible. Some key suggestions include discussing travel plans with your healthcare team, making necessary medication adjustments, and researching accessibility and support services at your destination. I also emphasize the importance of packing smart and staying flexible during the trip. Give it a read to ensure a memorable and stress-free vacation despite Parkinsonism!