PD 101
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What are the symptoms of Parkinson's?

One of the most important things to remember about diagnosing PD is that a person must display two of the four main symptoms below over a period of time in order for a neurologist to consider a PD diagnosis.

Four Main Motor Symptoms of PD
•    shaking or tremor at rest
•    slowness of movement, called bradykinesia
•    stiffness or rigidity of the arms, legs or trunk
•    trouble with balance and falls, also called postural instability (may not be present with initial diagnosis)

Secondary Symptoms of PD
•    small, cramped handwriting, called micrographia
•    reduced arm swing on the affected side
•    slight foot drag on affected side creating a shuffled walk
•    “freezing”—a term used to describe the phenomenon of being “stuck in place” when attempting to walk
•    loss of facial expression due to rigidity of facial muscles, called hypomimia
•    low voice volume or muffled speech, called hypophonia
•    tendency to fall backwards, called retropulsion
•    decrease ability in automatic reflexes such as blinking and swallowing

Other Symptoms of PD
•    depression
•    anxiety- beyond the normal response to stress
•    hallucinations/psychosis
•    sleep disturbances (vivid dreams, talking and moving during night sleep)
•    constipation
•    pain
•    increase in dandruff (seaborrhea dermatitis) or oily skin