Parkinson's Disease
Changes in movement, walking or coordination can be worrying, particularly when the cause is unclear. A neurological assessment can help establish whether symptoms are consistent with Parkinson's disease or another condition, and guide appropriate care.
Enquire about a consultationWhat is Parkinson's disease?
Parkinson's disease is a progressive neurological condition that affects movement. It is associated with the loss of dopamine-producing nerve cells in an area of the brain involved in controlling movement.
Symptoms typically develop gradually and can vary substantially between people. Many individuals experience changes in movement alongside symptoms affecting sleep, mood or other everyday functions. An accurate diagnosis matters because other neurological conditions and some medicines can produce similar symptoms.
Common signs and symptoms
Not everyone develops the same symptoms, or in the same order. Common features include:
Slower movement
Everyday movements may become slower, with difficulties starting movement or performing tasks that were previously straightforward.
Tremor
Shaking can affect a hand or arm, particularly when it is resting. Not all people with Parkinson's experience tremor.
Stiffness and walking changes
Muscles may feel rigid, and posture, balance or walking can change over time.
Other symptoms
People may also experience constipation, sleep difficulties, reduced sense of smell, fatigue, anxiety or low mood. These symptoms are not unique to Parkinson's disease.
Not all tremors are Parkinson's
Essential tremor and other movement disorders can look similar at first. See our Tremor and Movement Disorders page for more information.
How is Parkinson's disease diagnosed?
The diagnosis is usually based on a detailed history and neurological examination. There is no single blood test or scan that definitively confirms Parkinson's disease.
Discussing symptoms
The appointment explores when symptoms began, how they have changed, any family history, current medicines and the effect on daily life.
Movement examination
Assessment may include walking, balance, muscle tone, speed of movement and the characteristics of any tremor.
Further investigation
Additional tests may be considered if the diagnosis is uncertain or another cause needs to be investigated. Imaging is not routinely required for every patient.
If you develop sudden weakness, speech difficulty or other abrupt neurological symptoms, seek emergency help rather than waiting for a routine consultation.
What treatment options are available?
Treatment aims to manage symptoms, support independence and maintain quality of life. The most appropriate approach depends on the diagnosis, how symptoms affect you and your personal priorities.
Medication
Medicines such as levodopa and other Parkinson's treatments may improve movement symptoms. Choice and timing depend on clinical circumstances, benefits and potential side effects.
Supportive therapies
Physiotherapy, occupational therapy and speech and language therapy can help with mobility, everyday activities, communication and swallowing where appropriate.
Ongoing review
Symptoms and treatment needs can change. Regular specialist review helps assess response, adjust management and coordinate additional support where needed.
Advanced treatment options are considered by appropriate specialist services when necessary. Never change or stop Parkinson's medicines without medical advice.
How Dr Yasser Falah can help
Dr Falah is a London-based Consultant Neurologist. He can review concerns about changes in movement, assess neurological signs and discuss whether Parkinson's disease or another diagnosis may explain your symptoms.
Where appropriate, he can review previous assessments, explain the need for further investigations and discuss treatment or referral options. The emphasis is on an individual assessment and clear next steps.
About Dr Yasser FalahUseful information to bring
- When your symptoms began and how they have changed
- A current medication list
- Any previous scan results or specialist letters
- Examples of activities affected by symptoms
See consultation fees and clinic locations.
Parkinson's disease FAQs
What are the early signs of Parkinson's disease?
Early signs may include slower movement, a tremor at rest, stiffness, smaller handwriting, reduced arm swing or changes in walking. These symptoms have several possible causes, so an assessment is important.
Does having a tremor mean I have Parkinson's?
No. Tremor can occur with essential tremor, medication effects and other conditions. Parkinson's is diagnosed by considering the whole pattern of movement symptoms and examination findings.
Is there a test that confirms Parkinson's disease?
There is no single test that conclusively confirms Parkinson's disease. Diagnosis is mainly clinical, based on the history and examination. Imaging or other tests may sometimes help investigate alternative explanations.
Can Parkinson's disease be treated?
There is currently no cure, but medication and supportive therapies can often improve symptoms and day-to-day function. Treatment is tailored to symptom severity, priorities and other health considerations.
Will I need treatment immediately after diagnosis?
Not necessarily. Some people with mild symptoms may initially be monitored. If symptoms affect quality of life, a specialist can discuss treatment options and their benefits and risks.
How should I prepare for a neurology appointment?
Bring a list of your medicines, details of symptoms and when they began, any previous clinical letters or investigations, and questions you would like to discuss. A family member or carer may accompany you if helpful.
Related information
Concerned about movement changes?
Contact London Neurology Specialist to enquire about an appointment with Dr Yasser Falah and discuss whether a neurological assessment may be appropriate.
This information is for general guidance and does not replace medical advice.