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What was your first PD symptom?

Mihai
40 posts
May 20, 2009
12:32 PM
This is a question that is asked often and its answer is almost as individual as those responding to it. This might be of interest to some (yet undiagnosed) out there.

My first symptom was slowness/weakness in my left hand. I first noticed it when playing the piano.

Others?

Thanks for the input. Mihai

bbira
78 posts
May 20, 2009
3:55 PM
Excruciating pain in my left shoulder...like a pinched nerve, which is what my PCP thought it HAD to be even though all X-rays, et al, were inconclusive...and a slight, oh so slight, tremor in my left hand.
Bea50
2 posts
May 20, 2009
4:23 PM
I started with slowness/weakness in my right hand. I also noticed a tremor. I work on the computer, and thought maybe it was something like carpal tunnel.

The next sympton was pain in my right shoulder. I think it was intensified because I spend alot of time on the phone at work and was cricking my neck to hold the phone.

A combination of my medicines and a headset have helped me so far to aleviate much of this pain!

(still have the slowness and tremor in my right hand).

Last Edited on 20-May-2009 4:24 PM

Frankie D
3 posts
May 20, 2009
4:45 PM
Maybe 3 years ago a coworker noticed a resting tremor in my right hand. I was talking to her while holding papers and the papers were waving. Shortly after it became difficult to hold the phone with my right hand. I guess that while my mind was busy with the phone conversation the wrist and hand were in resting mode. Anyways the wobble made it impossible to hold the phone with my dominate hand.

A year or two later at thanksgiving dinner my teenage nephew asked why uncle frankie's hand was shaking. To this day, my 5 siblings know what's going on but my parents and grandparents don't really want to discuss. Well, my sisters fiance quitly kicked the nephew and said, Uncle Frankie just needs a drink.

It was funny.

Beccapooh
26 posts
May 20, 2009
4:52 PM
Wow, that's really hard. I've been "off" for so long and just DX this month, so....hhhmmmm....let me try to remember????

Um, weakness on my right side, difficulty swallowing and speaking "differently". Then it was the right sided shoulder and ear pain. The rest came like a landslide really. Not the nice slow progression that's supposed to be YOPD. However, it was during a time of intense, unending stress.

Good question!

Beth1
102 posts
May 20, 2009
6:22 PM
My first recollection of things happening was an on and off tremor in my right hand and my right pinkey finger kept getting stuck in a certain position. (can't remember which came first). Totally in denial that this could be the beginning of something. It wasn't until my father-in -law caught it happening one day on a family trip that I decided this could no longer be ignored.
YMH
27 posts
May 20, 2009
9:25 PM
Mine started with stiffness, fatigue and balance issues. I had a baby though so it was easy to attribute everything to having a 6 yr old and an infant and being sleep deprived. But, I fell down the stairs twice, second time while carrying my daughter, she was fine, but scared the crap out of me and finally caused me to go to the Drs. I developed resting tremor at some point before I was diagnosed.
lefty44
16 posts
May 23, 2009
6:33 AM
About 3 years ago, I developed a painful frozen shoulder. Fortunately on my right (non-dominant side) Never got my arm swing back, though. That alone was not too bad. Last year developed tremor in right hand/arm, leg drag, slowness of movement,facial masking. This set of symptoms led to my Jan '09 dx of pd.
Modemdavid
90 posts
May 23, 2009
6:48 PM
Pinky tremor, left hand - as a keyboard musician, I am very aware of functionality of my hands and this strange little change was indeed the harbringer of full blown PD....
suzan29
56 posts
May 24, 2009
10:07 PM
Left foot dragged
pdbyrd
73 posts
May 25, 2009
1:07 AM
left foot dragging and lack of left arm swing
then severe fatigue and pain that kept me up at night.
rose of his heart
31 posts
May 25, 2009
4:27 AM
Unrelenting neck stiffness and pain were first I think. Then frozen shoulder, moderate depression. Then the cascade of classic sx, motor, cognitive, autonomic...
reverett123
10 posts
May 25, 2009
6:38 AM
Tremor as I raised a glass to my lips. 1992
Stable until 1999 influenza triggered difficulty in walking.
Dawn121508
4 posts
May 26, 2009
5:21 PM
Tremor in left index finger, pain and stiffness in neck, and severe low back and leg pain.
Mihai
49 posts
May 26, 2009
6:13 PM
Thanks, everyone, for the responses! These are helpful. Hopefully others reading this will be helped by knowing our initial symptoms. Anybody else want to add?

Mihai

Jennyxxx
6 posts
May 28, 2009
11:08 PM
Occasional tremor in right hand for many years (discarded as they said it was due to a car accident). Then working at my desk I would keep finding that my heel of my right foot had arched upwards and my whole leg was cramping. That soon turned into tremor in the leg. At the same time I found I could no longer write properly (filling out forms full of tiny boxes was murder!) and then my whole arm started shaking uncontrollably. This all happened over about 3 months.

Jen

Gena
11 posts
May 30, 2009
2:40 PM
Hi mihai,
I just wanted to let you know that although I haven't been diagnosed yet as you know,I have the same symptoms now that you had then.This post has been of great help to me and I wanted to thank you.

P.S I'm originally from Ireland and I hear you like listening to irish music,any favourites?

Mihai
54 posts
May 30, 2009
7:10 PM
Hi Gena,

I'm glad this post has been helpful to you. I thought it might have some merit for those wondering about the range of initial symptoms. Glad to help!

If you have any questions, let me know.

I love Irish music. I have two CDs by a group called Celtic Thunder. I listen to them all the time! I absolutely love the songs, the sounds, all of it...have you ever heard them? They are often found on public broadcast TV...they are great!

My mom's side of the family came from England in the early 1900's...so I have a good bit of English blood in me.

Blessings on you,
Mihai (Mihai is Michael in Romanian...I have no Romanian in me...but I spent time there in graduate school and the name sort of stuck!)

pxxx
10 posts
May 31, 2009
12:25 AM
Hi Mihai

Iam 43 it started with the toes on my right foot curled under about 7 years ago .When i was dx the doctor said that it was 1 of the 1st signs of young onset parkinsons

Pxxx

Joshuamax71
10 posts
May 31, 2009
9:26 AM
Would have to say it was a pretty non specific overall stiffness which I ignored for a while. I then noticed a tremor in my hand and continued progression of stiffness in the ankle. Diagnosis was pretty quick after seeking medical opinion.
JerryJ
2 posts
May 31, 2009
12:53 PM
Tremor in my right hand and right foot drag. I went from being a 190 average league bowler one year to not being able to break 140 and stumbling all over the lanes (sober) the next year. Now with the meds (Stalveo 200 3x a day, Mirapex .5mg 3x a day) I`m bowling in the 160`s. I have the right side hand and leg tremors, and the curling toes, during off times and don`t have the fine motor skills with my right hand at all anymore. Was dx 5 years ago.
Mihai
56 posts
May 31, 2009
7:32 PM
Hey Jerry...

How do you like Stalevo? I've been on that for a few years now. I take 200 four times a day. I'm also on Selegiline. I find that combination to be fairly effective for now.

Thanks to everyone for the responses. Keep them coming. I find the responses intriguing...what a variety of initial symptoms. This has already proven helpful for some. I pray for that to continue.

Blessings on you all,
Mihai

kmc
2 posts
Jun 03, 2009
9:06 PM
I was witnessed having tremors in my legs while sleeping in a recliner. My 1st noticeable symptoms where easy lose of balance, falling and anxiety.
kim63
1 post
Jun 09, 2009
8:23 PM
glad to have found this site have been searching for support network since I was diagnosed four month ago. I am 46 and scared. My first systoms were right shoulder and arm pain along with facial droop. doctors thought I had a stroke, then thought I had belz palsy took close to 3 years to be told I had parkinsons . Was'nt until I was refered to a movement specialist that I started treatment. Now its my whole left side.
Mihai
61 posts
Jun 10, 2009
4:19 AM
Hi Kim...

Glad you've joined us. I know that getting that PD diagnosis can be a difficult thing, but don't let it scare you. We are all here to help you in any way we can. I was diagnosed about 8 years ago at the age of 33. My progression has been fairly gradual, but I do have many PD symptoms. There are many good and insightful people on this message board. Read through the posts and educate yourself as best you can. There are many things that you can do to help your functioning. If you have any questions, ask. I have gained much insight into the disease process just by "hanging out" here.

Thanks for posting the message. Keep your chin up and know that you are not alone. We are right here beside you, struggling with you, and living one day at a time!

God bless you,
Mihai (Michael)

Dave
21 posts
Jun 10, 2009
7:09 AM
For me it was a painful frozen shoulder about 3 years prior to the onset of the classic symptoms. Kim63 - keep your chin up, hope you find that with the right doc & meds you can get on with your life in a reasonable, happy manner.
kim63
3 posts
Jun 10, 2009
7:18 PM
Thanks gentlemen for making me welcome.
g_man
57 posts
Jun 11, 2009
6:38 AM
Non-specific pain in left shoulder in my early to mid 20's.

Noticed resting tremor in upper left arm while watching the playoffs (hockey) in April '04 at the age of 25. Yes, I'm Canadian.

Diagnosis within a year of April '04.

Mihai
82 posts
Jun 17, 2009
8:42 PM
Anybody else want to add to this list? I would encourage some of the yet undiagnosed to show this list to his/her doctor...especially if symptoms line up. Just a thought...

Mihai

Last Edited on 17-Jun-2009 8:43 PM

sue90.ernestine
7 posts
Jun 18, 2009
6:06 AM
Hi,everyone
I'm feeling lost. I've seen 6 neurologist they think its all in my head.I did have a phyc evaluation and was told it had nothing to do with my symptoms. I'm only 37 and my whole world has been flipped upside down in 3 months. I work at a factory, but havn't worked in 3 months my symptoms progressed rapidly don't no what I have. But needed support thats why I joined pd My symptoms started with left leg followed by stiffness in left fingers. Had seizure like event like electric shock sent up back into back of head caused my whole body to stiffen with jerking and cramped curled toes. I have to use a cane because I keep falling backwards. I woddle when I walk because knees don't want to bend. My arms are heavy and burn as do my legs at times. I am so weak just to walk around the yard is a chore. My head goes off to the right and stays that way for a week at a time. I have muscle spasms off and on and sometimes they affect my whole body for 20-30 minutes it will twist or cramp my feet while causing incredible pain in my back and hips.I get dizzy alot to. all my test are normal.Although when I looked at mri of thoraic it had 13 white spots none on the brain though is it normal for spots to show up on mri anywere? My family doctor is sending me to mayo clinic in Minnisota. Don't no when yet waiting for call. At times it feels so busy under my skin I just want to jump out of my own body. I do not have resting tremor. But I do have tremor when I try to lift leg or arm to a certain point. I feel like I'm in the twilight zone. I havn't drove since march for sometimes my leg will stiffen straight out. and my cordination is bad small motor task seem to set me off the worst. Thanks for listening sue
erin
1 post
Jun 25, 2009
2:47 PM
not yet diagnosed but pretty sure it's PD :(
stiffness and tightness on whole rt side, resting tremor in right thumb, rt toes and thumb curling up and locking, little to no rt arm swing, poor coordination. i'm only 30 with a stressfull career and 2 small children. hmmmmm. . . thinking i might have to slow down.
Mihai
105 posts
Jun 25, 2009
6:30 PM
Hi Erin,

Thanks for posting. Your symptoms sound consistent. I was diagnosed at age 33 (now 40). If it turns out to be PD, you might need to slow down, but carefully evaluate your OWN situation and progression. As I'm sure you've already read, this disease hits everyone differently in terms of symptoms and progression. You probably will have many years left to work...I still work a full-time job with relative ease, but have had to make accommodations here and there as the PD has progressed.

Thanks for your first post. Hang around here for support, information, and encouragement.

We're all here for you!
Mihai (Michael)

P.S. - I also have two small children...I started way late!!!

EMD
29 posts
Jun 25, 2009
8:11 PM
sue90.ernestine,

I'm sorry you are experienceing so many tough symptoms and can't find any answers or help.

Your symptoms in a lot of ways seem puzzling..some seem like PD while others don't. Perhaps they are "atypical"....which I know less about. But figuring out what IS going on has obviously been challenging.( six neuros could not figure it out so far. that alone, says something! It's tricky!) so it is good you are going to the Mayo Clinic. hopefully they will help you sort it out once and for all...but they could be stumped too). Then YOU may have to become your own detective..

You mentioned working in a factory...any chance you are/were exposed to unusual chemicals, by-products, molds, toxins, pesticides, fertilizers, fumes,etc etc. Many environmental contaminants effect the nervous system of mammals, including us.

do you eat well, able to sleep, able to think normally,can you apply your efforts and accomplish a normal amount of work, etc? Move normally? You already answered some of these ?s above. Have you experienced injuries, especially to the head, does anyone one else you know have similar symptoms especially people you worked with, are they related or not. Is yor community on top of an old landfil, near any toxic dumps, etc. do you eat any unusual foods or rely heavily on specific foods, drinks, that you consume in higher ratio than normal? Is your source for drinking water pure and free of contaminants?


and if you still draw a blank....before you go to bed ask your wise and observing mind to help you. You may laugh if you wish but I am serious. Respectfully ask your Larger Mind "what is important for me to know about my health problems?" Contemplate that before you go to sleep each night and then pay attention to your dreams and thoughts upon waking up. If you do this with sincerity you will get some leads. Your Larger Mind has been remembering , observing and attending, integrating, much more than we are consciously aware of. If you think this is silly then it won't work. If you respect your Larger Mind and are sincere it can assist you in your efforts to figure out what 's going on.. It LIKELY WILL NOT label your exact disorder but instead it may point you in the direction you should be looking for answers.The important thing is to remain open to any response. It may be straightforward or very metaphorical. you will have to assign meaning or interpret the response.
and remember to thank your mind for any help it provides you. A little courtesy goes o long ways:)


I gotta go....good luck,

EMD

There are many types of movement disorders and they are complex and difficult to diagnose especially those due to environmental causes or factors..


Good luck at the Mayo. Hope someone or YOU can help you figure out what is happening to you. And remember you know much more than anyone who tells you or implies that it is all in your head. Trust your instincts, experiences and self knowledge and Larger Mind and keep looking for someone who will respect your observations and experiences. Good luck

EMD

michelle
219 posts
Jun 25, 2009
10:26 PM
My first symptoms were pain/frozen neck on left side, then no arm swing on my left arm. I had a new baby and a 2 year old, so we assumed it was repetitive stress syndrome from holding the baby all the time. My husband kept yelling "put the baby down!". :) That was kind of funny.
ottergrrrl
166 posts
Jun 26, 2009
4:09 AM
My PWP's first symptoms were three - losing his right arm swing and that he had trouble getting his hand into his pants-pocket, pain/numbness that they associated with carpal tunnel, and "drop foot" that made his stride awkward. Before dx he had carpal tunnel surgery and surgery on his foot b/c they thought it was just stuff associated with being an active 40yo. When nothing changed he was sent to a movement disorder neuro - congrats kid, its YOPD! He was relieved it wasn't ALS.
Mihai
109 posts
Jun 27, 2009
7:38 AM
Thank you so much to everyone for the input on this post...I think it has been very informative, and I know that people have found the information to be very helpful.

Anyone else want to add their 2 cents???!!!

Peace,
Mihai

Jnoland
22 posts
Jun 29, 2009
3:47 PM
Mihai,

For me my gait seemed off for a while. Then, UNGODLY PAIN IN MY NECK that required serious narcotics! That resulted in two cervical fusion surgeries before I was accurately diagnosed. after that, the usual PD symptoms - action tremor, short steps, arms not swinging, facial masking, balance, dystonia, etc.

Now I have cervical problems and PD.

John Noland

Last Edited on 29-Jun-2009 3:51 PM

Bonster
8 posts
Jun 29, 2009
6:23 PM
My first symptom was micrographia .. I've always been told I had lovely penmanship and started noticing my writing was getting messy and small -- by the time I went to the doctor (May '05 - I was 55) I could only print as my writing was illegible. I went on short term disability (was a legal ass't) and never went back to work because I still can't write and printing is even getting hard to read. I don't have tremors, however, I do have rigidity and some freezing when I get up from a sitting position. Lately I've had to use a cane when I walk because of stooping and leaning to to the left when standing (dr's. can't figure that one out)and last but not least, I got vocal cord paralysis (P.D. symptom the neuro said) and my breathing got so bad, I ended up in emergency and got a trachyotomy (6 mo's ago)-- so now I wear this lovely contraption around my neck -- but I'm not complaining because I can breath better and I'm alive -- I'm now known as the "scarf lady"... no one even knows I'm trached (I can talk because it has a speaking valve). So far, the neuro has me on Sinemet 100/25 3xday and Sinemet CR 200/50 4xday (doesn't seem to make any difference with my symptoms)- he says his educated guess is that I've got P.D Plus MSA (multiple systems atrophy) -- Oh lucky me, just something else to add to the mix....anyway, I've blabbed on long enough, but must admit it felt good getting it off my chest...I refuse to cave into all of it and enjoy one day at a time.

Thx for listening, Bonnie

Mihai
111 posts
Jun 29, 2009
7:29 PM
Wow Bonnie...

You are dealing with quite a bit. I can sure empathize with you regarding the handwriting. I cannot write anything legible, whether printed or in cursive. It is all chicken scratch! That's probably one of the most frustrating things for me...not to be able to jot a note, a phone number, etc... I type everything I can, which is not always convenient. I guess it's all part of the fun we PWP deal with! I know it could always be worse...

Blessings,
Mihai

Mihai
119 posts
Jul 05, 2009
6:00 PM
Anyone else want to add input???

Thanks,
Mihai

brooksie
42 posts
Jul 09, 2009
5:46 PM
Hi Mihai,

Thanks for starting an interesting, helpful thread. I was just diagnosed at age 40, seven years after my initial symptom of an action/postural tremor in my right hand- I was initially diagnosed with essential tremor. Presented with:

1999-2002 Started experiencing panic attacks and social anxiety/phobia (this presents before motor symptoms in some cases of PD- especially those with a genetic link)
2002 action/postural tremor in right hand noticeable (before this I started taking "fuzzy" photos with our camera)
2003 focal dystonia in right foot when walking or exercising** (Note: this is quite rare and is an early indicator of PD when making differential diagnosis- I began to fear PD when this started though my neuros were more cautious in making that leap)
2004 slight right foot drag; friends I hadn't seen in a long time noted that I moved more slowly or gingerly
2005- some back rigidity; unexplained stiffness in right shoulder (has disappeared); horrible handwriting; fumbling with small motor tasks like getting change from my wallet
2008- hand tremor quality changed to more of a resting tremor and some dystonia when tremor is really super-amped

Tremor and foot dystonia have been my constant companions so far on this journey. Of all these symptoms, I hate the tremor the most; I think because it is the first indicator for me and the one that requires the most social "damage control". Fortunately, it's super responsive to meds. Symptom I find least troubling right now is rigidity.

HTH!

EMD
45 posts
Jul 09, 2009
6:41 PM
Not all at once but in this order over about 8 years plus........Back stiffness, followed by digestive problems (acid reflux) and constipation that went on and on, mild depression or apathy, frozen shoulder, tremors in two fingers, toe and foot cramps in the morning limited arm swing, clumsy motor control, crappy handwriting, slight foot drag, tremor in facial cheek muscle, foot freezing, leg tremors and more, but that is quite enough. You get the picture :)
michelle
233 posts
Jul 10, 2009
11:28 PM
Hey, so is acid reflux a pd thing? I've had horrible reflux for over 10 yrs now and I will say that I have big problems with constipation too. I know now that the constipation is pd related, but I've never heard anyone mention acid reflux. Anyone know?
EMD
51 posts
Jul 11, 2009
2:54 PM
Michelle here is a web site you can ck out on acid reflux and PD. It has a good explanation for why some pwp are bothered with acid reflux.

www.nutritionucanlivewith.com/reflux.htm

or just enter parkinson's disease acid reflex in the search box.

I have read in literature put out by the PDFoundation (pdf.org) that the most commom GI-PD related problems are
excess saliva.,difficulty swallowing, nausea, decreased frequency of bowel movements and defecatory dysfunction, weight loss. However, it is my understanding that problems can occur anywhere along the length of the GI tract.

The PD Foundation has materials you can look at on line, download or order for free. The one titled Gastrointestinal and Urinary dysfunction in PD is especially informative.
While the article discusses more serious GI problems with PD you will see that acid reflux can certainly be a PD issue.

I'm bothered with mild swallowing issues,acid reflux, slow stomach emptying,stomach gas and bloating, and of course, constipation. Wa hoo!

Mihai
131 posts
Jul 18, 2009
8:40 PM
Hi all...

Any of the newbies to the site want to add their input to this topic?

Thanks,
Mihai

Kelly
12 posts
Jul 18, 2009
10:57 PM
Hi I was diagnosed 2months ago at the age of 41. Right after I had my first (and only) child last year, I noticed I could not lift my right arm at all. Went to the ortho. dr. and got a cordizone shot and that fixed it for 3 months. Then the tremor set in - my right hand. Many other things started setting in after that - all on my right side. I think I have had PD for a while as for the past 20 years I have had terrible night terrors and nightmares where I would physically get up and act them out. Freaked out quite a lot of roomates and boyfriends over the years and ofcourse my husband. My MDS said that was a typical first sign of PD.
jka54
14 posts
Jul 19, 2009
11:15 AM
interesting you mentioned about the nightmares stuff kelly i actually had the same thing happen with me according to my wife i would get up at night in my sleep and do the same thing act out a situation where
she says that i'm involve in some kind of hand to hand combat ( weird ) never thought it had anything to do with PD though that's really interesting . AS for the classic symptom slowness,muscle weakness & stiffness,foot shuffling or dragging and the stoop posture and masking ( like a blank stare). My wife is the first one that noticed all these then soon after that some of my co-workers.I suspect that i probably had mild symptoms before i was diagnose ( little twitching and occassional stiffness and what seems to be pinched nerve , sometimes weakening of muscles which i didn't think much of since they didn't last very long like a few minutes and didn't happen often ). until around may of 2008 then thats when the slowness ,stiffness,and muscle weakness started happening more especially with the stoop posture . I was initially diagnose by my primary care doctor 2/18/2009 then referred to a neurologist who confirmed diagnosis 2wks. later. I turned 54 last MAY

Last Edited on 20-Jul-2009 10:26 AM

filo013
1 post
Aug 11, 2009
8:37 PM
I dont know what I have.I am 30 years old. I dont even know I could get PD until a doctor said I might have it. I guess it started a year ago. I had a litte weird feelin on the left side of my body with a mild pain in my left arm. Went to the hospital and everything come clean as for as stroke. I started to have deep muscle twitching and my left finger temors but not the whole had. I fell stiff n mild dystonia all pretty much on the left side. The doctors dont really know they said they just need a little more time to make sure. The doctors gave me a med called levodopa and it help with the symtoms alot other than it makes me very tired. I go to a specialist soon so i hope the doctor can at least tell me what wrong. So maybe someone can tell me what this is.
michelle
244 posts
Aug 11, 2009
9:20 PM
HI - for the people who act out their dreams - I'm pretty sure this is a pd thing. I know 2 other pwp who do that also - I can't remember the name for it. All spouses have to be careful apparently.

For filo013 - getting to a specialist, an MDS (movement disorder specialist) is a good idea. The trouble with pd is that there is not one complete test to prove you have it. Usually it starts with a bunch of symptoms (these vary per each person). The neuro does ct scan of the brain to rule out ms, als, stroke. Then you're left with pd. The final test is usually levedopa. They give you some to see if it alleviates your symptoms. If so, they move forward with that. Getting a proper dx can be a long and frustrating process. Plus, who wants to have pd anyway? I'm 41 - I was dxd on my 38 bday. I definitely have pd based on the progressing symptoms and how they respond to the meds. Good luck and hang in there. It is important to find out what's causing it and to fix the symptoms.

filo013
2 posts
Aug 12, 2009
3:56 AM
Yea its very long and frustrating. I hope it's not als but i guess with the good reaction to levodopa i'm getting somewhere.