What Are the Symptoms of Mid-Stage Parkinson's Disease?

Mid-stage Parkinson's disease presents with a range of motor and non-motor symptoms that significantly impact daily life. These symptoms often progress from mild to more pronounced, requiring increased medical attention and lifestyle adjustments.

Common Symptoms in Mid-Stage Parkinson's

1. Resting Tremors

Resting tremors are one of the hallmark signs of Parkinson's disease. These tremors typically occur when the limb is at rest and are rhythmic and persistent. They often start in the hands or fingers and can spread to other parts of the body over time. Unlike essential tremors, resting tremors tend to subside when the individual is engaged in voluntary movement.

2. Festination (Shuffling Gait)

Festination refers to a forward-leaning walking pattern where the person experiences difficulty starting to walk. Once in motion, they take small, rapid steps and struggle to stop or change direction. This can lead to instability and an increased risk of falls, especially on stairs or uneven surfaces.

This gait disturbance is often accompanied by rigidity in the trunk, making it hard for the person to turn normally. Instead, they may pivot in small steps while keeping their head and body aligned. Impaired postural reflexes further contribute to balance issues, increasing the likelihood of falls during daily activities.

3. Facial Masking (Mask-Like Face)

Facial masking, also known as a "masked face," is a condition where the person's facial expressions become less animated. This can give the appearance of disinterest or emotional detachment, even though the individual is fully aware and engaged. It results from reduced muscle movement in the face and is often one of the more socially challenging symptoms of mid-stage Parkinson's.

4. Constipation

Constipation is a common non-motor symptom that affects many people with Parkinson's. It results from slowed digestive tract muscles and can be exacerbated by medication side effects. Maintaining a high-fiber diet, staying hydrated, and engaging in regular physical activity can help manage this issue, though medical intervention may sometimes be necessary.

Managing Mid-Stage Parkinson's Symptoms

At this stage, it's crucial for patients to work closely with healthcare professionals to manage symptoms effectively. Physical therapy, occupational therapy, and speech therapy can all play a role in maintaining mobility and communication abilities. Additionally, adjustments to medication and lifestyle changes can help reduce symptom severity and improve quality of life.