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Parkinson’s early signs include loss of smell, handwriting changes, not just tremors

Experts highlight subtle early symptoms of Parkinson’s disease that often go unnoticed before tremors appear.

Oct 23, 2026, 1:07 PM By the Genius Eye newsroom (City Reporter) · Fact-checkedHow we report
Photo: DaSon'e / CC BY 2.0, via Wikimedia Commons

WBTV reported that Parkinson’s disease often begins with subtle symptoms long before the characteristic tremors develop. Dr. Rhea Rogers, a board-certified physician, explained that early signs include loss of smell, constipation, and changes in handwriting.

Rogers described the brain changes occurring in early Parkinson’s, noting that abnormal proteins called Lewy bodies accumulate and damage dopamine-producing neurons in the substantia nigra. By the time tremors appear, significant neuron damage has usually occurred.

Aging expert Amy O’Rourke shared examples of early symptoms she has observed, such as a client’s husband showing progressively smaller handwriting and uneven arm movement while walking. She noted that earlier medical attention in such cases could lead to interventions.

O’Rourke also recounted a story of resilience from a university professor living with Parkinson’s for 15 years, emphasizing the importance of support networks in managing the disease.

Rogers pointed out that another often missed early sign is acting out dreams during REM sleep, which can precede more obvious symptoms.

The information aims to encourage people to recognize these early warning signs and consult a physician for timely diagnosis and care.

Sources
  1. WBTV: Parkinson’s doesn’t always start with a tremor — here’s what to watch for
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