What happens when Parkinson’s disease develops?VienaMed
Parkinson's disease: early symptoms, diagnosis and modern treatment options
Parkinson’s disease is a progressive neurological disorder that occurs when certain nerve cells in the brain gradually deteriorate. These cells have an essential role in the production of dopamine, an important substance for the control of movements. As the level of dopamine decreases, disease-specific symptoms occur.
The first manifestations often occur discreetly and can initially affect a single part of the body. The most common symptoms include slowing down movements, muscle stiffness, tremor and, over time, gait and balance disorders.
Signs that may occur before motor symptoms
In many cases, Parkinson’s disease can begin with less obvious signs that occur even years before the onset of movement problems. These include REM sleep disorders, in which the person can have intense dreams, can speak, shout or make sudden movements during sleep.
Constipation, reduced sense of smell, decreased sense of taste, depressive states or anxiety can also be important signals.

Why is the early diagnosis important
Early recognition of symptoms can make a major difference in the evolution of the disease and in the quality of the patient’s life. The tremor, unstable gait, repeated falls, slowdown of movements, weaker voice or changes in facial expression should not be ignored.
A timely established diagnosis allows the rapid initiation of a complex therapeutic plan, which may include drug treatment, physiotherapy, regular movement and nutritional counseling.
Specialist assessment is essential
The diagnosis of Parkinson’s disease is based mainly on the clinical examination performed by a neurologist with experience in movement disorders. A specialist may differentiate Parkinson’s disease from other conditions that may have similar symptoms, such as essential tremor or atypical Parkinsonian syndromes.
For a full assessment, investigations such as a 3 Tesla brain MRI, blood tests and a detailed neurological examination may be recommended. These investigations aim to confirm the diagnosis and rule out other causes.
Modern treatment and good prospects for patients
In the early stages, appropriate treatment can significantly improve symptoms, sometimes even in a very high percentage. And in the more advanced stages of the disease, there are therapeutic options that can help control symptoms and maintain patient autonomy.
Due to modern therapies, the life expectancy of people diagnosed with Parkinson’s disease is generally less influenced or almost normal.
In addition to drug treatment, regular physical activity, physiotherapy and a balanced diet play an important role in maintaining mobility and general health.
Complete care, in one place
In VienaMed, patients receive full evaluation, modern diagnosis and therapeutic monitoring by a specialist with experience in Parkinson’s disease. The necessary investigations, including laboratory tests and MRI, are performed within the hospital without long waiting periods.
In addition, patients have access to multidisciplinary support, including specialised physiotherapy and nutritional counseling, for a complete and personalised approach.
For document preparation steps and consultation organisation see Patient guide.
Schedule an evaluation
If you notice symptoms such as tremor, stiffness, slowdown of movements or balance disorders, it is important to require a specialist consult. A correct diagnosis and treatment at the beginning of time can contribute significantly to maintaining quality of life.
Contact us for more information or to book an appointment.