Making an accurate diagnosis of Parkinson’s — particularly in its early stages — is difficult, but a skilled practitioner can come to a reasoned conclusion that it is PD. You may have experienced this frustration. Perhaps it took years for you to receive a diagnose. Perhaps you have been diagnosed, but with Parkinsonism, not Parkinson's, and are confused about the implications.
How is Parkinson’s Diagnosed?
Typically, your visit to the doctor begins with the doctor taking a medical history — in which your symptoms and concerns are noted — and continues with a neurological examination.
The doctor looks to see if your expression is animated. Your arms are observed for tremor, which is present either when they are at rest, or extended. Is there stiffness in your limbs or neck? Can you rise from a chair easily? Do you walk normally or with short steps, and do your arms swing symmetrically? The doctor will pull you backwards. How quickly are you able to regain your balance? These and other observations provide information about your condition.
A person’s good response to levodopa (which temporarily restores dopamine action in the brain) may support the diagnosis. But this is not relevant if your doctor thinks you do not need any medication at this time. If you are in doubt of your diagnosis or if you need further information, you may want to seek a second opinion.
Confused about your diagnosis?
Visit the Living with Parkinson’s section to learn more about You and Your Doctor
