Early Parkinson’s DiseaseWhat is the Best Approach to Treatment

Early and correct diagnosis and treatment of Parkinson’s disease (PD) are crucial for the patient’s well being. At the first visit, it is important to deal with the patient’s misconceptions of the disease and its course, to offer sources of information and to suggest exercises. To make a correct initial diagnosis of PD we need to assess the course of the initial levodopa responsiveness. The most frequent challenges in diagnosing PD are the conditions of essential tremor and multiple system atrophy. PD has 3 stages of development: (i) early — from the onset of symptoms to the appearance of motor fluctuations; (ii) middle — from motor fluctuations to the appearance of moderate-to-severe disability; and (iii) advanced — when moderate-to-severe disability is present.