University College London
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Parkinson's disease is a movement disorder that develops when nerve cells in the brain do not make enough dopamine.
Dopamine is a chemical messenger that helps the brain control movement. In Parkinson's disease, nerve cells in the brain stop making enough of it. The disease usually starts around the age of 60, though it can begin earlier, and it is more common in men than in women. Some cases are genetic, but most do not seem to run in families. Contact with certain chemicals in the environment may play a part.
Symptoms start slowly, often on one side of the body, and later affect both sides. They include:
Over time, walking, talking and everyday tasks can become harder. Some people also have depression, sleep problems, or trouble chewing and swallowing.
There is no specific test for Parkinson's: doctors diagnose it from the person's medical history and a neurological examination. Medicines can ease symptoms, sometimes dramatically. In severe cases, surgery or deep brain stimulation may help. In deep brain stimulation, thin wires (electrodes) are placed in the brain and send electrical pulses to the areas that control movement.
Not yet. There is no cure for Parkinson's disease. Today's treatments help to manage the symptoms.
Machine summary of published research · sources and dates below · 2026-11-06
Written from: MedlinePlus: Parkinson's Disease (2025-09-29) · read on 2026-11-06
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Here you will find questions you can ask, help with difficult talks, organisations for carers and your relative's rights.
Questions for your relative's doctor
You do not need the right words. Ask what your relative wants to know, and let them set the pace. These pages can help.
Looking after someone is work too. These organisations help carers, and the list further down this page shows helplines by country.
A doctor can share information and a relative can act only with the patient's consent or a legal authority. It is easier to arrange this early.
Children are often treated differently from adults, in specialist centres. Here is where to start.
Parents often receive offers of paid treatment. Please go through this list before you pay for anything.
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Choose questionsIf the treatment has stopped working, or you were told there are no more options, here is what you can ask and where you can look next.
Do not stop or put off treatment without talking to your doctor.
Many trials look specifically for people who have already had treatment. Registries mark these with words like "previously treated", "refractory" or "relapsed". The trial team decides who can take part.
A phase 1 trial mainly tests whether a new medicine is safe and which dose can be given. It is not built to show that the medicine works.
Some medicines not yet approved can be given outside a trial when there is no other option. This does not exist for every medicine or in every country. Your doctor makes the request, and the authority or the manufacturer decides.
Asking for a second opinion is normal and does not mean you distrust your doctor. Take your results and a list of your treatments with you. For rare diseases, your doctor can also ask a European Reference Network.
This is care for symptoms and quality of life, and you can have it alongside other treatment. It does not mean anyone has given up on you.
In this situation many people receive offers of paid treatment. Go through this list before you pay for anything.
You can talk to someone. In Hungary and in the UK, 116 123 is a free line for emotional support, day and night. The list on this page shows helplines in other countries.
Not medical advice. Talk to your care team before you change anything in your treatment.
Helplines, patient groups and support services for you and your family.
Select your country to see the organisations there, starting with the ones closest to you.
Umbrella of 21 pan-European neurology patient groups; map of European neurology patient organisations.
Visit site: European Federation of Neurological Associations (EFNA)For anyone who is ill, whatever the disease: patients' rights and legal aid, crisis lines, hospice and palliative care, care in another EU country, and patient organisations' umbrella bodies.
Umbrella of European patient organisations and national patient coalitions.
Visit site: European Patients' Forum (EPF)Global alliance of patient organisations of all diseases, promoting patient-centred healthcare.
Visit site: International Alliance of Patients' OrganizationsFrontlight is not affiliated with these organisations; we list them because they help.
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