Episode Details

Tremors and dyskinesia are often confused, but they’re very different — one’s a hallmark of Parkinson’s, the other a side effect of treatment. Tremors are rhythmic shakes that appear at rest, while dyskinesia brings jerky, writhing movements that usually show up years later after levodopa use. Doctors must distinguish them because treatment strategies flip: more meds for tremors, less for dyskinesia. Though dyskinesia can be uncomfortable, some patients even prefer it to the stiffness and immobility of “off” periods. Balancing meds is tricky — too much fuels dyskinesia, too little causes freezing — and what’s bothersome varies from person to person, even within families.

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