| Had to start researching this when a family member was recently diagnosed. Parkinson's has many forms and many causes.
There's a big divide between Parkinson's _disease_ (idiopathic Parkinson's) and Parkinsonism from a variety of sources - stroke, drug-induced, and so on.
There are also other conditions, like progressive supranuclear palsy, that are considered either to masquerade as Parkinsonism or to constitute another cause of Parkinsonism. Recommended treatments differ by the root cause of the symptoms. Some of the treatments that are recommended for one form may be contraindicated for other forms, or for different stages. For example, the recommended dopamine agonists are also the primary cause of Parkinson's hallucinations, so you have to trade back some strength and mobility if those start. Something like 80% of Parkinsonism derives from idiopathic Parkinson's Disease. Overall, it feels like we're really just getting started on these conditions. For decades, it's been thought to be primarily a motor disorder, but it turns out that there are scads of cognitive symptoms that develop years earlier than motor symptoms. |
A lot of my family were farmers. I've had close relatives die with severe Parkinsons, primarily those that farmed their whole life. Their theory was that it was really exposure to a lot of toxic farm chemicals. I can imagine Parkinsons turning out to be several different conditions with similar symptoms.