More than 1 million people in the U.S. are estimated to be living with Parkinson’s disease, with nearly 90,000 new diagnoses each year.

For many individuals and families, Parkinson’s begins gradually and unexpectedly—often with subtle symptoms that may be mistaken for normal aging or overlooked altogether. Neurologist Dr. Melba Beltre and neurosurgeon Dr. Alexandra Kammen, specialists in White Plains Hospital’s Neurosciences program, share what to watch for and how patients can move beyond simply living with Parkinson’s to living well.

Parkinson’s Is More Than a Tremor

While tremors are often the most recognizable symptom, the condition can affect balance, coordination, stiffness, and everyday movement. And in many cases, those changes begin long before a tremor appears.

“The symptoms are broader and more nuanced than many people realize,” explains Dr. Beltre. “We often see non-motor symptoms early on that can go unrecognized.”

These include:

· Sleep disturbances

· Anxiety

· Depression

· Cognitive changes

At the same time, having a tremor doesn’t automatically mean someone has Parkinson’s. It may simply be a signal that further evaluation is needed.

Diagnosing – and Ruling Out – Parkinson’s

There is no definitive test to diagnose Parkinson’s disease. Instead, diagnosis is based on a careful, comprehensive evaluation, says Dr. Beltre. “Understanding how symptoms are evolving—changes in movement, balance, coordination—and how they’re affecting daily life is critical.”

Dr. Beltre adds, “It’s not a single test, but a thoughtful evaluation of patterns over time. We also consider medical history and any family or genetic factors that may play a role.”

In some cases, imaging or medication trials may be used to help confirm a diagnosis or rule out other conditions that can mimic Parkinson’s.

Moving Forward After Diagnosis

Receiving a Parkinson’s diagnosis can feel overwhelming. Patients often experience a mix of fear, uncertainty, and grief—not just for themselves, but for their loved ones.

But there is also an important truth: Parkinson’s is not one-size-fits-all.

“We want patients to know there is real reason for hope,” says Dr. Kammen. “Many people live full, active lives for years – even decades – after diagnosis.”

Movement Matters

One of the most common misconceptions is that there’s little patients can do after diagnosis. In reality, there is a lot within a patient’s control.

“Exercise is essential for overall wellbeing, and there are many benefits for patients with Parkinson’s as well,” Dr. Beltre emphasizes, pointing to walking, physical or occupational therapy, and even sports like boxing or table tennis as playing a meaningful role in maintaining mobility, balance, and confidence.

Regular movement also supports mood, energy levels, and overall wellness. Combined with good sleep, consistent routines, and social engagement, these habits form a powerful foundation for living well.

A Team Approach to Care

Parkinson’s care is a team effort.

“We look at the whole patient – physical, emotional, and functional,” says Dr. Kammen. “That often means bringing together a multidisciplinary team to provide the right support at the right time.”

Depending on individual needs, care may include:

· Neurology and neurosurgery

· Physical and occupational therapy

· Medications to support dopamine function

· Lifestyle and wellness strategies

For some patients, advanced treatments may also be an option.

“As the disease evolves, we continue to reassess and expand treatment options,” Dr. Kammen explains. “For appropriate patients, surgical therapies like deep brain stimulation can be considered to help manage symptoms.”

Living Well with Parkinson’s

Today, Parkinson’s care goes beyond simply managing symptoms, with a focus on maintaining independence, connection, and quality of life.

“We encourage patients to be active participants in their care,” says Dr. Beltre. “Staying engaged physically, mentally, and socially can make a meaningful difference.”

With the right support system, a proactive mindset, and access to the right resources, living well with Parkinson’s is not only possible—it’s our main goal. Learn more about White Plains Hospital’s Neurosciences program. Dr. Melba Beltre is a Neurologist at White Plains Hospital Physician Associates. To make an appointment, call 914.849.5300. Dr. Alexandra Kammen is a Neurosurgeon at White Plains Hospital Physician Associates. To make an appointment, call 914.849.7593. This article originally appeared on Health Matters, a White Plains Hospital publication.