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Real members of MyParkinsonsTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
August 18
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A MyParkinsonsTeam Member

Thank you

August 19
A MyParkinsonsTeam Member

Same here, @A MyParkinsonsTeam Member, except that I have not had back surgery, nor will I. For me, I believe whatever is causing me such pain in my liver and kidneys, is probably connected to me bending forward when I walk.

August 18
A MyParkinsonsTeam Member

I had back surgery last year along with my PD dx. When I walk for (no device) more than a few minutes I start to get tried and leaning forward. I been working with PT and not sure if the lean is a result of deconditioning/poor endurance or the PD or both?

August 18
A MyParkinsonsTeam Member

@A MyParkinsonsTeam Member, Poor posture is one of the many Parkinson's symptoms that I have experienced since childhood. I would not say that there's no connection with fatigue; neither can I support a direct causation.

August 18
MyParkinsonsTeam

Posture and balance problems are very common with Parkinson's, and they tend to become more impactful as the condition progresses. Here's a breakdown of how prevalent balance issues are at different stages:

- Moderate Parkinson's: Around 71% of people report loss of balance as a major daily challenge
- Severe Parkinson's Show Full Answer

Posture and balance problems are very common with Parkinson's, and they tend to become more impactful as the condition progresses. Here's a breakdown of how prevalent balance issues are at different stages:

- Moderate Parkinson's: Around 71% of people report loss of balance as a major daily challenge
- Severe Parkinson's: This jumps to 92%, making it the most reported symptom at this stage

Motor symptoms that contribute to posture and balance problems include:

- Muscle stiffness and reduced flexibility in the neck and trunk
- Freezing episodes (sudden inability to move feet)
- Slowness of movement and delayed reactions
- Stooping or postural instability
- Reduced ability to automatically catch yourself when off-balance Fatigue is closely linked to balance and posture challenges. When tired, it becomes even harder to stay steady on your feet. As one MyParkinsonsTeam member put it, "When I'm tired, it's easy to forget that my 'normal' has changed, and I have to think about every step I take."

Fatigue affects up to 80% of people with Parkinson's at some point. It's not just ordinary tiredness — it can feel like a deep exhaustion that rest doesn't fix.

Key contributors to fatigue include:

- Loss of dopamine, making every movement require more effort and energy
- Damage to nerve cells that regulate alertness
- Sleep disturbances
- Depression and anxiety
- Medication side effects

Talking to a doctor about a multi-step approach to managing both fatigue and balance is a great starting point, as addressing one can often help the other.

August 18

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