Tremors. Impaired balance. A shuffling gait.

    Those are the visible symptoms you or your loved one displays.

    What isn’t so visible is the crippling apathy and depression, anxiety, the constant sleep disturbances, and the inability to multi-task or concentrate.

    Such is the plight of an individual suffering with Parkinson’s disease, a neurodegenerative disorder that impacts the lives of approximately 200,000 Americans per year.

    A condition that primarily affects the brain and nervous system, Parkinson’s disease causes damage to nerve cells in the brain. This damage, in turn, reduces dopamine levels and affects an individual’s motor system.


    Initially, Parkinson’s may present in the form of something as innocuous as muscle stiffness. There are, however, other common symptoms that are more apparent:

    • Tremors
    • Stiff muscles
    • Difficulty walking
    • Issues with simple motor tasks
    • Sleep disturbances
    • Fatigue
    • Impaired speech and difficulty swallowing
    • Memory changes
    • Anxiety
    • Apathy
    • Depression


    There is no cure for Parkinson’s disease, a neurodegenerative disorder, but the right treatment can help mitigate the symptoms and improve the patient’s quality of life. Many patients with Parkinson’s disease will eventually develop a form of dementia. In addition to cognitive symptoms, individuals with Parkinson’s disease often experience behavioral symptoms, including: apathy, depression, and anxiety. Identifying the comorbidities of Parkinson’s disease can also result in improvements in quality of life and this is where Dr. De Marco comes in. He will assess for the cognitive and emotional symptoms commonly seen in Parkinson’s disease and work with your referring provider in developing a comprehensive care plan. Neuropsychological evaluations are also an integral part of determining which patients are appropriate for neurosurgical intervention (i.e., deep brain stimulation). Individuals suffering with Parkinson’s disease may arrive at our offices anxious and scared, but the feeling of being alone on their journey ends the moment they meet with Dr. Anthony De Marco.

    Dr. De Marco empathizes with his patients’ concerns, and implements a consultative, customized, and empirically-based approach to assessment based on the needs of the individual and their family. Learn more about the details of his evaluation process:

    • Medical History Evaluation
    • Standardized Testing & Feedback Session
    • Additional Treatment/ Consulting

    Quality care for individuals with Parkinson’s disease should never be optional, and at IGEA Brain, Spine & Orthopedics, it never is. Contact us today and schedule a consultation with Dr. De Marco to discuss treatment options.