Handwriting can change as you age, especially if you have stiff hands or fingers, from arthritis or another condition, or if you have poor vision. However, small, cramped handwriting – called micrographia – is characteristic of Parkinson’s and is frequently one of the early symptoms. In addition to words being generally small and crowded together, the size of handwriting might get smaller as you continue to write.
Micrographia is caused by the same processes in the brain that lead to other movement symptoms of the disease. In addition, those symptoms – slowness of movement, tremor, rigidity – can all make it harder to write.
Medications to control movement symptoms may slightly improve micrographia. There are also some strategies that can make writing more comfortable for you and legible for your readers.
- Practice! Write one page every day.
- Use a weighted pen or a pen with a thick grip.
- Use lined paper.
- Sit upright in a comfortable chair, and write on a table.
- Write during “on” time when medication is working best.
- Take breaks as needed.
If writing becomes too difficult for you or too hard to read, try typing. If motor control makes that too hard, also, try dictation software. There are programs for your phone and computer that can help.