Patients with Parkinsons disease typically present between the ages of 50 to 70 years, with unilateral tremor and a history of decreased dexterity in the affected limb. Also present in patients with Parkinsons disease may be a feeling of a lack of power in the limb, discomfort of the limb, and changes in writing (eg, micrographia). Family members may also report alterations in posture and increased time to perform activities of daily living in the patient with Parkinsons disease.