Stage 2. The Symptom Progression
As Multiple System Atrophy advances into its second stage, the subtle symptoms witnessed in stage one begin to intensify. The balance and coordination problems may become more pronounced, and other new symptoms can begin to make their appearance.
By stage 2, the coordination problems noticed in the first stage often become more pronounced. Tasks requiring precise hand movements may become increasingly difficult to perform. Patients might find it harder to button a shirt, use a pen, or even use cutlery effectively.
At this stage, these issues go beyond the occasional clumsiness. Patients might also notice changes in their walking patterns. They might develop what’s known as a shuffling gait, where they take small, quick steps as if hurrying. This change can also be accompanied by a loss of balance, leading to an increased risk of falls. (2)
