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To Everyone,
Received today from Ask the Doctor-Dr. Lieberman of the NPF. I plan to
take a copy of this to my neuro.
E of the headdress
At 08:17 PM 2/25/2001 -0500, you wrote:
>***A message from Ask the Doctor***
>
>dear friend
> pain is part of parkinson disease
> please read the following
>9 Pain in Parkinson Disease
> (1) Introduction
> It’s said, “Pain and PD don’t go together.” And when pain appears, its
said to be
>something else, “arthritis, bursitis, a “bad back”, a “frozen shoulder,”
fibromyalgia, a
>“pinched nerve,”a sprained muscle, or nerves.” But pain is part of PD, and
it has many
>forms. In Chapter 1 you met Melvin, the state senator who’s PD started
with shoulder pain,
>pain his doctor’s attributed to an old football injury. He was treated
with anti-inflammatory
>drugs, arthritis drugs, acupuncture, exercise, massage, and pain killer
to no avail. It wasn’t
>until Melvin was diagnosed with PD, and his pain disappeared on Sinemet,
that it was
>attributed, correctly to PD. In Chapter 5 you learned about discomfort of
Restless Legs, a
>condition associated with PD. And you learned about the cramping pain of
dystonia: neck
>pain, leg pain, and arm pain.
> How common is pain is PD? In my own experience 50% of people with PD at
one
>time complain of pain, and in perhaps 50% of them, 25% of all people with
PD, the pain is
>related to PD and not something else. The pain’s related to PD, if it
fits a pattern, if it’s
>worse where PD’s worse, if it’s relieved by PD drugs such as Sinemet plus
Comtan, if
>there’s no other cause.
> (2) The Pain of Rigidity
> In the beginning, before you’re diagnosed with PD, like Melvin you may
complain
>of a dull pain, like a sprain. The pain may be described as aching,
gnawing, or nagging. The
>pain is usually confined to a shoulder, the neck, the back, or a hip.
These are either major
>weight bearing regions (the back, the hip). Or they’re pivots around which
multi- directional
>movements occur: side-to-side, up-and-down, back-and-forth,
around-and-around. These
>pivots are the shoulder, the neck, and to a lesser degree the hip. The
elbows and knees are
>pivots, but uni-directional movements: back-and-forth (flexion and
extension).
> This pain is probably related to the rigidity of PD which results in the
muscles
>becoming stiffer, “less elastic”, harder and more painful for them to
move. This type of pain
>“magically” disappears when Sinemet plus Comtan or a dopamine agonist is
started.
> (3) The Pain of Dystonia
> Before you’re diagnosed, you may complain of a pain different from
Melvin. The
>pain may be described as cramping, sharp, stabbing, or throbbing. It’s
more intense than
>Melvin’s pain. The pain is usually confined to one or both calves, or
forearms, or thighs, or
>upper arms. This pain is probably related to the dystonia of PD which
results in the muscles
>becoming hard. This pain also magically disappears when Sinemet plus
Comtan or a
>dopamine agonist is started. Dystonia is different from rigidity.
Although both make the
>muscles hard, in rigidity the hardness results from the muscles becoming
“less elastic”,
>whereas in dystonia it results from the muscles contracting without
relaxing. You may not
>be able to tell or describe the difference, but a neurologist with an EMG
(an
>electromyogram, “a cardiogram of the muscle) can.
> Dystonia of the calves, forearms, thigh, or upper arms, may be an early
symptom of
>PD usually in people below age 40 years. It may appear in PD people who
are on Sinemet.
>Usually it appears as Sinemet “wears off,” typically in the early morning
when Sinemet
>levels are low. This is called an “off dystonia.” It’s worse on the side
more affected by PD.
>It’s is treated by adding Comtan or a dopamine agonist to prolong
Sinemet’s effect. The
>pain of dystonia can appear as Sinemet peaks, called “on dystonia.” It’s
harder to treat
>requiring re-arranging all your drugs to reduce the “highs” and “lows” of
Sinemet.
> (4) Describe the Pain
> Only you feel the pain, only you can describe it. Be as specific as you
can. The
>following is helpful.
> Location: Where does it hurt most? The shoulder? The Hip? The Back?
> Does it stay in one place or does it radiate? If so, where? From the
shoulder down
>the arm? From the back to the hip? Knowing how a pain radiates, is like
knowing the road
>on which a car travels.
> Intensity: How bad is it? Describe it on a scale from “0" to “10", where
“0" is no
>pain, and “10" feels like your arm (or leg) was “yanked-off”, or your skin
was “ripped off.”
>The pain of PD is usually a 4, or 5, or 6, or 7. It’s never a 10.
> Duration: There are two parts.
> 1. How long have you had the pain? Hours? Days? Weeks? Years?
> 2. During a typical day, how long does it last? From the time you get
till breakfast?
>Till lunch? Till dinner? All day?
> Associations: Is the pain associated with discoloration, inflammation,
redness,
>swelling, or warmth of the overlying skin? The pain of PD shouldn’t be
associated with
>any of the above.
> Position: What, if any, positions make it better. What, if any, make it
worse.
> Quality: There are many ways to describe pain. Some have special meaning:
Words
>used include: aching, biting, burning, cramping (like a Charlie-horse) ,
griping (like being
>caught in between a pair of pliers), hurting, nipping, pinching, ripping,
smarting, stabbing,
>and throbbing.
> (5) Unusual Pain
> Unusual pain may occur in PD and may be related to muscle spasm
(from dystonia)
> with pressure on an underlying nerve. Although it’s the muscle that’s in
spasm, the pain is
>from the nerve. The pain’s more intense than a muscle spasm, and radiates
along the nerve.
>The following may occur.
> Spasm of the piriformis muscle (in the buttock) with pressure on the
sciatic nerve
>mimicking the pain from a herniated disc.
> Spasm of the gastrocnemius muscle (in back of the calve) with pressure on
the
>peroneal nerve or spasm of the tibialis muscle (in front of the calve)
with pressure on the
>tibialis nerve causing calve or foot pain. This may be responsible for
the intense leg or foot
>pain people experience when Sinemet “wears- off.”
> Spasm of the pronator muscle in the forearm with pressure on the median
nerve, or
>spasm of the extensor muscles of the wrist with pressure on the radial
nerve with pain down
>the forearm.
> If spasm of a muscle is the cause of the underlying nerve pain, the
treatment is
>injecting botulinum toxin into the muscle, reducing the spasm and
freeing-up the nerve.
> A diffuse, not well localized, burning or throbbing pain may sometimes occur
>in an arm or a leg, or across the chest. Whether this is related to PD, or
anxiety, or
>depression is difficult to pin down. It probably results from a disordered
Autonomic Nervous
>System.
> (6) Treatment
> Pain resulting from PD usually respond to PD medication: Sinemet
plus Comtan or
>a dopamine agonist. Pain that responds in part, or pain that’s not PD,
may be treated as such
>pain is usually treated. Because many PD people have “sensitive stomachs”
(see The
>Stomach in Parkinson), I prefer drugs such as Celebrex or Vioxx, drugs
that decrease pain
>but rarely upset the stomach or cause bleeding.
> Anxiety and depression make pain worse, the pain from rigidity,
or dystonia, or a
> disordered Autonomic Nervous System. Master your anxiety, or
your depression
> and your pain may disappear.
>
>
>
>I also have experienced a lot of muscle cramping in the last year. One
>episode even landed me in intensive care on the theory it was heart
>problems. They started soon after Sinemet was added to the Mirapex I was
>already on. Last week the doctor cut the Mirapex in half to .5 mg. 3 times a
>day and kept the Sinemet at 25/100 3 times a day. I have had the first 5
>painfree days in over a year. I wonder if it was a case of over-medication
>or a fluke!
>
>
>---
>You are currently subscribed to askthedoctor as: [log in to unmask]
>To unsubscribe send a blank email to
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>
>
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Week 3 December 2001, Week 2 December 2001, Week 1 November 2001, Week 5 November 2001, Week 4 November 2001, Week 3 November 2001, Week 2 November 2001, Week 1 October 2001, Week 5 October 2001, Week 4 October 2001, Week 3 October 2001, Week 2 October 2001, Week 1 September 2001, Week 5 September 2001, Week 4 September 2001, Week 3 September 2001, Week 2 September 2001, Week 1 August 2001, Week 5 August 2001, Week 4 August 2001, Week 3 August 2001, Week 2 August 2001, Week 1 July 2001, Week 5 July 2001, Week 4 July 2001, Week 3 July 2001, Week 2 July 2001, Week 1 June 2001, Week 5 June 2001, Week 4 June 2001, Week 3 June 2001, Week 2 June 2001, Week 1 May 2001, Week 5 May 2001, Week 4 May 2001, Week 3 May 2001, Week 2 May 2001, Week 1 April 2001, Week 5 April 2001, Week 4 April 2001, Week 3 April 2001, Week 2 April 2001, Week 1 March 2001, Week 5 March 2001, Week 4 March 2001, Week 3 March 2001, Week 2 March 2001, Week 1 February 2001, Week 4 February 2001, Week 3 February 2001, Week 2 February 2001, Week 1 January 2001, Week 5 January 2001, Week 4 January 2001, Week 3 January 2001, Week 2 January 2001, Week 1 December 2000, Week 5 December 2000, Week 4 December 2000, Week 3 December 2000, Week 2 December 2000, Week 1 November 2000, Week 5 November 2000, Week 4 November 2000, Week 3 November 2000, Week 2 November 2000, Week 1 October 2000, Week 5 October 2000, Week 4 October 2000, Week 3 October 2000, Week 2 October 2000, Week 1 September 2000, Week 5 September 2000, Week 4 September 2000, Week 3 September 2000, Week 2 September 2000, Week 1 August 2000, Week 5 August 2000, Week 4 August 2000, Week 3 August 2000, Week 2 August 2000, Week 1 July 2000, Week 5 July 2000, Week 4 July 2000, Week 3 July 2000, Week 2 July 2000, Week 1 June 2000, Week 5 June 2000, Week 4 June 2000, Week 3 June 2000, Week 2 June 2000, Week 1 May 2000, Week 5 May 2000, Week 4 May 2000, Week 3 May 2000, Week 2 May 2000, Week 1 April 2000, Week 5 April 2000, Week 4 April 2000, Week 3 April 2000, Week 2 April 2000, Week 1 March 2000, Week 5 March 2000, Week 4 March 2000, Week 3 March 2000, Week 2 March 2000, Week 1 February 2000, Week 5 February 2000, Week 4 February 2000, Week 3 February 2000, Week 2 February 2000, Week 1 January 2000, Week 5 January 2000, Week 4 January 2000, Week 3 January 2000, Week 2 January 2000, Week 1 December 1999, Week 5 December 1999, Week 4 December 1999, Week 3 December 1999, Week 2 December 1999, Week 1 November 1999, Week 5 November 1999, Week 4 November 1999, Week 3 November 1999, Week 2 November 1999, Week 1 October 1999, Week 5 October 1999, Week 4 October 1999, Week 3 October 1999, Week 2 October 1999, Week 1 September 1999, Week 5 September 1999, Week 4 September 1999, Week 3 September 1999, Week 2 September 1999, Week 1 August 1999, Week 5 August 1999, Week 4 August 1999, Week 3 August 1999, Week 2 August 1999, Week 1 July 1999, Week 5 July 1999, Week 4 July 1999, Week 3 July 1999, Week 2 July 1999, Week 1 June 1999, Week 5 June 1999, Week 4 June 1999, Week 3 June 1999, Week 2 June 1999, Week 1 May 1999, Week 5 May 1999, Week 4 May 1999, Week 3 May 1999, Week 2 May 1999, Week 1 April 1999, Week 5 April 1999, Week 4 April 1999, Week 3 April 1999, Week 2 April 1999, Week 1 March 1999, Week 5 March 1999, Week 4 March 1999, Week 3 March 1999, Week 2 March 1999, Week 1 February 1999, Week 4 February 1999, Week 3 February 1999, Week 2 February 1999, Week 1 January 1999, Week 5 January 1999, Week 4 January 1999, Week 3 January 1999, Week 2 January 1999, Week 1 December 1998, Week 5 December 1998, Week 4 December 1998, Week 3 December 1998, Week 2 December 1998, Week 1 November 1998, Week 5 November 1998, Week 4 November 1998, Week 3 November 1998, Week 2 November 1998, Week 1 October 1998, Week 5 October 1998, Week 4 October 1998, Week 3 October 1998, Week 2 October 1998, Week 1 September 1998, Week 5 September 1998, Week 4 September 1998, Week 3 September 1998, Week 2 September 1998, Week 1 August 1998, Week 5 August 1998, Week 4 August 1998, Week 3 August 1998, Week 2 August 1998, Week 1 July 1998, Week 5 July 1998, Week 4 July 1998, Week 3 July 1998, Week 2 July 1998, Week 1 June 1998, Week 5 June 1998, Week 4 June 1998, Week 3 June 1998, Week 2 June 1998, Week 1 May 1998, Week 5 May 1998, Week 4 May 1998, Week 3 May 1998, Week 2 May 1998, Week 1 April 1998, Week 5 April 1998, Week 4 April 1998, Week 3 April 1998, Week 2 April 1998, Week 1 March 1998, Week 5 March 1998, Week 4 March 1998, Week 3 March 1998, Week 2 March 1998, Week 1 February 1998, Week 5 February 1998, Week 4 February 1998, Week 3 February 1998, Week 2 February 1998, Week 1 January 1998, Week 5 January 1998, Week 4 January 1998, Week 3 January 1998, Week 2 January 1998, Week 1 December 1997, Week 5 December 1997, Week 4 December 1997, Week 3 December 1997, Week 2 December 1997, Week 1 November 1997, Week 5 November 1997, Week 4 November 1997, Week 3 November 1997, Week 2 November 1997, Week 1 October 1997, Week 5 October 1997, Week 4 October 1997, Week 3 October 1997, Week 2 October 1997, Week 1 September 1997, Week 5 September 1997, Week 4 September 1997, Week 3 September 1997, Week 2 September 1997, Week 1 August 1997, Week 5 August 1997, Week 4 August 1997, Week 3 August 1997, Week 2 August 1997, Week 1 July 1997, Week 5 July 1997, Week 4 July 1997, Week 3 July 1997, Week 2 July 1997, Week 1 June 1997, Week 5 June 1997, Week 4 June 1997, Week 3 June 1997, Week 2 June 1997, Week 1 May 1997, Week 5 May 1997, Week 4 May 1997, Week 3 May 1997, Week 2 May 1997, Week 1 April 1997, Week 5 April 1997, Week 4 April 1997, Week 3 April 1997, Week 2 April 1997, Week 1 March 1997, Week 5 March 1997, Week 4 March 1997, Week 3 March 1997, Week 2 March 1997, Week 1 February 1997, Week 5 February 1997, Week 4 February 1997, Week 3 February 1997, Week 2 February 1997, Week 1 January 1997, Week 5 January 1997, Week 4 January 1997, Week 3 January 1997, Week 2 January 1997, Week 1 December 1996, Week 5 December 1996, Week 4 December 1996, Week 3 December 1996, Week 2 December 1996, Week 1 November 1996, Week 5 November 1996, Week 4 November 1996, Week 3 November 1996, Week 2 November 1996, Week 1 October 1996, Week 5 October 1996, Week 4 October 1996, Week 3 October 1996, Week 2 October 1996, Week 1 September 1996, Week 5 September 1996, Week 4 September 1996, Week 3 September 1996, Week 2 September 1996, Week 1 August 1996, Week 5 August 1996, Week 4 August 1996, Week 3 August 1996, Week 2 August 1996, Week 1 July 1996, Week 5 July 1996, Week 4 July 1996, Week 3 July 1996, Week 2 July 1996, Week 1 June 1996, Week 5 June 1996, Week 4 June 1996, Week 3 June 1996, Week 2 June 1996, Week 1 May 1996, Week 5 May 1996, Week 4 May 1996, Week 3 May 1996, Week 2 May 1996, Week 1 April 1996, Week 5 April 1996, Week 4 April 1996, Week 3 April 1996, Week 2 April 1996, Week 1 March 1996, Week 5 March 1996, Week 4 March 1996, Week 3 March 1996, Week 2 March 1996, Week 1 February 1996, Week 5 February 1996, Week 4 February 1996, Week 3 February 1996, Week 2 February 1996, Week 1 January 1996, Week 5 January 1996, Week 4 January 1996, Week 3 January 1996, Week 2 January 1996, Week 1 December 1995, Week 5 December 1995, Week 4 December 1995, Week 3 December 1995, Week 2 December 1995, Week 1 November 1995, Week 5 November 1995, Week 4 November 1995, Week 3 November 1995, Week 2 November 1995, Week 1 October 1995, Week 5 October 1995, Week 4 October 1995, Week 3 October 1995, Week 2 October 1995, Week 1 September 1995, Week 5 September 1995, Week 4 September 1995, Week 3 September 1995, Week 2 September 1995, Week 1 August 1995, Week 5 August 1995, Week 4 August 1995, Week 3 August 1995, Week 2 August 1995, Week 1 July 1995, Week 5 July 1995, Week 4 July 1995, Week 3 July 1995, Week 2 July 1995, Week 1 June 1995, Week 5 June 1995, Week 4 June 1995, Week 3 June 1995, Week 2 June 1995, Week 1 May 1995, Week 5 May 1995, Week 4 May 1995, Week 3 May 1995, Week 2 May 1995, Week 1 April 1995, Week 5 April 1995, Week 4 April 1995, Week 3 April 1995, Week 2 April 1995, Week 1 March 1995, Week 5 March 1995, Week 4 March 1995, Week 3 March 1995, Week 2 March 1995, Week 1 February 1995, Week 4 February 1995, Week 3 February 1995, Week 2 February 1995, Week 1 January 1995, Week 5 January 1995, Week 4 January 1995, Week 3 January 1995, Week 2 January 1995, Week 1 December 1994, Week 5 December 1994, Week 4 December 1994, Week 3 December 1994, Week 2 December 1994, Week 1 November 1994, Week 5 November 1994, Week 4 November 1994, Week 3 November 1994, Week 2 November 1994, Week 1 October 1994, Week 5 October 1994, Week 4 October 1994, Week 3 October 1994, Week 2 October 1994, Week 1 September 1994, Week 5 September 1994, Week 4 September 1994, Week 3 September 1994, Week 2 September 1994, Week 1 August 1994, Week 5 August 1994, Week 4 August 1994, Week 3 August 1994, Week 2 August 1994, Week 1 July 1994, Week 5 July 1994, Week 4 July 1994, Week 3 July 1994, Week 2 July 1994, Week 1 June 1994, Week 5 June 1994, Week 4 June 1994, Week 3 June 1994, Week 2 June 1994, Week 1 May 1994, Week 5 May 1994, Week 4 May 1994, Week 3 May 1994, Week 2 May 1994, Week 1 April 1994, Week 5 April 1994, Week 4 April 1994, Week 3 April 1994, Week 2 April 1994, Week 1 March 1994, Week 5 March 1994, Week 4 March 1994, Week 3 March 1994, Week 2 March 1994, Week 1 February 1994, Week 4 February 1994, Week 3 February 1994, Week 2 February 1994, Week 1 February 1994 January 1994 December 1993 November 1993
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