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Dear Patricia, It sounds like "wearing-off dystonia." This is a kind of muscle pain that occurs at the end of a Sinemet dose. I would report this to your neurologist as soon as possible. It may be that your medications could be adjusted to provide better or longer-lasting relief. You might check the National Parkinson Foundation website for more information regarding dystonia: http://www.parkinson.org/ Scroll down the left side of the screen and click "Search our site." Then, under "NPF WEB SITE SEARCH" type "dystonia." This should bring up a new screen with a number of entries regarding dystonia. I hope this will be helpful to you-- My very best regards, Kathrynne Patricia Hewitt wrote: > > Is thee anybody that has neck and head twisting at the end of > their dose of medicine? These movements are painful. Is there any > advice fo what can be done about it? We would appreciate any > advice you can give. > > Patricia Hewitt and Glory Singley (daughter/typist) -- Kathrynne Holden, MS, RD Medical nutrition therapy for Parkinson's disease Author: "Eat well, stay well with Parkinson's disease" "Parkinson's disease: interview and assessment tools for nutrition professionals" "Risk for malnutrition and bone fracture in Parkinson'sdisease," J Nutr Elderly. V18:3;1999. http://www.nutritionucanlivewith.com/