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hi all At 13:23 2001/02/16 -0330, Anne Rutherford wrote: >Many years ago when I was seeing one of the doctors at the >movement disorder clinic in Toronto he mentioned a small >study they had just finished They had asked clinic patients >about shoulder problems such as pain and stiffness in the >years before PD was diagnosed. They were very surprised at >the number of PWP who had such problems. >Since then I have asked many PWP if they had needed treatment >for shoulder pain and a surprising number said yes. >>I don't know if any such research has been written up in a >medical journal. Perhaps one of the great hunters could do a >search. Anne Rutherford this is one of the best descriptions i have found: ------------------------------------------------- Shoulder joint pain is a frequent problem in Parkinson's. Commonly called "frozen shoulder", it includes pain, a limited range of motion, and stiffness. It occurs becasue of decreased arm swing and shoulder movement. Frozen shoulder has been noted before the appearance of the main symptoms of Parkinson's and it affects the body side first affected. It is seen more in patients with slowness and stiffness rather than tremor, and has been noted to clear after thalamotomy. Initiation of anti-parkinsonian therapies (meds) will often improve this problem. Also, range of motion exercises, and moving the shoulder with heat (warm shower), will help significantly. Anti-inflammatory drugs such as aspirin or ibuprofen will help. If shoulder pain becomes severe and persisitent, a referral to physiotherapy or a rheumatologist is recommended. Biceps dendonitis may also cause shoulder pain and may result from the forward shoulder posture that some parkinsonians develop. The patient has tenderness of the biceps tendon over the front of the shoulder. The clavicle and shoulder are often injured in falls and very unpleasant chronic shoulder region pain results. This is another good reason to avoid falls. ------------------------------------------------- excerpted from page 161 of: "Parkinson's - One Step at a Time" by J.David Grimes MD FRCPC and David A.Grimes MD FRCPC [IBSN 0-9694243-1-0] First Edition Published 1966 Third Edition Published 1999 by The Parkinson's Society of Ottawa-Carleton 1053 Carling Avenue Ottawa, Ontario K1Y 4E9 Canada ------------------------------------------------- janet paterson, an akinetic rigid subtype parkie 53 now / 44 dx cd / 43 onset cd / 41 dx pd / 37 onset pd TEL: 613 256 8340 SMAIL: PO Box 171 Almonte Ontario K0A 1A0 Canada EMAIL: [log in to unmask] URL: http://www.geocities.com/janet313/