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Hi Dick and the rest of the group.

This is my first post to the group.  I've been lerking for a month or so
.... you are a great bunch - don't stop supporting each other!!

I'm 42 years old ..today .. and have been diag. p.d. for 2 years.  I am on
sinemet cr.

My left shoulder started to give me some pain.  It got progressively worse
over the last year.  In the last month, I was hardly able to use my left
arm.  I went in to see my neurologist.  He diagnosed it as "frozen
shoulder," a non p.d. related illness.  It was like knots of muscle in my
rotater cuff and also my shoulder blade area.  Massage helped somewhat, but
only temporirily.

My neuro sent me to a physical therapy clinic.  In the first 2 sessions, the
pain was abated in that I could now reach above my head.  He used
manipulation of the shoulder joint, then a muscle stimulator machine ...
like a "tens" machine.  We are now working on excersises to help build up
the muscle in my shoulder blade area.  Amazingly, and with some doubt on my
part, my physio guy also used acupunture.  This helped TREMENDOUSLY!!!!

I'm still going 3 times a week .. been about 10 sessions so far, but I'm now
able to sleep at night!!  And am now able to even steer my car with my left
arm.

Frozen shoulder, as the physio guy explained, us unknown as to the cause.
It usually affect middle age women.  It will go away on it's own in 1 - 11/2
years.  Or physio, or they put you out with anesthetic and then "wrench" the
arm.  My choice ... physio.

Hope this sheds some light.

Regards

Jeff Hornsby
Calgary Alberta Canada

-----Original Message-----
From: Parkinson's Information Exchange Network
[mailto:[log in to unmask]]On Behalf Of Paul Lauer
Sent: Monday, April 16, 2001 4:43 PM
To: [log in to unmask]
Subject: Re: rotator cuff repair


Dick: My experiences mirror yours in many ways. In my case, first left
rotator cuff operation, then right rotator cuff problems while the left
stubbornly refused to heal properly resulting in my refusing an operation on
the right and living with the difficulty. Because both knees eventually
needed arthoscopic surgery, the shoulder pains receded and the knees became
the primary source of discomfort. I suppose if I would crack my skull open,
the knees wouldn't hurt (poor joke). In any event, I take both Sinemet (a
Levadopa formulation) and Requip, an agonist. I took Sinemet without Requip
before taking them together. I also take Selegiline (Eldepryl,
Depranyl?(sp))
and have taken it regularly throughout the various limb and joint pains. I
can tell you without hesitation that The Parkinson drugs have had absolutely
no effect on any condition or symptom other than those related to
Parkinson's. If you can get on an agonist (Requip, Mirapex, Permax) for your
PD, don't even think of Levadopa yet. This from a subscriber to the school
of
thought that believes that the best Levadopa is the Levadopa delayed in
order
t avoid its inevitable side effects. By the way, this thought is not
universally held so others on the list may want to chip in. I tried both
Vioxx and Celebrex for the pains but they didn't work either. Oh yes, if you
are taking Selegiline (by any of its names), Keep in mind that Codeine, its
derivatives and other forms of narcotic pain killer are contra indicated for
any other drug which is considered to be an MAO-B inhibitor as is
Selegiline.

Good Luck and I'm sure the list members will augment my remarks.

Paul H. Lauer

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