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Bob Your advice is usually ironclad, but I had the cogwheel effect in my shoulder before I had a tremor in my thumb/fingers. MY shoulder would cogwheel whenever I went swimming and moved it in the overhead stroke. Approimately 6 montht to a year later, my finger tremor developed. Bob ----- Original Message ----- From: "Robert A. Fink, M. D." <[log in to unmask]> To: <[log in to unmask]> Sent: Tuesday, November 04, 2003 11:06 AM Subject: Re: loss of sensation > On 3 Nov 2003 at 21:19, Carol Kerr wrote: > > > What is the cog wheel effect? I am having a lot of discomfort, > > staiffness, and pain in my right shoulder (which is the side that is > > affected by PD). I am wondering if it is connected. > > > > Thanks > > Carol > > The cogwheel effect is when the doctor moves a limb through its range of > motion; and, because of the tremor, it feels like you are moving a "cogwheel". > It is present only in cases where there is tremor. > > Best, > > Bob > > ********************************************** > Robert A. Fink, M. D., F.A.C.S., P. C. > 2500 Milvia Street Suite 222 > Berkeley, California 94704-2636 > Telephone: 510-849-2555 FAX: 510-849-2557 > WWW: http://www.rafink.com/ > > mailto:[log in to unmask] > > "Ex Tristitia Virtus" > > ********************************************* > > ---------------------------------------------------------------------- > To sign-off Parkinsn send a message to: mailto:[log in to unmask] > In the body of the message put: signoff parkinsn > ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn