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Perhaps my experiences with shoulder,arm ,knee and leg pain might be of help. I had arthritis before I had PD.It seems that most senior citzens experience some arthritis.This would include me. Ten years ago, I experienced knee pain. This was referred pain and I had my right hip replacd. This was very successful. Also learned about referred pain, A little over a year later it was confirmed that I had PD. For some time I did quite well until about 3 years ago when I experienced great pain in my shoulder and particularily down my arm.X-rays and a MRI showed cervical stenosis.Might add that before this my husband retired,resulting in spending 6 mos. in MI. and about that much time in the S. This meant gettinng new drs----not fun.In both places I was referred to a neuro surgeon, as it seems that if I chose I was a candidate for surgery. Not appealing especially with PD.I finally asked the right question! Does everyone end up in surgery? Well they don't.That meant building muscles around the area. This was done by being in a water arthritis group and doing PT. It seemed things were o.k.My Pd was getting worse after doing well.It also seems that I have arthritis all over the place. I started freezing and having balance problems.Still felt I was lucky as I started having falling episodes I never broke a bone--just some bruises and shaken up.Boy was I wrong.Almost all of my falls were on the side of my hip replacement.I started feeling a small lump above my hip. Alas no one else seemed to confirm this/.This lump became huge and I was told to go to ER.It had become serious.I had a hemotoma ( somethiong I haven't seen discussed ) it was drained and not too long later I was given three pints of blood.During and after this event I have experienced the worst pain of my life, as the hematoma has pressed on various nerves, it has triggered my arthritis, my bursa is inflammened and my life has changed. My primary Dr.really " sat on me"----no more driving , use a walker at all times , as one more fall will be the pits.My pain is no longer a 10 + and in anothetr 6 months or so my hematoma will be gone.In this case my balance caused by PD was the root cause .Arthritis was causing the pain as many nerves had been traumatized.Having Pd no doubnt didn't help. Sorry this is so long.From all of this I guess asking the right questions is most important.Also it isn't always simple.and age is a factor. If I've helped anyone that would be great. Needless to say my life is going thru some big changes and challenges.I'm hoping to be part of the Unity Walk on April 24th. with my walker. Best Lorraine Jeffe ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn