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Good morning Scott, At least it's morning here in Illinois...a rather gray and rainy Halloween morning. Hoping it clears up some by the time the little Goblins take to the village streets. In answer to your question about shoulder shrugging, I don't have that problem myself. When I go annually to my doctor at Washington U.(I see him once a year and see my local neuro. on "as needed basis") he always presses his thumbs into the joint between my shoulder and chest and asks me if I have pain there and I always respond that I do not. I do have arm and shoulder pain on my affected side (the left side) but not localized in that area. I've always wondered why he focuses on this but just assumed that many people do have the pain that he is referring to. My problems are in my lower back, and through my left hip, running down to my foot. The muscles are always tight there and I am constantly doing stretches to loosen them up. It does seem strange that your wife would have difficulty shrugging her shoulders when her Sinemet is working. That is when we should be at our most flexible and pain free. I do recall having read articles about Levadopa related dystonia. In those cases, I believe the recommendation was to reduce the Sinemet dosage to see if it relieves the dystonia without aggravating the Parkinson's symptoms. If that doesn't work, it is suggested that adding Amantadine might help. Check with your doctor if you suspect that there is a connection here and do some research on the subject before doing any alteration to the drug dosage. Happy Halloween! Dee ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn