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> Date: Tue, 19 Oct 2010 13:10:06 -0400 > From: [log in to unmask] > Subject: Do you have Pain with Parkinson's? > To: [log in to unmask] > > I am writing an article about pain with Parkinson's and need your help. Would > as many of you as possible answer a few questions and return to me by > November 1, 2010? You may cut and paste the info below online in your reply > to this thread, or send me a Private Message with the informtion. Thank you - > all information will be kept confidential, and your name will not be identified at > all; not even with your responses: > Peggy > > ---------cut below here and return or paste info in your reply ----------- > > > PAIN QUESTIONNAIRE > > 1. Do you have pain that accompanies or is a result of your Parkinson's > symptoms? > > ___ Yes ___ No > > 2. Where is your pain located? (Please be as descriptive as possible) > > For example: Headache - temple area or > or writhing of lower leg muscles. > > 3. Does the pain get disabling enough that you take medication or do some > other therapy for relief? > > ___ Yes ___ No > If yes, give details; e.g. yes; I take 2 Tylenol for my headaches. Or yes; I > have physical therapy twice a week. > > 4. How long have you been diagnosed with Parkinson's? > ____ days ____ months ____ years > > 5. Do you believe, or has your doctor told you that the pain is due to your > Parkinson's? > > ___ Yes ___ No > > Example, if yes: > Yes - I have dystonia due to dyskinesia in my feet. > > 6. Do you believe or have you been told the pain is due to a medication you > have taken long term for Parkinson's? > > ___ Yes ___ No > > 7. On a scale of 1-5 (with 5 being the most severe), how would you rate your > pain most of the time? > > 1 ___ 2 ___ 3 ___ 4 ___ 5 ___ > > 8. Have you been told that you have or have you ever been diagnosed with > any of the following (if associated with your site of pain) ? Check all that > apply: > > Fibromyalgia ____ Dystonia ____ Severe dyskinesia ____ > > Degenerative disc disease or herniated disc _____ Arthritis _____ > > Spinal cord injury ____ Spinal stenosis ____ Scoliosis _____ > > None of the above _____ > > Comments? > > ---------------------------------------------------------------- > > ---------------------------------------------------------------------- > 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