I am sending this on behalf of my husband Prem, who is in constant pain, but is rather stoic about it so has not yet asked for or accepted any treatment for it. PAIN QUESTIONNAIRE 1. Do you have pain that accompanies or is a result of your Parkinson's symptoms? Yes 2. Where is your pain located? (Please be as descriptive as possible) Below the shoulder blades; buttocks; upper arms 3. Does the pain get disabling enough that you take medication or do some other therapy for relief? Not yet taken any therapy for relief 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? 9 years 5. Do you believe, or has your doctor told you that the pain is due to your Parkinson's? Yes 6. Do you believe or have you been told the pain is due to a medication you have taken long term for Parkinson's? No 7. On a scale of 1-5 (with 5 being the most severe), how would you rate your pain most of the time? 2-3 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 __X___ Comments? ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn