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Beth (and others who wrote about back pain) -

Dick saw a back specialist (surgeon) last week  - we didn't know Dick's GP
had referred him to a surgeon until we met and talked to the doctor.  It was
an interesting experience, but not one that will offer any relief from the
pain.  The surgeon looked at the x-rays for about 60 seconds and said, "I'm
afraid I can't help you."

 He explained that Dick had degenerative lumbar disc disease.  He and his
chief resident spent time showing us on the x-rays the bony spurs on the
vertebrae as well as the white areas of calcification on what remained of the
discs.  In a couple of places the discs were almost gone, leaving the
vertebrae almost touching each other.

In a message dated 97-02-11 00:00:43 EST, you write:

>I have had some relief from the thoracic pain already, but lower back is
>as sore and stiff as ever.  So now I'm thinking that the problem in my
>left upper back is 'occupational' and the lower back pain is probably
>caused by/related to P'n rigidity.

The problem area was the lumbar spine, or lower back, as you mention.  The
surgeon (who seemed quite elderly to me) said over many years he has seen
many Parkinsonians with back pain, and in some cases finds no evidence on
x-ray of the problem.  However, in Dick's case the problem was definitely
there.  He had no answers as to whether rigidity (Dick had severe dystonia
prior to surgery) caused or exacerbated the problem.  He did say that the
running/jogging Dick used to do until just a few years ago wasn't good for
his back.

His only recommendation was a "corset"-type brace which might or might not
help, plus regular exercise on a stationary bicycle.  He named other types of
exercise equipment, and didn't know that the difficulty a PWP has with
rhythmic motion would prevent Dick from effectively using a treadmill,
stairstepper, etc.  However, Dick says he is able to use the stationary
bicycle we have stored away.

In view of the recent talk among this group about doctors, it was good to
find a doctor who said frankly that he couldn't help.  He said he could fuse
the affected vertebrae in Dick's spine, and he would have relief for about 18
months, at which time the discs at both ends of the fusion would have
completely deteriorated from the increased pressure of being the primary flex
points, and he would be worse off than he is now.

Beth, it sounds as if your routine is working for you.  I'd say keep it up.
 It would be interesting, wouldn't it, to know how many PWP have back pain
and/or actual back disorders, and how much is caused by PD.   Margie
Swindler, CG for Dick
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