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Last week I asked ya'll about decreased pain
sensation with PD. I got 5 responses:
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Author  : Andrew John Conovaloff <80965>
To      : [log in to unmask]
Subject : Pain & PD
Written : 03/17/97.04:14pm

An interesting question regarding PAIN and PD
was raised at our monthly PD support meeting today.

Some PDers report little pain sensation, others
report intermittent sensitivity. I volunteered
to ask PARKINSN members, if you have PD or a PD+
do you have a high tolerance for pain after injury
(cuts, falls, bruising, etc.)?

Today, Dr. Jeffery Joyce, the PD specialist at
the Sun Health Research Institute in Sun City, Arizona,
presented an excellent slide show explaining the
dopamine pathways and how the new PD drugs compare
to c/l-dopa in affecting the D1, D2, and D3 receptors.
During Q & A and discussion, he was unaware of the
desensitivization to pain symptom.

My aunt, who had PSP, had an extremely high pain
tolerance. After a dead weight fall banging her
head onto concrete, she'd deny falling and claim
not to feel any pain. Later when I'd push on the
big lump on her head, she admit she could feel it.
She'd hardly wince when breaking bones, falling
into cactus, or cutting herself. Before I intervened
she lived alone and had 20+ lesions on her back
from falls and cuts, none medically treated.

To conserve listserv chatter, please reply directly
to me. I'll post a summary of all responses in a few days,
and I'll send it to Dr. Joyce and invite him to join
our PARKINSN listserv.

 0===================================================================0
 |       @..@        A.J. CONOVALOFF                                 |
 |      (----)      "The Molokan Cyber-Cowboy"            __o        |
 |     ( >__< )      PSP Support Groups of Arizona       `\<,        |
 |     ^^ ~~ ^^      [log in to unmask]    . . ..(*)/`(*)      |
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1. ----------------

Author  : "Barbara Duffin-Bates" <[log in to unmask]>
Written : 03/17/97.05:49pm

Just the opposite observation with my husband, Iain.
He is in agony with a constant pain in his arms and
has been for almost a year.  His physician believes
that the pain is caused by Iain's rigidity and the
constant twisting of his arms due to dyskinesia.  But
it is so bad that he really cannot do anything with
his arms at all.  He did try going to a
physiotherapist, but she seemed at a loss.  We have
mentioned the problem to many health care
professionals, but no one seems to have any
suggestions.

Barb Bates

2. ----------------------------

Author  : [log in to unmask]
Written : 03/18/97.03:59am

I am 52 years old, have PD 12 years and feel less pain than before.

3. -------------------------------

Author  : Denham Miriam <[log in to unmask]>
Subject : Re: Pain & PD
Written : 03/18/97.07:01am

My husband, Dale, 74, dx 1988, has dementia with his advanced parkinson's.

He also has a high threshold for pain.The children and I comment on how
fortunate it is that he rarely complains of pain.  Occasionally he has leg
cramps (he doesn't like bananas) that I massage or heat treat.  Before he
became so incapacitated, he attributed the cramps to phosphate (?)
shortage and would eat bananas for a few days.

Miriam L. Denham
[log in to unmask]

4. -----------------------------------

Author  : [log in to unmask]
Written : 03/19/97.01:12pm

My father had CBGD (Cortico-basal Ganglionic Degeneration) a distant relative
of PD and had no pain until approximately 2 weeks prior to his death.

In addition, my father-in-law who has PSP also falls alot and says he doesn't
have any pain either.
When my father was alive, I spoke with a Doctor Grafman from NIH who
explained that they may have pain but not be aware of where it is at.  Sort
of like an itch one may have but not being able to identify where to scratch!

Would be interested in hearing your results.  Please keep me in mind.

Sincerely,
Theresa Roberts
[log in to unmask]

5. -----------------------------------

Author  : Margaret Tuchman <[log in to unmask]>
Written : 03/20/97.09:39am

Andrew:

I always thought, and was told, that I was stoic. I do feel pain, and have
a long line of experience in my medical history of surgery, falls,
accidents that were quite painful, but not unbearable. I don't want to
sound like a masochist, I figure that I have a higher tolerance for pain.
Margaret

=========================
If any more come in I'll let cha know.


 0===================================================================0
 |       @..@        A.J. CONOVALOFF                                 |
 |      (----)      "The Molokan Cyber-Cowboy"            __o        |
 |     ( >__< )      PSP Support Groups of Arizona       `\<,        |
 |     ^^ ~~ ^^      [log in to unmask]    . . ..(*)/`(*)      |
 0===================================================================0