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Phil - A good point about treating PD pain as an "overuse" injury. That reminds me of the time Dick was diagnosed as having a rotator cuff tear (in his shoulder). It was very painful. He was told surgery was the only cure, since rotator cuffs don't heal themselves. However, there was only a 50-50 chance it would help, and the recuperation was long, painful, and awkward - the arm would be in a cast held out at a 90% angle from the shoulder. He decided to "live with it" as long as he could. Eventually the shoulder quit hurting. He mentioned it to his neuro the next time he saw him, and the neuro said, "Oh, yes. Rotator cuff tears are common in PWP. They often go away by themselves." He was right, but we sure wish we'd known that before all those doctors' visits. It sure sounds like an overuse injury to me - at that time (pre-surgery) Dick had a severe tremor. Margie