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Parkinson's Disease

Pain managment

05/27/1998

Question:

what are some of the pain medications used for parkinson's. what do these med's do what are some side affects

Answer:

Pain in Parkinson's disease is a complex issue. As always, before deciding on treatment one must know the cause of the pain. Is it due to off dystonia which results in a cramping pain as the medication wears off, or is it occuring at peak dose along with dyskinesias. Both of these presentations can be helped by adjusting the antiparkinson medication. Keeping a diary that records on time (near normal), off time (stiff and slow) and dyskinesias along with medication times and doses will help your doctor with medication changes. At times, in selected patients, surgical treatment with pallidotomy can be of great help.

However, the pain may be unrelated to Parkinson's disease, for example, pain related to a pinched nerve or a disc prolapse. In that case, again, diagnosing the specific cause is essential.

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Response by:

Arif Dalvi, MD
Assistant Professor
College of Medicine
University of Cincinnati