perhaps doctor 2 should read this:
from choudbury and shapira
'non-motor symptoms of Parkinson's disease: dopaminergic pathophysiology and treatments."
Lancet: 8:464-74
Panel 2: A proposed classifi cation of pain in Parkinson’s
disease
• Musculoskeletal pain
• Parkinsons’s disease-related chronic pain (might respond
to dopaminergic therapy)
•Central pain
•Visceral pain
•Fluctuation-related pain (dopaminergic therapy
responsive)
•Dyskinetic pain
•“Off ” period dystonia-related pain
•“Off ” period generalised pain
•Nocturnal pain (usually dopaminergic therapy responsive)
•Pain related to restless legs syndrome or periodic limb
movement
•Nocturnal akinesia-linked pain
•Coat-hanger pain (pain around the shoulder area; rare in
Parkinsons’s disease and linked to postural hypotension)
•Oro-facial pain
•Temporo-mandibular joint pain
•Bruxism-related pain
•Burning mouth syndrome (might be levodopa
responsive)
•Peripheral limb or abdominal pain