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Old 04-06-2010, 08:41 PM #1
raleighaodh raleighaodh is offline
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Default Parkinson's Dystonia.

Is dystonia usual in PD?
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Old 04-06-2010, 09:57 PM #2
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Quote:
Originally Posted by raleighaodh View Post
Is dystonia usual in PD?
Many of us have it. I didn't get it until this past year - 5 years after dx. Mine is in one foot and starts after I walk a bit. I don't know the percentages.
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Old 04-07-2010, 06:05 AM #3
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Default How long do the dystonic foot cramps last for?

Does the dystonia appear when meds are wearing off or does dystonia appear just after you take meds or is there any pattern? How long do the foot cramps last and how do they resolve?
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Old 04-07-2010, 06:16 AM #4
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Default

I get it in my right leg inbetween meds..I can always tell when my meds are kicking in or wearing off

Dystonia in pd is very common
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Old 04-07-2010, 06:53 AM #5
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Default

would you describe your foot dystonia so i know specifically what you have?

i get very uncomfortable foot rigidity between meds, slight right foot rigidity was an early symptom 8 years ago.
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Old 04-07-2010, 07:02 AM #6
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Default Foot dystonia

The toes curl downward and lock in that position. The pain is similar to a very severe cramp. You cannot walk. It can last 30 minutes.
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Old 04-07-2010, 07:33 AM #7
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Default Dystonia in foot

Toes curl downwards and lock in place. You cannot straighten the toes. You cannot walk. Your whole foot is in spasm/cramp.
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Old 04-07-2010, 09:37 AM #8
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Default does acetylcholine cause dystonia?

raleighaodh,

Dystonia happens when I'm off. When sinemet kicks in, dsytonia goes away. I have trouble with my right foot tho even when on. I have so much trouble with my right side it's hard to say why.

Anyway, only l-dopa relieves it but I have found that taking nortriptyline relieved my morning off to a great degree [don't even have it sometimes].but i've also added stalevo recently and feel better with these two meds.

I think another transmitter is greatly in play in pd , acetycholine. When there is too much of it and when it is out of balance with dopamine, it causes muscle cramping and other movement problems. When off, I wonder if too much acetylcholine could cause the conflict of pushing and pulling that could be dystonia.

My dystonia is in my face,neck, shoulders, back, and feet. It is common in pd. Nortriptyline has anticholinergic properties, is a nerve pain killer and anti-depressant. Other anticholinergics [ which aid in the slowing up of too much acetylcholine] are Artane and Cogentin.

If anyone knows of more please add.
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Old 04-07-2010, 06:43 AM #9
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Default Is it meds related?

I am trying to figure out if dystonia is med related side effect and can it be controlled by changing meds or taking more meds. I have it and it affects my right foot but then it hits my neck and neck dystonia leaves me grounded....flat on the floor with my neck in spasms. I have been told by doctor (GP not neurologist) that this dystonia is not usual in PD and that this is caused by medication and that it can be resolved by changing the medication or taking a new medication to control it, Has anyone had similar? Is it just another side effect of levodopa therapy?
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